Outcomes in infants listed for liver transplantation: A retrospective cohort study using the United Network for Organ Sharing database
LT in neonates and young infants can be challenging due to a variety of factors. To describe the waitlist mortality rates and outcomes of patients listed and transplanted as infants identified from the UNOS database. Infants listed for LT between January 1985 and September 2010 were identified from...
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| Published in | Pediatric transplantation Vol. 20; no. 7; pp. 904 - 911 |
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| Main Authors | , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Denmark
Blackwell Publishing Ltd
01.11.2016
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| Subjects | |
| Online Access | Get full text |
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| Abstract | LT in neonates and young infants can be challenging due to a variety of factors. To describe the waitlist mortality rates and outcomes of patients listed and transplanted as infants identified from the UNOS database. Infants listed for LT between January 1985 and September 2010 were identified from the UNOS database. Mortality on the waitlist as well as outcomes post‐LT was compared between infants aged ≤60 days (Group 1), 61–179 days (Group 2), and 180–364 days (Group 3). Of 6763 infants listed for LT (Group 1 n = 496, Group 2 n = 2404, Group 3 n = 3863), mean age at listing was 196 ± 87 days (Group 1, 29 ± 16 days; Group 2, 132 ± 32 days; Group 3, 257 ± 52 days). Waitlist mortality was highest in Group 1 (Group 1 vs. 3 HR 3.01, 95% CI 2.19–4.15, Group 2 vs. Group 3 HR 0.82, 95% CI 0.66–1.03). One‐ and five‐yr graft survival was 59.6% and 42% (Group 1), 66% and 45% (Group 2), and 66.8% and 41% (Group 3) (one‐yr survival p = 0.20; five‐yr survival p = 0.19). Infants listed for LT at age ≤60 days had greater waitlist mortality risk than older infants. Infants undergoing LT at age ≤60 days had similar rates of patient and graft survival to older infants. |
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| AbstractList | LT in neonates and young infants can be challenging due to a variety of factors. To describe the waitlist mortality rates and outcomes of patients listed and transplanted as infants identified from the UNOS database. Infants listed for LT between January 1985 and September 2010 were identified from the UNOS database. Mortality on the waitlist as well as outcomes post-LT was compared between infants aged ≤60 days (Group 1), 61-179 days (Group 2), and 180-364 days (Group 3). Of 6763 infants listed for LT (Group 1 n = 496, Group 2 n = 2404, Group 3 n = 3863), mean age at listing was 196 ± 87 days (Group 1, 29 ± 16 days; Group 2, 132 ± 32 days; Group 3, 257 ± 52 days). Waitlist mortality was highest in Group 1 (Group 1 vs. 3 HR 3.01, 95% CI 2.19-4.15, Group 2 vs. Group 3 HR 0.82, 95% CI 0.66-1.03). One- and five-yr graft survival was 59.6% and 42% (Group 1), 66% and 45% (Group 2), and 66.8% and 41% (Group 3) (one-yr survival p = 0.20; five-yr survival p = 0.19). Infants listed for LT at age ≤60 days had greater waitlist mortality risk than older infants. Infants undergoing LT at age ≤60 days had similar rates of patient and graft survival to older infants. LT in neonates and young infants can be challenging due to a variety of factors. To describe the waitlist mortality rates and outcomes of patients listed and transplanted as infants identified from the UNOS database. Infants listed for LT between January 1985 and September 2010 were identified from the UNOS database. Mortality on the waitlist as well as outcomes post‐ LT was compared between infants aged ≤60 days (Group 1), 61–179 days (Group 2), and 180–364 days (Group 3). Of 6763 infants listed for LT (Group 1 n = 496, Group 2 n = 2404, Group 3 n = 3863), mean age at listing was 196 ± 87 days (Group 1, 29 ± 16 days; Group 2, 132 ± 32 days; Group 3, 257 ± 52 days). Waitlist mortality was highest in Group 1 (Group 1 vs. 3 HR 3.01, 95% CI 2.19–4.15, Group 2 vs. Group 3 HR 0.82, 95% CI 0.66–1.03). One‐ and five‐yr graft survival was 59.6% and 42% (Group 1), 66% and 45% (Group 2), and 66.8% and 41% (Group 3) (one‐yr survival p = 0.20; five‐yr survival p = 0.19). Infants listed for LT at age ≤60 days had greater waitlist mortality risk than older infants. Infants undergoing LT at age ≤60 days had similar rates of patient and graft survival to older infants. LT in neonates and young infants can be challenging due to a variety of factors. To describe the waitlist mortality rates and outcomes of patients listed and transplanted as infants identified from the UNOS database. Infants listed for LT between January 1985 and September 2010 were identified from the UNOS database. Mortality on the waitlist as well as outcomes post-LT was compared between infants aged less than or equal to 60 days (Group 1), 61-179 days (Group 2), and 180-364 days (Group 3). Of 6763 infants listed for LT (Group 1 n = 496, Group 2 n = 2404, Group 3 n = 3863), mean age at listing was 196 plus or minus 87 days (Group 1, 29 plus or minus 16 days; Group 2, 132 plus or minus 32 days; Group 3, 257 plus or minus 52 days). Waitlist mortality was highest in Group 1 (Group 1 vs. 3 HR 3.01, 95% CI 2.19-4.15, Group 2 vs. Group 3 HR 0.82, 95% CI 0.66-1.03). One- and five-yr graft survival was 59.6% and 42% (Group 1), 66% and 45% (Group 2), and 66.8% and 41% (Group 3) (one-yr survival p = 0.20; five-yr survival p = 0.19). Infants listed for LT at age less than or equal to 60 days had greater waitlist mortality risk than older infants. Infants undergoing LT at age less than or equal to 60 days had similar rates of patient and graft survival to older infants. |
| Author | Ng, Vicky L. Mazariegos, George V. Nightingale, Scott Jimenez-Rivera, Carolina Benchimol, Eric I. |
| Author_xml | – sequence: 1 givenname: Carolina surname: Jimenez-Rivera fullname: Jimenez-Rivera, Carolina email: cajimenez@cheo.on.ca, Carolina Jimenez-Rivera, Division of Gastroenterology, Hepatology& Nutrition, Children's Hospital of Eastern Ontario, 401 Smyth Road, Ottawa, ON K1H 8L1, CanadaTel.: 613 737 2516Fax: 613 738 4854, cajimenez@cheo.on.ca organization: Division of Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, Children's Hospital of Eastern Ontario, University of Ottawa, ON, Ottawa, Canada – sequence: 2 givenname: Scott surname: Nightingale fullname: Nightingale, Scott organization: Discipline of Paediatrics and Child Health, University of Newcastle, NSW, Newcastle, Australia – sequence: 3 givenname: Eric I. surname: Benchimol fullname: Benchimol, Eric I. organization: Division of Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, Children's Hospital of Eastern Ontario, University of Ottawa, Ottawa, ON, Canada – sequence: 4 givenname: George V. surname: Mazariegos fullname: Mazariegos, George V. organization: Hillman Center for Pediatric Transplantation Children's Hospital of Pittsburgh, PA, Pittsburgh, USA – sequence: 5 givenname: Vicky L. surname: Ng fullname: Ng, Vicky L. organization: Transplant and Regenerative Medicine Centre, The Hospital for Sick Children, University of Toronto, ON, Toronto, Canada |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/27378124$$D View this record in MEDLINE/PubMed |
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| Snippet | LT in neonates and young infants can be challenging due to a variety of factors. To describe the waitlist mortality rates and outcomes of patients listed and... LT in neonates and young infants can be challenging due to a variety of factors. To describe the waitlist mortality rates and outcomes of patients listed and... |
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| SubjectTerms | Databases, Factual End Stage Liver Disease - surgery Female Humans Infant Infant, Newborn Liver Transplantation Male Proportional Hazards Models Regression Analysis Respiration, Artificial Retrospective Studies Time Factors Time-to-Treatment Tissue and Organ Procurement Treatment Outcome Waiting Lists |
| Title | Outcomes in infants listed for liver transplantation: A retrospective cohort study using the United Network for Organ Sharing database |
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