scholarly journals Impact of the Share 35 Policy on Perioperative Management and Mortality in Liver Transplantation Recipients

2021 ◽  
Vol 26 ◽  
Author(s):  
Warangkana Lapisatepun ◽  
Vatche G. Agopian ◽  
Victor W. Xia ◽  
Worakitti Lapisatepun
Keyword(s):  
Liver Transplantation ◽  
Perioperative Management ◽  
Share 35 Policy

Cardiovascular Collapse During Liver Transplantation—Echocardiographic-Guided Hemodynamic Rescue and Perioperative Management

2018 ◽  
Vol 32 (5) ◽  
pp. 2409-2416 ◽  
Author(s):  
Andrew K. Gold ◽  
Prakash A. Patel ◽  
Meghan Lane-Fall ◽  
Jacob T. Gutsche ◽  
Derek Lauter ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Perioperative Management ◽  
Cardiovascular Collapse

scholarly journals Chronic Moderate Aortic Regurgitation in Liver Transplantation: Prevalence, Perioperative Management, and Short-Term Outcomes

2019 ◽  
Vol 33 (2) ◽  
pp. 584-587
Author(s):  
Kyota Fukazawa ◽  
Casey A. Quinlan ◽  
Ernesto A. Pretto ◽  
Christine T. Fong ◽  
Jorge D. Reyes ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Aortic Regurgitation ◽  
Perioperative Management ◽  
Short Term

The Impact of Share 35 Policy on Patient Survival in Patients Undergoing Liver Transplantation With Gender- and Race-Mismatched Donors

2018 ◽  
Vol 28 (2) ◽  
pp. 151-156
Author(s):  
Yefei Zhang ◽  
Maha R. Boktour
Keyword(s):  
Liver Transplantation ◽  
Proportional Hazards Model ◽  
Patient Survival ◽  
Research Question ◽  
Cox Proportional Hazards Model ◽  
Future Research ◽  
Gender And Race ◽  
Risk Of Death ◽  
Share 35 Policy ◽  
The Impact

Introduction: The United Network for Organ Sharing (UNOS) instituted the Share 35 policy in June 2013 in order to reduce death on liver transplant waitlist. The effect of this policy on patient survival among patients with gender- and race-mismatched donors has not been examined. Research Question: To assess the impact of Share 35 policy on posttransplantation patient survival among patients with end-stage liver disease (ESLD) transplanted with gender- and race-mismatched donors. Design: A total of 16 467 adult patients with ESLD who underwent liver transplantation between 2012 and 2015 were identified from UNOS. An overall Cox proportional hazards model adjusting for demographic, clinical, and geographic factors and separate models with a dummy variable of pre- and post-Share 35 periods as well as its interaction with other factors were performed to model the effect of gender and race mismatch on posttransplantation patient survival and to compare the patient survival differences between the first 18 months of Share 35 policy to an equivalent time period before. Results: Comparison of the pre- and post-Share 35 periods did not show significant changes in the numbers of gender- and race-mismatched transplants, or the risk of death for gender-mismatched recipients. However, black recipients with Hispanic donors (hazard ratio: 0.51, 95% confidence interval, 0.29-0.90) had significantly increased patient survival after Share 35 policy took effect. Conclusion: The Share 35 policy had a moderate impact on posttransplantation patient survival among recipients with racially mismatched donors according to the first 18-month experience. Future research is recommended to explore long-term transplantation.

scholarly journals Perioperative management of patients undergoing combined heart-liver transplantation

Critical Care ◽  
2014 ◽  
Vol 18 (Suppl 1) ◽  
pp. P205 ◽  
Author(s):  
DW Barbara ◽  
KH Rehfeldt ◽  
JK Heimbach ◽  
CB Rosen ◽  
RC Daly ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Perioperative Management
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