Liver transplant success rate

[Guest guest]

Does anyone know or know where I can find liver transplant success rates. My doctor told me today that live PSC the success rate is high. Is that true? does anyone know?

Armanarman_shirin@...

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[Guest guest]

Arman,

You may be able to find it on this website which gives a tremendous amount

of information on organ transplants, once you play around with it for a

while:

http://www.optn.org/latestData/stateData.asp?type=center

>

>Reply-To:

>To:

>Subject: Liver transplant success rate

>Date: Thu, 20 Sep 2007 19:10:18 -0700 (PDT)

>

>Does anyone know or know where I can find liver transplant success rates.

>My doctor told me today that live PSC the success rate is high. Is that

>true? does anyone know?

>

>Arman

>arman_shirin@...

>

>

>

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[Guest guest]

Arman,

Tim R posted this info just four days ago;

Because of the shortage of organs for pediatric transplants the firstliving donors were usually parents donating to their very youngchildren, who would need only 10 to 25% of the adult's liver. Astransplant centers gained experience, in the late 1990s, adult to

adult living donor transplants were added and between 1999 and 2001became the criteria for a " cutting edge " program. Some centers onlydid a few before deciding they were too demanding and shutting down

the living donor part of their liver transplant program. Since thehigh point of 520 transplants in 2001, just over 300 per year havebeen done in the US. Compare that number to about 6000 per year forcadaveric transplants.

The following data taken fromhttp://www.optn.org/latestData/advancedData.asp

selecting Transplantdata for Liver, Living Donor by year and age.U.S. Liver Transplants Performed : January 1, 1988 - June 30, 2007For Donor Type = Living Donor. . . . . . . To Date. 2007 . 2006 . 2005 . 2004 . 2003 . 2002

..All Ages . . . 3,382 . 130. . 288. . 323. . 323. . 322. . 362Pediatric . . . 1,114 .. 37 . . 65 . . 59 . . 50 . . 68 . . 73Adult . . . . . 2,268 .. 93. . 223. . 264. . 273. . 254. . 2892001 . 2000 . 1999 . 1998 . 1997 . 1996 . 1995 . 1994 . 1993

520. . 400. . 253 . . 92 . . 86 . . 62 . . 54 . . 60 . . 36110. . 118. . 107 . . 67 . . 83 . . 59 . . 54 . . 59 . . 36410. . 282. . 146 . . 25. . . 3. . . 3. . . 0. . . 1. . . 0. . . . . 1992 . 1991 . 1990 . 1989

..All Ages . 33 . . 22 . . 14 . . 2Pediatric . 32 . . 21 . . 14 . . 2Adult. . . . 1. . . 1. . . 0 . . 0Tim R

Does anyone know or know where I can find liver transplant success rates. My doctor told me today that live PSC the success rate is high. Is that true? does anyone know?

Armanarman_shirin@...

Catch up on fall's hot new shows on Yahoo! TV. Watch previews, get listings, and more! -- Ian Cribb P.Eng.

[Guest guest]

Arman,

The OPTN site expresses success in terms of patient or graft (organ)

survival and only provides national and regional data, so information

on a individual center survival isn't readily available. These are the

reports available when you select " Survival " as the category at:

http://www.optn.org/latestData/step2.asp

* Survival by Recipient Blood Type

* Survival by Recipient Ethnicity

* Survival by Recipient Age

* Survival by Recipient Gender

* Survival by Primary vs. Repeat Transplant

* Survival by Recipient UNOS Status at Transplant

* Survival by Recipient Diagnosis Category

* Survival by HLA Mismatch Level (Kidney Only)

* Survival by Donor Age

* Survival by Donor Type (Deceased vs. Living)

* Survival by Recipient PRA (Kidney Only)

* Survival by Single vs. Double Lung (Lung Only)

Looking at survival by Donor Type (Deceased vs. Living) for patients

you can see that those with living donors have almost 4% higher 1 year

survival rate (90.2% vs 86.3%) than those that get cadaveric livers.

The same increased survival is seen in the Recipient Diagnosis

Category report for those with Cholestatic Liver Disease (which

includes PSC) compared with overall patient survival at 1 year (90.4%

vs 86.6%).

I suspect that the better survival rate of those with living donors

reflects their better health because they get transplanted earlier

than cadaveric recipients and they are better able to handle the

challenges that may occur post transplant (such as graft failure),

since the graft survival is no different between living and cadaveric

donors.

Tim R