Utilization of Segmental Grafts Is Associated With Higher Transplant Rates in Pediatric Patients

In July 2017, a policy to increase the use of segmental grafts (SGs) was implemented at our institution. The aim was to compare changes in waitlist activity after implementation of this policy. A single-center, retrospective study. Pediatric patients on the liver waiting list between January 2015 an...

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Bibliographic Details
Published in:The Journal of surgical research 2023-10, Vol.290, p.28-35
Main Authors: Lopez-Verdugo, Fidel, Sanchez-Garcia, Jorge, Baraki, Shanni, Kastenberg, Zachary J., Sanchez-Garavito, Jesus E., Zendejas, Ivan, Alonso, Diane, Jensen, M. Kyle, Fujita, Shiro, Meyers, Rebecka L., Book, Linda, Rodriguez-Davalos, Manuel I.
Format: Article
Language:English
Subjects:
Child
Humans
Liver
Liver Transplantation
Liver waitlist
Pediatric transplantation
Retrospective Studies
Split liver transplantation
Split policy
Survival Rate
Waiting Lists
Waitlist outcomes
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Summary:In July 2017, a policy to increase the use of segmental grafts (SGs) was implemented at our institution. The aim was to compare changes in waitlist activity after implementation of this policy. A single-center, retrospective study. Pediatric patients on the liver waiting list between January 2015 and December 2019 were screened. Patients were classified as receiving a liver transplant (LT) before (Period 1) or after (Period 2) policy changes. Primary end points were transplant rates and time to transplant. Sixty five first LT performed on 65 patients were included. Twenty nine LT were performed during Period 1 and 36 during Period 2. More than half (55%) of LT in Period 2 were SG, compared to 10.3% in Period 1 (P 
ISSN:0022-4804
1095-8673
DOI:10.1016/j.jss.2023.03.048