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Age and liver transplantation: a report of the Liver Transplantation Database.
Transplantation 1998; 66(4):500-6T

Abstract

BACKGROUND

The average age of liver transplant recipients has increased steadily during the last decade. The effects of recipient age on outcome of liver transplantation were evaluated in a large prospective database.

METHODS

A total of 735 adult recipients of single-organ liver transplants for nonfulminant liver disease enrolled in a large prospective database between 1990 and 1994 were analyzed for associations of patient age with outcomes. Patients were categorized into two groups: younger being <60 and older being > or = 60 years of age.

RESULTS

Older liver transplant recipients were more likely to be female, white, and have the diagnoses of primary biliary cirrhosis or cryptogenic cirrhosis than younger recipients, who were more likely to have the diagnosis of alcoholic liver disease. Disease severity was similar between the two groups. After transplantation, the durations of stay in the intensive care unit and hospital were longer for older than for younger transplant recipients, but episodes of acute rejection were less frequent. The quality of life at 1 year was similar among older and younger recipients. Patient survival was lower for older than for younger recipients (81% vs. 90% at 1 year; P=0.004), whereas graft survival was not different (80% vs. 85% at 1 year; P=0.163). The excess mortality among older recipients was largely due to nonhepatic causes, including infectious, cardiac, and neurological diseases occurring within 6 months after transplantation.

CONCLUSIONS

Although patient survival was significantly lower among liver transplant recipients above the age of 60 years, the excess mortality was due to nonhepatic, largely age-related problems. The overall success of liver transplantation and improvement in quality of life for older recipients is excellent.

Authors+Show Affiliations

University of Nebraska Medical Center, Omaha, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

9734495

Citation

Zetterman, R K., et al. "Age and Liver Transplantation: a Report of the Liver Transplantation Database." Transplantation, vol. 66, no. 4, 1998, pp. 500-6.
Zetterman RK, Belle SH, Hoofnagle JH, et al. Age and liver transplantation: a report of the Liver Transplantation Database. Transplantation. 1998;66(4):500-6.
Zetterman, R. K., Belle, S. H., Hoofnagle, J. H., Lawlor, S., Wei, Y., Everhart, J., ... Lake, J. R. (1998). Age and liver transplantation: a report of the Liver Transplantation Database. Transplantation, 66(4), pp. 500-6.
Zetterman RK, et al. Age and Liver Transplantation: a Report of the Liver Transplantation Database. Transplantation. 1998 Aug 27;66(4):500-6. PubMed PMID: 9734495.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Age and liver transplantation: a report of the Liver Transplantation Database. AU - Zetterman,R K, AU - Belle,S H, AU - Hoofnagle,J H, AU - Lawlor,S, AU - Wei,Y, AU - Everhart,J, AU - Wiesner,R H, AU - Lake,J R, PY - 1998/9/12/pubmed PY - 1998/9/12/medline PY - 1998/9/12/entrez SP - 500 EP - 6 JF - Transplantation JO - Transplantation VL - 66 IS - 4 N2 - BACKGROUND: The average age of liver transplant recipients has increased steadily during the last decade. The effects of recipient age on outcome of liver transplantation were evaluated in a large prospective database. METHODS: A total of 735 adult recipients of single-organ liver transplants for nonfulminant liver disease enrolled in a large prospective database between 1990 and 1994 were analyzed for associations of patient age with outcomes. Patients were categorized into two groups: younger being <60 and older being > or = 60 years of age. RESULTS: Older liver transplant recipients were more likely to be female, white, and have the diagnoses of primary biliary cirrhosis or cryptogenic cirrhosis than younger recipients, who were more likely to have the diagnosis of alcoholic liver disease. Disease severity was similar between the two groups. After transplantation, the durations of stay in the intensive care unit and hospital were longer for older than for younger transplant recipients, but episodes of acute rejection were less frequent. The quality of life at 1 year was similar among older and younger recipients. Patient survival was lower for older than for younger recipients (81% vs. 90% at 1 year; P=0.004), whereas graft survival was not different (80% vs. 85% at 1 year; P=0.163). The excess mortality among older recipients was largely due to nonhepatic causes, including infectious, cardiac, and neurological diseases occurring within 6 months after transplantation. CONCLUSIONS: Although patient survival was significantly lower among liver transplant recipients above the age of 60 years, the excess mortality was due to nonhepatic, largely age-related problems. The overall success of liver transplantation and improvement in quality of life for older recipients is excellent. SN - 0041-1337 UR - https://www.unboundmedicine.com/medline/citation/9734495/Age_and_liver_transplantation:_a_report_of_the_Liver_Transplantation_Database_ L2 - http://dx.doi.org/10.1097/00007890-199808270-00015 DB - PRIME DP - Unbound Medicine ER -