Age and liver transplantation

A report of the liver transplantation database

Rowen K Zetterman, Steven H. Belle, Jay H. Hoofnagle, Sharon Lawlor, Yuling Wei, James Everhart, Russell H. Wiesner, John R. Lake

Research output: Contribution to journalArticle

114 Citations (Scopus)

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 ≤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.

Original languageEnglish (US)
Pages (from-to)500-506
Number of pages7
JournalTransplantation
Volume66
Issue number4
DOIs
StatePublished - Aug 27 1998

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Liver Transplantation
Databases
Liver
Transplantation
Quality of Life
Alcoholic Liver Diseases
Survival
Biliary Liver Cirrhosis
Mortality
Graft Survival
Intensive Care Units
Liver Diseases
Heart Diseases
Transplants
Transplant Recipients

ASJC Scopus subject areas

  • Transplantation
  • Immunology

Cite this

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), 500-506. https://doi.org/10.1097/00007890-199808270-00015

Age and liver transplantation : A report of the liver transplantation database. / Zetterman, Rowen K; Belle, Steven H.; Hoofnagle, Jay H.; Lawlor, Sharon; Wei, Yuling; Everhart, James; Wiesner, Russell H.; Lake, John R.

In: Transplantation, Vol. 66, No. 4, 27.08.1998, p. 500-506.

Research output: Contribution to journalArticle

Zetterman, RK, Belle, SH, Hoofnagle, JH, Lawlor, S, Wei, Y, Everhart, J, Wiesner, RH & Lake, JR 1998, 'Age and liver transplantation: A report of the liver transplantation database', Transplantation, vol. 66, no. 4, pp. 500-506. https://doi.org/10.1097/00007890-199808270-00015
Zetterman, Rowen K ; Belle, Steven H. ; Hoofnagle, Jay H. ; Lawlor, Sharon ; Wei, Yuling ; Everhart, James ; Wiesner, Russell H. ; Lake, John R. / Age and liver transplantation : A report of the liver transplantation database. In: Transplantation. 1998 ; Vol. 66, No. 4. pp. 500-506.
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