Survival after adult liver transplantation does not correlate with transplant center case volume in the MELD era
Survival after adult liver transplantation does not correlate with transplant center case volume in the MELD era
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DOI：
10.1111/j.1600-6143.2006.01501.x
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发表时间：
2006-10-01
影响因子：
8.8
通讯作者：
Berg, C. L.
中科院分区：
文献类型：
--
作者：
Northup, P. G.;Pruett, T. L.;Berg, C. L.
It has been demonstrated that low-volume orthotopic liver transplant centers have poorer outcomes compared to high-volume centers. In light of the recent significant changes in liver transplantation, we performed an analysis of transplant center procedure volume and mortality with data from the Model for End-stage Liver Disease (MELD) era. We analyzed 9909 adult liver transplants performed in the United States since the beginning of the MELD allocation system. Transplant centers were categorized by volume of transplants performed per year. Multivariate survival models were constructed with raw survival as the primary endpoint for both high- and low-volume centers. Thirty percent of centers were categorized as low volume (
