SwePub
Sök i LIBRIS databas

  Utökad sökning

id:"swepub:oai:DiVA.org:uu-457977"
 

Sökning: id:"swepub:oai:DiVA.org:uu-457977" > Impact of the acuit...

  • Ivanics, TommyUppsala universitet,Gastrointestinalkirurgi,Division of Transplant and Hepatobiliary Surgery Henry Ford Hospital Michigan USA. (författare)

Impact of the acuity circle model for liver allocation on multivisceral transplant candidates

  • Artikel/kapitelEngelska2022

Förlag, utgivningsår, omfång ...

  • John Wiley & Sons,2022
  • printrdacarrier

Nummerbeteckningar

  • LIBRIS-ID:oai:DiVA.org:uu-457977
  • https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-457977URI
  • https://doi.org/10.1111/ajt.16803DOI

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

Ingår i deldatabas

Klassifikation

  • Ämneskategori:ref swepub-contenttype
  • Ämneskategori:art swepub-publicationtype

Anmärkningar

  • Liver allocation was updated on February 4, 2020, replacing a Donor Service Area (DSA) with acuity circles (AC). The impact on waitlist outcomes for patients listed for combined liver-intestine transplantation (multivisceral transplantation [MVT]) remains unknown. The Organ Procurement and Transplantation Network/United Network for Organ Sharing database was used to identify all candidates listed for both liver and intestine between January 1, 2018 and March 5, 2021. Two eras were defined: pre-AC (2018–2020) and post-AC (2020–2021). Outcomes included 90-day waitlist mortality and transplant probability. A total of 127 adult and 104 pediatric MVT listings were identified. In adults, the 90-day waitlist mortality was not statistically significantly different, but transplant probability was lower post-AC. After risk-adjustment, post-AC was associated with a higher albeit not statistically significantly different mortality hazard (sub-distribution hazard ratio[sHR]: 8.45, 95% CI: 0.96–74.05; p = .054), but a significantly lower transplant probability (sHR: 0.33, 95% CI: 0.15–0.75; p = .008). For pediatric patients, waitlist mortality and transplant probability were similar between eras. The proportion of patients who underwent transplant with exception points was lower post-AC both in adult (44% to 9%; p = .04) and pediatric recipients (65% to 15%; p = .002). A lower transplant probability observed in adults listed for MVT may ultimately result in increased waitlist mortality. Efforts should be taken to ensure equitable organ allocation in this vulnerable patient population. 

Ämnesord och genrebeteckningar

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Vianna, RodrigoDivision of Liver/GI Transplant Department of Surgery Miami Transplant InstituteJackson Memorial Hospital/University of Miami Miami Florida USA (författare)
  • Kubal, Chandrashekhar A.Division of Abdominal Transplant Surgery Department of Surgery Indiana University School of Medicine Indianapolis Indiana USA (författare)
  • Iyer, Kishore R.Recanati‐Miller Transplantation InstituteMount Sinai Hospital New York New York USA (författare)
  • Mazariegos, George V.Hillman Center for Pediatric TransplantationUPMC Children’s Hospital of Pittsburgh Pittsburgh Pennsylvania USA (författare)
  • Matsumoto, Cal S.Medstar Georgetown University HospitalMedstar Georgetown Transplant Institute Washington DC USA (författare)
  • Mangus, RichardDivision of Abdominal Transplant Surgery Department of Surgery Indiana University School of Medicine Indianapolis Indiana USA (författare)
  • Beduschi, ThiagoDivision of Transplantation and Hepatobiliary Surgery Department of Surgery University of Florida Gainesville Florida USA (författare)
  • Abouljoud, MarwanDivision of Transplant and Hepatobiliary Surgery Henry Ford Hospital Michigan USA (författare)
  • Fridell, Jonathan A.Division of Abdominal Transplant Surgery Department of Surgery Indiana University School of Medicine Indianapolis Indiana USA (författare)
  • Nagai, ShunjiDivision of Transplant and Hepatobiliary Surgery Henry Ford Hospital Michigan USA (författare)
  • Uppsala universitetGastrointestinalkirurgi (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:American Journal of Transplantation: John Wiley & Sons22:2, s. 464-4731600-61351600-6143

Internetlänk

Hitta via bibliotek

Till lärosätets databas

Kungliga biblioteket hanterar dina personuppgifter i enlighet med EU:s dataskyddsförordning (2018), GDPR. Läs mer om hur det funkar här.
Så här hanterar KB dina uppgifter vid användning av denna tjänst.

 
pil uppåt Stäng

Kopiera och spara länken för att återkomma till aktuell vy