Society of pediatric liver transplantation: Current registry status 2011-2018 Article

Full Text via DOI: 10.1111/petr.13605 PMID: 31680409 Web of Science: 000510204300040
International Collaboration

Cited authors

  • Elisofon, Scott A.; Magee, John C.; Ng, Vicky L.; Horslen, Simon P.; Fioravanti, Vicki; Economides, Julie; Erinjeri, Jinson; Anand, Ravinder; Mazariegos, George V.; Dunn, S.; Martin, A.; Mannino, D.; Flynn, L.; Mohammad, S.; Alonso, E.; Superina, R.; Brandt, K.; Riordan, M.; Lokar, J.; Ito, J.; Elisofon, S.; Zapata, L.; Jain, A.; Foristal, E.; Gupta, N.; Whitlow, C.; Naik, K.; Espinosa, H.; Miethke, A.; Hawkins, A.; Hardy, J.; Engels, E.; Schreibeis, A.; Ovchinsky, N.; Kogan-Liberman, D.; Cunningham, R.; Malik, P.; Sundaram, S.; Feldman, A.; Garcia, B.; Yanni, G.; Kohli, R.; Emamaullee, J.; Secules, C.; Lopez, J.; Bilhartz, J.; Hollenbeck, J.; Shaw, B.; Bartow, C.; Forest, S.; Rand, E.; Byrne, A.; Linguiti, I.; Wann, L.; Seidman, C.; Mazariegos, G.; Soltys, K.; Squires, J.; Kepler, A.; Vitola, B.; Telega, G.; Lerret, S.; Desai, D.; Moghe, J.; Cutright, L.; Daniel, J.; Andrews, W.; Fioravanti, V.; Slowik, V.; Cisneros, R.; Faseler, M.; Hufferd, M.; Kelly, B.; Sudan, D.; Mavis, A.; Moats, L.; Swannesbit, S.; Yazigi, N.; Buranych, A.; Hobby, A.; Rao, G.; Maccaby, B.; Gopalareddy, V.; Boulware, M.; Ibrahim, S.; El Youssef, M.; Furuya, K.; Schatz, A.; Weckwerth, J.; Lovejoy, C.; Kasi, N.; Nadig, S.; Law, M.; Arnon, R.; Chu, J.; Bucuvalas, J.; Czurda, M.; Secheli, B.; Almy, C.; Haydel, B.; Lobritto, S.; Emand, J.; Biney-Amissah, E.; Gamino, D.; Gomez, A.; Himes, R.; Seal, J.; Stewart, S.; Bergeron, J.; Truxillo, A.; Lebel, S.; Davidson, H.; Book, L.; Ramstack, D.; Riley, A.; Jennings, C.; Horslen, S.; Hsu, E.; Wallace, K.; Turmelle, Y.; Nadler, M.; Postma, S.; Miloh, T.; Economides, J.; Timmons, K.; Ng, V.; Subramonian, A.; Dharmaraj, B.; McDiarmid, S.; Feist, S.; Rhee, S.; Perito, E.; Gallagher, L.; Smith, K.; Ebel, N.; Zerofsky, M.; Nogueira, J.; Greer, R.; Gilmour, S.; Robert, C.; Cars, C.; Azzam, R.; Boone, P.; Garbarino, N.; Lalonde, M.; Kerkar, N.; Dokus, K.; Helbig, K.; Grizzanti, M.; Tomiyama, K.; Cocking, J.; Alexopoulos, S.; Bhave, C.; Schillo, R.; Bailey, A.; Dulek, D.; Ramsey, L.; Ekong, U.; Valentino, P.; Hettiarachchi, D.; Tomlin, R.

Abstract

  • Background SPLIT was founded in 1995 in order to collect comprehensive prospective data on pediatric liver transplantation, including waiting list data, transplant, and early and late outcomes. Since 2011, data collection of the current registry has been refined to focus on prospective data and outcomes only after transplant to serve as a foundation for the future development of targeted clinical studies. Objective To report the outcomes of the SPLIT registry from 2011 to 2018. Methods This is a multicenter, cross-sectional analysis characterizing patients transplanted and enrolled in the SPLIT registry between 2011 and 2018. All patients, <18 years of age, received a first liver-only, a combined liver-kidney, or a combined liver-pancreas transplant during this study period. Results A total of 1911 recipients from 39 participating centers in North America were registered. Indications included biliary atresia (38.5%), metabolic disease (19.1%), tumors (11.7%), and fulminant liver failure (11.5%). Greater than 50% of recipients were transplanted as either Status 1A/1B or with a MELD/PELD exception score. Incompatible transplants were performed in 4.1%. Kaplan-Meier estimates of 1-year patient and graft survival were 97.3% and 96.6%. First 30 days of surgical complications included reoperation (31.7%), hepatic artery thrombosis (6.3%), and portal vein thrombosis (3.2%). In the first 90 days, biliary tract complications were reported in 13.6%. Acute cellular rejection during first year was 34.7%. At 1 and 2 years of follow-up, 39.2% and 50.6% had normal liver tests on monotherapy (tacrolimus or sirolimus). Further surgical, survival, allograft function, and complications are detailed.

Authors

Publication date

  • 2020

Published in

International Standard Serial Number (ISSN)

  • 1397-3142

Volume

  • 24

Issue

  • 1