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器官获取与移植网络/器官共享联合网络2015年度数据报告:肝脏

OPTN/SRTR 2015 Annual Data Report: Liver.

作者信息

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

机构信息

Scientific Registry of Transplant Recipients, Minneapolis Medical Research Foundation, Minneapolis, MN.

Division of Gastroenterology and Hepatology, Stanford University, Palo Alto, CA.

出版信息

Am J Transplant. 2017 Jan;17 Suppl 1:174-251. doi: 10.1111/ajt.14126.

Abstract

Several notable developments in adult liver transplantation in the US occurred in 2015. The year saw the largest number of liver transplants to date, leading to reductions in median waiting time, in waitlist mortality for all model for end-stage liver disease categories, and in the number of candidates on the waiting list at the end of the year. Numbers of additions to the waiting list and of liver transplants performed in patients with hepatitis C virus infection decreased for the first time in recent years. However, other diagnoses, such as non-alcoholic fatty liver disease and alcoholic cirrhosis, became more prevalent. Despite large numbers of severely ill patients undergoing liver transplant, graft survival rates continued to improve. The number of new active candidates added to the pediatric liver transplant waiting list in 2015 was 689, down from a peak of 826 in 2005. The number of prevalent pediatric candidates (on the list on December 31 of the given year) continued to decline, to 373 active and 195 inactive candidates. The number of pediatric liver transplants peaked at 613 in 2008 and was 580 in 2015. The number of living donor pediatric liver transplants increased to its highest level, 79, in 2015; most were from donors closely related to the recipients. Pediatric graft survival rates continued to improve.

摘要

2015年美国成人肝移植领域出现了几项显著进展。这一年进行的肝移植数量达到了迄今为止的最高纪录,使得中位等待时间缩短,所有终末期肝病模型类别的等待名单死亡率降低,以及年底等待名单上的候选人数减少。近年来,丙型肝炎病毒感染患者加入等待名单的人数和接受肝移植的人数首次下降。然而,其他诊断,如非酒精性脂肪性肝病和酒精性肝硬化,变得更加普遍。尽管大量重症患者接受了肝移植,但移植物存活率仍在持续提高。2015年新增到小儿肝移植等待名单上的活跃候选人数为689人,低于2005年的峰值826人。普遍存在的小儿候选人数(在给定年份的12月31日在名单上)继续下降,至373名活跃候选人和195名非活跃候选人。小儿肝移植数量在2008年达到峰值613例,2015年为580例。2015年活体供体小儿肝移植数量增至最高水平,即79例;大多数供体与受者关系密切。小儿移植物存活率继续提高。

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