OPTN/SRTR 2016 Annual Data Report: Liver

W. R. Kim, J. R. Lake, J. M. Smith, D. P. Schladt, M. A. Skeans, A. M. Harper, J. L. Wainright, J. J. Snyder, A. K. Israni, B. L. Kasiske

Research output: Contribution to journalArticlepeer-review

273 Scopus citations

Abstract

Data on adult liver transplants performed in the US in 2016 are no-table for (1) the largest total number of transplants performed (7841); (2) the shortest median waiting time in recent history (11.3 months); (3) continued reduction in waitlist registrations and transplants for hepatitis C-related indications; (4) increasing numbers of patients whose clinical profiles are consistent with non-alcoholic fatty liver disease; and (5) equilibration of transplant rates in patients with and without hepatocellular carcinoma. Despite the increase in the number of available organs, waitlist mortality remained an important concern. Graft survival rates continued to improve. In 2016, 723 new active candidates were added to the pediatric liver transplant waiting list, down from a peak of 826 in 2005. The number of prevalent candidates (on the list on December 31 of the given year) was stable, 408 active and 169 inactive. The number of pediatric living donor liver transplants decreased from a peak of 79 in 2015 to 62 in 2016, with most from donors closely related to the recipients. Graft survival continued to improve over the past decade among recipients of deceased donor and living donor livers.

Original languageEnglish (US)
Pages (from-to)172-253
Number of pages82
JournalAmerican Journal of Transplantation
Volume18
DOIs
StatePublished - Jan 2018

Bibliographical note

Funding Information:
Scientific Registry of Transplant Recipients, Minneapolis Medical Research Foundation, Minneapolis, MN

Funding Information:
Publications based on data in this report or supplied on request must include a citation and the following statement: The data and analyses reported in the 2016 Annual Data Report of the U.S. Organ Procurement and Transplantation Network and the Scientific Registry of Transplant Recipients have been supplied by the United Network for Organ Sharing and the Minneapolis Medical Research Foundation under contract with HHS/HRSA. The authors alone are responsible for reporting and interpreting these data; the views expressed herein are those of the authors and not necessarily those of the U.S. Government.

Funding Information:
The publication was produced for the U.S. Department of Health and Human Services, Health Resources and Services Administration, by the Minneapolis Medical Research Foundation (MMRF) and by the United Network for Organ Sharing (UNOS) under contracts HHSH250201500009C and 234-2005-37011C, respectively.

Publisher Copyright:
© 2018 Blackwell Publishing Ltd. All rights reserved.

Keywords

  • Liver transplant
  • allocation
  • distribution
  • waiting list

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