OPTN/SRTR 2013 Annual Data Report: liver.
OPTN/SRTR 2013 Annual Data Report: liver.
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DOI：
10.1111/ajt.13197
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发表时间：
2015-01-01
期刊：
影响因子：
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通讯作者：
Kasiske, B L
中科院分区：
文献类型：
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作者：
Kim, W R;Lake, J R;Kasiske, B L
2013年，10479名成年候选人被列入肝脏移植等待名单，而2012年这一数字为10185人；进行了5921例肝脏移植，其中211例移植器官来自活体捐赠者。截至2013年12月31日，有15027名候选人在候补名单上登记，其中12407人处于活动状态。2013年，分配政策对肝脏等待名单趋势影响最大的变化是Share 35政策，根据该政策，终末期肝病模型得分为35或更高的候选人可以获得整个地区的器官。这类候选人的平均等待时间大幅减少，从2012年的14.0个月减少到2013年的1.4个月，但对等待名单死亡率的影响尚不清楚。2013年，新加入肝脏移植等待名单的活跃儿科候选人数量增加到693人。年龄在1岁以下的人的移植比率最高(每100年轮候年275.6人)，11至17岁的人最低(每100人轮候年97.0人)。1岁以下的受者5年移植物存活率为71.7%，1~5年为74.9%，6~10年为78.9%，11~17年为77.4%。
During 2013, 10,479 adult candidates were added to the liver transplant waiting list, compared with 10,185 in 2012; 5921 liver transplants were performed, and 211 of the transplanted organs were from living donors. As of December 31, 2013, 15,027 candidates were registered on the waiting list, including 12,407 in active status. The most significant change in allocation policy affecting liver waitlist trends in 2013 was the Share 35 policy, whereby organs from an entire region are available to candidates with model for end-stage liver disease scores of 35 or higher. Median waiting time for such candidates decreased dramatically, from 14.0 months in 2012 to 1.4 months in 2013, but the effect on waitlist mortality is unknown. The number of new active pediatric candidates added to the liver transplant waiting list increased to 693 in 2013. Transplant rates were highest for candidates aged younger than 1 year (275.6 per 100 waitlist years) and lowest for candidates aged 11 to 17 years (97.0 per 100 waitlist years). Five-year graft survival was 71.7% for recipients aged younger than 1 year, 74.9% for ages 1 to 5 years, 78.9% ages 6 to 10 years, and 77.4% for ages 11 to 17 years.