Liver

Am J Transplant. 2016 Jan:16 Suppl 2:69-98. doi: 10.1111/ajt.13668.

Abstract

The median waiting time for patients with MELD ≥ 35 decreased from 18 days in 2012 to 9 days in 2014, after implementation of the Share 35 policy in June 2013. Similarly, mortality among candidates listed with MELD ≥ 35 decreased from 366 per 100 waitlist years in 2012 to 315 in 2014. The number of new active candidates added to the pediatric liver transplant waiting list in 2014 was 655, down from a peak of 826 in 2005. The number of prevalent candidates (on the list on December 31 of the given year) continued to decline, 401 active and 173 inactive. The number of deceased donor pediatric liver transplants peaked at 542 in 2008 and was 478 in 2014. The number of living donor liver pediatric transplants was 52 in 2014; most were from donors closely related to the recipients. Graft survival continued to improve among pediatric recipients of deceased donor and living donor livers.

Keywords: Liver transplant; model for end-stage liver disease; waiting list.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Child
  • Child, Preschool
  • End Stage Liver Disease / epidemiology
  • End Stage Liver Disease / surgery*
  • Graft Survival
  • Humans
  • Immunosuppressive Agents / therapeutic use
  • Liver Transplantation / methods*
  • Liver Transplantation / statistics & numerical data*
  • Living Donors
  • Middle Aged
  • Time Factors
  • Tissue Donors
  • Treatment Outcome
  • United States
  • Waiting Lists
  • Young Adult

Substances

  • Immunosuppressive Agents