Split Liver Transplantation and Pediatric Waitlist Mortality in the United States: Potential for Improvement.

ABSTRACT: BACKGROUND:In the United States, 1 in 10 infants and 1 in 20 older children die on the liver transplant waiting list. Increasing split liver transplantation could increase organ availability for these children, without decreasing transplants in adults. METHODS:Using United Network for Organ Sharing Standard Transplant Analysis and Research data, we identified livers transplanted 2010 to 2015 that could potentially have been used for split transplant, based on strict criteria. Livers not suitable for pediatric patients or allocated to high-risk recipients were excluded. Number and distribution of potentially "split-able" livers were compared to pediatric waitlist deaths in each region. RESULTS:Of 37 333 deceased donor livers transplanted, 6.3% met our strict criteria for utilization in spli

SUBMITTER: Perito ER 

PROVIDER: S-EPMC6773658 | biostudies-literature | 2019 Mar

REPOSITORIES: biostudies-literature