Bashar Hmoud1, Yong-Fang Kuo, Russell H Wiesner, Ashwani K Singal. 1. 1 Department of Internal Medicine, University of Texas Medical Branch, Galveston, TX. 2 Department of Biostatistics, University of Texas Medical Branch, Galveston, TX. 3 Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN. 4 Division of Gastroenterology and Hepatology, University of Alabama, Birmingham, AL.
Abstract
BACKGROUND: Data on patient and liver graft survival comparing liver transplantation alone after listing for kidney with simultaneous liver kidney (SLK) transplantation are scanty. METHODS: United Network Organ Sharing network database (1994-2011) queried for liver transplantation alone after being listed for kidney and SLK transplants. RESULTS: Of 65,206 first liver transplants, 3549 were listed for simultaneous kidney. Of these, 422 (12%) received only liver (LIST) and differed from SLK recipients for the white race (64% vs. 57%; 0.005), diabetes (27% vs. 37%; P = 0.02), model for end-stage liver disease era (68% vs. 82%; P = 0.0001), serum creatinine (2.9±1.9 vs. 4.3±2.5; P < 0.0001), dialysis (35% vs. 64%; P < 0.0001), and donor risk index (1.6±0.4 vs. 1.5±0.3; P < 0.0001). Overall survival was poorer in the LIST group (55% vs. 76%; P < 0.0001). A higher proportion of patients died within 2 days of transplantation in LIST group (11% vs. 0.5%; P < 0.0001), mostly from cardiovascular causes. After excluding these patients, odds of patient mortality and liver graft loss were about 1.2-fold and twofold higher in the LIST group. A total of 103 (24%) patients needed a renal transplantation in the LIST group with 16 (4%) receiving kidney within first year after transplantation. After excluding patients receiving kidney within first year, about 33% recovered renal function to above estimated GFR of greater than 60 mL per min. CONCLUSION: Guidelines are needed for patient selection to list for and receipt of simultaneous liver kidney transplantation.
BACKGROUND: Data on patient and liver graft survival comparing liver transplantation alone after listing for kidney with simultaneous liver kidney (SLK) transplantation are scanty. METHODS: United Network Organ Sharing network database (1994-2011) queried for liver transplantation alone after being listed for kidney and SLK transplants. RESULTS: Of 65,206 first liver transplants, 3549 were listed for simultaneous kidney. Of these, 422 (12%) received only liver (LIST) and differed from SLK recipients for the white race (64% vs. 57%; 0.005), diabetes (27% vs. 37%; P = 0.02), model for end-stage liver disease era (68% vs. 82%; P = 0.0001), serum creatinine (2.9±1.9 vs. 4.3±2.5; P < 0.0001), dialysis (35% vs. 64%; P < 0.0001), and donor risk index (1.6±0.4 vs. 1.5±0.3; P < 0.0001). Overall survival was poorer in the LIST group (55% vs. 76%; P < 0.0001). A higher proportion of patients died within 2 days of transplantation in LIST group (11% vs. 0.5%; P < 0.0001), mostly from cardiovascular causes. After excluding these patients, odds of patient mortality and liver graft loss were about 1.2-fold and twofold higher in the LIST group. A total of 103 (24%) patients needed a renal transplantation in the LIST group with 16 (4%) receiving kidney within first year after transplantation. After excluding patients receiving kidney within first year, about 33% recovered renal function to above estimated GFR of greater than 60 mL per min. CONCLUSION: Guidelines are needed for patient selection to list for and receipt of simultaneous liver kidney transplantation.
Authors: Su-Hsin Chang; Mei Wang; Xiaoyan Liu; Tarek Alhamad; Krista L Lentine; Mark A Schnitzler; Graham A Colditz; Yikyung Park; William C Chapman Journal: Transplantation Date: 2019-08 Impact factor: 4.939
Authors: Xun Luo; Allan B Massie; Christine E Haugen; Rashikh Choudhury; Jessica M Ruck; Ashton A Shaffer; Sheng Zhou; Dorry L Segev; Jacqueline M Garonzik-Wang Journal: Transplantation Date: 2018-04 Impact factor: 4.939
Authors: Phuong-Thu T Pham; Keri E Lunsford; Suphamai Bunnapradist; Gabriel M Danovitch Journal: Curr Opin Organ Transplant Date: 2016-04 Impact factor: 2.640
Authors: Sharon R Weeks; Xun Luo; Christine E Haugen; Shane E Ottmann; Ahmet O Gurakar; Fizza F Naqvi; Saleh A Alqahtani; Benjamin Philosophe; Andrew M Cameron; Niraj M Desai; Dorry L Segev; Jacqueline M Garonzik Wang Journal: Transplantation Date: 2020-03 Impact factor: 5.385