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An Increase in Deceased Donor Incidence Alleviated the Need for Urgent Adult Living Donor Liver Transplantation in a Korean High-Volume Center

Authors
Hwang S.Lee S.G.Ahn C.S.Kim K.H.Moon D.B.Ha T.Y.Song G.W.Jung D.H.Kim K.W.Choi N.K.Park G.C.Yu Y.D.Choi Y.I.Park P.J.
Issue Date
2010
Citation
Transplantation Proceedings, v.42, no.5, pp 1497 - 1501
Pages
5
Indexed
SCI
SCIE
SCOPUS
Journal Title
Transplantation Proceedings
Volume
42
Number
5
Start Page
1497
End Page
1501
URI
https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/15484
DOI
10.1016/j.transproceed.2009.12.059
ISSN
0041-1345
1873-2623
Abstract
Purpose: This study analyzed the effects of a recent increase in deceased donors on the pattern of adult liver transplantation (OLT) in a high-volume center in Korea. Methods: OLT patterns relative to pretransplant recipient status were analyzed for 112 deceased donor LTs (DDLT) and 743 living donor OLT (LDLT) in a single center as compared to nationwide Korean data over 3 years from 2006 to 2008. Results: During the study period, the annual proportion of institutional urgent OLT was relatively invariable (20% to 25.2%), but the annual proportion of DDLTs to all OLT increased from 8.9% to 19.9%, as did the annual rate of DDLTs among those undergoing urgent OLT, from 18.6% to 65.8%, with a reciprocal decrease in the proportion of urgent LDLTs. Korean nationwide data also showed a noticeable increase in deceased liver graft allocation for urgency from 39.8% to 62.2% over the same time period. Conclusion: An increase in deceased donors up to 5 per million enabled an increase in urgent adult DDLTs, alleviating the need for urgent adult LDLTs in Korea. © 2010.
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Anam Hospital (Department of Hepato-Biliary-Pancreatic Surgery, Anam Hospital)
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