Living donor liver transplant access is optimal for high-risk waitlisted cirrhosis patients

“Access to LDLT in a transplant program can optimize the timing of transplant for the increasingly older, frail patient population […]” Credit: 2023 Arisar et al. “Access to LDLT in a transplant program can optimize the timing of transplant for the increasingly older, frail patient population […]” BUFFALO, NY- September 26, 2023 – A new […]

Sep 26, 2023 - 20:00

Living donor liver transplant access is optimal for high-risk waitlisted cirrhosis patients

“Access to LDLT in a transplant program can optimize the timing of transplant for the increasingly older, frail patient population […]”

Credit: 2023 Arisar et al.

“Access to LDLT in a transplant program can optimize the timing of transplant for the increasingly older, frail patient population […]”

BUFFALO, NY- September 26, 2023 – A new research paper was published in Aging (listed by MEDLINE/PubMed as “Aging (Albany NY)” and “Aging-US” by Web of Science) Volume 15, Issue 17, entitled, “Availability of living donor optimizes timing of liver transplant in high-risk waitlisted cirrhosis patients.”

Liver transplant (LT) candidates have become older and frailer. Growing non-alcoholic steatohepatitis (NASH) and comorbid disease burden in recent years is also predisposing them for poor waitlist outcomes. In this new study, researchers Fakhar Ali Qazi Arisar, Shiyi Chen, Catherine Chen, Noorulsaba Shaikh, Ravikiran Sindhuvalada Karnam, Wei Xu, Sumeet K. Asrani, Zita Galvin, Gideon Hirschfield, Keyur Patel, Cynthia Tsien, Nazia Selzner, Mark Cattral, Leslie Lilly, and Mamatha Bhat from the University Health Network, University of Toronto, Baylor University Medical Center, and Dow University of Health Sciences aimed to evaluate the impact of access to living donor liver transplantation (LDLT) in waitlisted patients at highest risk of dropout.

“We reviewed all adult patients with decompensated cirrhosis listed for LT from November 2012 to December 2018.”

Patients with a potential living donor (pLD) available were identified. Survival analyses with Cox Proportional Hazards models and time to LT with Competing risk models were performed followed by prediction model development. Out of 860 patients who met inclusion criteria, 360 (41.8%) had a pLD identified and 496 (57.6%) underwent LT, out of which 170 (34.2%) were LDLT. The benefit of pLD was evident for all, but patients with moderate to severe frailty at listing (interaction p = 0.03), height

“Our study identifies that certain patient subgroups (short stature, MELD

Read the full study: DOI: https://doi.org/10.18632/aging.204982

Corresponding Author: Mamatha Bhat

Corresponding Email: mamatha.bhat@uhn.ca

Keywords: living donor liver transplant, frailty, old age, short-statured, MELD score, prediction model

Sign up for free Altmetric alerts about this article: https://aging.altmetric.com/details/email_updates?id=10.18632%2Faging.https://doi.org/10.18632/aging.204982

About Aging:

Launched in 2009, Aging publishes papers of general interest and biological significance in all fields of aging research and age-related diseases, including cancer—and now, with a special focus on COVID-19 vulnerability as an age-dependent syndrome. Topics in Aging go beyond traditional gerontology, including, but not limited to, cellular and molecular biology, human age-related diseases, pathology in model organisms, signal transduction pathways (e.g., p53, sirtuins, and PI-3K/AKT/mTOR, among others), and approaches to modulating these signaling pathways.

Please visit our website at www.Aging-US.com and connect with us: