An Increase in Deceased Donor Incidence Alleviated the Need for Urgent Adult Living Donor Liver Transplantation in a Korean High-Volume Center

S. Hwang; S. G. Lee; C. S. Ahn; K. H. Kim; D. B. Moon; T. Y. Ha; G. W. Song; D. H. Jung; K. W. Kim; N. K. Choi; G. C. Park; Y. D. Yu; Y. I. Choi; P. J. Park

doi:10.1016/j.transproceed.2009.12.059

An Increase in Deceased Donor Incidence Alleviated the Need for Urgent Adult Living Donor Liver Transplantation in a Korean High-Volume Center

S. Hwang, S. G. Lee, C. S. Ahn, K. H. Kim, D. B. Moon, T. Y. Ha, G. W. Song, D. H. Jung, K. W. Kim, N. K. Choi, G. C. Park, Y. D. Yu, Y. I. Choi, P. J. Park

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Abstract

Purpose: This study analyzed the effects of a recent increase in deceased donors on the pattern of adult liver transplantation (OLT) in a high-volume center in Korea. Methods: OLT patterns relative to pretransplant recipient status were analyzed for 112 deceased donor LTs (DDLT) and 743 living donor OLT (LDLT) in a single center as compared to nationwide Korean data over 3 years from 2006 to 2008. Results: During the study period, the annual proportion of institutional urgent OLT was relatively invariable (20% to 25.2%), but the annual proportion of DDLTs to all OLT increased from 8.9% to 19.9%, as did the annual rate of DDLTs among those undergoing urgent OLT, from 18.6% to 65.8%, with a reciprocal decrease in the proportion of urgent LDLTs. Korean nationwide data also showed a noticeable increase in deceased liver graft allocation for urgency from 39.8% to 62.2% over the same time period. Conclusion: An increase in deceased donors up to 5 per million enabled an increase in urgent adult DDLTs, alleviating the need for urgent adult LDLTs in Korea.

Original language	English
Pages (from-to)	1497-1501
Number of pages	5
Journal	Transplantation Proceedings
Volume	42
Issue number	5
DOIs	https://doi.org/10.1016/j.transproceed.2009.12.059
Publication status	Published - 2010 Jun

ASJC Scopus subject areas

Surgery
Transplantation

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Hwang, S., Lee, S. G., Ahn, C. S., Kim, K. H., Moon, D. B., Ha, T. Y., Song, G. W., Jung, D. H., Kim, K. W., Choi, N. K., Park, G. C., Yu, Y. D., Choi, Y. I., & Park, P. J. (2010). An Increase in Deceased Donor Incidence Alleviated the Need for Urgent Adult Living Donor Liver Transplantation in a Korean High-Volume Center. Transplantation Proceedings, 42(5), 1497-1501. https://doi.org/10.1016/j.transproceed.2009.12.059

Hwang, S, Lee, SG, Ahn, CS, Kim, KH, Moon, DB, Ha, TY, Song, GW, Jung, DH, Kim, KW, Choi, NK, Park, GC, Yu, YD, Choi, YI & Park, PJ 2010, 'An Increase in Deceased Donor Incidence Alleviated the Need for Urgent Adult Living Donor Liver Transplantation in a Korean High-Volume Center', Transplantation Proceedings, vol. 42, no. 5, pp. 1497-1501. https://doi.org/10.1016/j.transproceed.2009.12.059

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title = "An Increase in Deceased Donor Incidence Alleviated the Need for Urgent Adult Living Donor Liver Transplantation in a Korean High-Volume Center",

abstract = "Purpose: This study analyzed the effects of a recent increase in deceased donors on the pattern of adult liver transplantation (OLT) in a high-volume center in Korea. Methods: OLT patterns relative to pretransplant recipient status were analyzed for 112 deceased donor LTs (DDLT) and 743 living donor OLT (LDLT) in a single center as compared to nationwide Korean data over 3 years from 2006 to 2008. Results: During the study period, the annual proportion of institutional urgent OLT was relatively invariable (20% to 25.2%), but the annual proportion of DDLTs to all OLT increased from 8.9% to 19.9%, as did the annual rate of DDLTs among those undergoing urgent OLT, from 18.6% to 65.8%, with a reciprocal decrease in the proportion of urgent LDLTs. Korean nationwide data also showed a noticeable increase in deceased liver graft allocation for urgency from 39.8% to 62.2% over the same time period. Conclusion: An increase in deceased donors up to 5 per million enabled an increase in urgent adult DDLTs, alleviating the need for urgent adult LDLTs in Korea.",

author = "S. Hwang and Lee, {S. G.} and Ahn, {C. S.} and Kim, {K. H.} and Moon, {D. B.} and Ha, {T. Y.} and Song, {G. W.} and Jung, {D. H.} and Kim, {K. W.} and Choi, {N. K.} and Park, {G. C.} and Yu, {Y. D.} and Choi, {Y. I.} and Park, {P. J.}",

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AU - Kim, K. H.

AU - Moon, D. B.

AU - Ha, T. Y.

AU - Song, G. W.

AU - Jung, D. H.

AU - Kim, K. W.

AU - Choi, N. K.

AU - Park, G. C.

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AU - Park, P. J.

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N2 - Purpose: This study analyzed the effects of a recent increase in deceased donors on the pattern of adult liver transplantation (OLT) in a high-volume center in Korea. Methods: OLT patterns relative to pretransplant recipient status were analyzed for 112 deceased donor LTs (DDLT) and 743 living donor OLT (LDLT) in a single center as compared to nationwide Korean data over 3 years from 2006 to 2008. Results: During the study period, the annual proportion of institutional urgent OLT was relatively invariable (20% to 25.2%), but the annual proportion of DDLTs to all OLT increased from 8.9% to 19.9%, as did the annual rate of DDLTs among those undergoing urgent OLT, from 18.6% to 65.8%, with a reciprocal decrease in the proportion of urgent LDLTs. Korean nationwide data also showed a noticeable increase in deceased liver graft allocation for urgency from 39.8% to 62.2% over the same time period. Conclusion: An increase in deceased donors up to 5 per million enabled an increase in urgent adult DDLTs, alleviating the need for urgent adult LDLTs in Korea.

AB - Purpose: This study analyzed the effects of a recent increase in deceased donors on the pattern of adult liver transplantation (OLT) in a high-volume center in Korea. Methods: OLT patterns relative to pretransplant recipient status were analyzed for 112 deceased donor LTs (DDLT) and 743 living donor OLT (LDLT) in a single center as compared to nationwide Korean data over 3 years from 2006 to 2008. Results: During the study period, the annual proportion of institutional urgent OLT was relatively invariable (20% to 25.2%), but the annual proportion of DDLTs to all OLT increased from 8.9% to 19.9%, as did the annual rate of DDLTs among those undergoing urgent OLT, from 18.6% to 65.8%, with a reciprocal decrease in the proportion of urgent LDLTs. Korean nationwide data also showed a noticeable increase in deceased liver graft allocation for urgency from 39.8% to 62.2% over the same time period. Conclusion: An increase in deceased donors up to 5 per million enabled an increase in urgent adult DDLTs, alleviating the need for urgent adult LDLTs in Korea.

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An Increase in Deceased Donor Incidence Alleviated the Need for Urgent Adult Living Donor Liver Transplantation in a Korean High-Volume Center

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