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20 April 2021: Original Paper

Long-Term Outcomes of Early Experience in Donation After Circulatory Death Liver Transplantation: Outcomes at 10 Years

Omar J. Haque 12ADEF , Eve M. Roth 12ADEF , Aaron Fleishman 12ABCDE , Devin E. Eckhoff 12ADG* , Khalid Khwaja 12ADEG*

DOI: 10.12659/AOT.930243

Ann Transplant 2021; 26:e930243

Table 2 Liver transplant donor and recipient characteristics reweighted using stabilized inverse probability of treatment weights (sIPWs).

CharacteristicDBD (n=27 483)DCD (n=1194)SD*
Age in years, mean (standard deviation)41.4 (17.5)40.3 (17.4)0.06
Sex, Female, n (%)10 977 (40.0)515 (43.2)0.067
Race, n (%)0.078
 Non-Hispanic white18 918 (68.9)812 (68.2)
 Black4 228 (15.4)213 (17.9)
 Other4 293 (15.6)166 (13.9)
BMI in kg/m, median (q1–q3)25.7 (22.7–29.5)25.3 (22.3–29.7)0.035
Cause of death, n (%)0.093
 Anoxia3 966 (14.5)209 (17.6)
 Cerebrovascular/stroke11 854 (43.2)479 (40.3)
 Head trauma10 892 (39.7)467 (39.2)
 Other6727 (2.6)36 (3.0)
History of smoking, n (%)0.008
 Yes9020 (32.9)395 (33.2)
 No18 131 (66.1)783 (65.8)
 Unknown288 (1.1)13 (1.1)
History of diabetes, n (%)0.048
 Yes2 542 (9.3)94 (7.9)
 No24 784 (90.3)1 091 (91.6)
 Unknown112 (0.4)6 (0.5)
History of hypertension, n (%)0.039
 Yes8 753 (31.9)375 (31.5)
 No18 513 (67.5)804 (67.5)
 Unknown173 (0.6)12 (1.0)
History of previous MI, n (%)0.091
 Yes937 (3.4)59 (4.9)
 No22 282 (81.2)930 (78.1)
 Unknown4 220 (15.4)202 (17.0)
Total cold Ischemic Time in hours, median (q1–q3)7.0 (5.3–9.0)6.7 (5.2–9.0)0.044
CDC high risk0.062
 Yes1 679 (6.1)90 (7.5)
 No18 294 (66.7)795 (66.7)
 Unknown7 465 (27.2)306 (25.7)
Anti-CMV status0.046
 Positive17 867 (65.1)773 (64.9)
 Negative9 439 (34.4)408 (34.2)
 Unknown133 (0.5)10 (0.9)
HCV antibody status0.037
 Positive792 (2.9)38 (3.2)
 Negative17 027 (62.1)718 (60.3)
 Unknown9 620 (35.1)435 (36.5)
Age in years, mean (standard deviation)52.9 (10.0)52.7 (9.8)0.016
Sex, female, n (%)8 820 (32.1)417 (35.1)0.062
Race, n (%)0.029
 Non-Hispanic White20 001 (72.9)883 (74.2)
 Black2 433 (8.9)102 (8.6)
 Other5 005 (18.2)205 (17.3)
BMI in kg/m, median (q1–q3)27.4 (24.1–31.5)27.1 (23.9–30.7)0.079
Primary diagnosis0.088
 Biliary disease2 416 (8.8)126 (10.5)
 Liver disease19 609 (71.5)851 (71.5)
 Metabolic724 (2.6)29 (2.5)
 Tumor3 914 (14.3)145 (12.1)
 Other776 (2.8)40 (3.4)
Blood type0.099
 A10 224 (37.3)431 (36.2)
 B3 633 (13.2)127 (10.6)
 AB1 393 (5.1)75 (6.3)
 O12 118 (44.4)558 (46.8)
INR, median (q1–q3)1.6 (1.3–2.0)1.6 (1.3–2.0)0.002
Serum creatinine in mg/dl, median (q1–q3)1.1 (0.8–1.6)1.1 (0.8–1.6)0.002
Total bilirubin in mg/dl, median (q1–q3)3.4 (1.7 7.9)3.6 (1.8–7.7)0.019
Calculated model for end-stage liver disease (MELD) score, median (q1–q3)17 (11–27)17 (12–26)
HCC exception0.068
 Yes6 504 (23.7)248 (20.9)
 No20 934 (76.3)942 (79.1)
Anti-CMV status0.045
 Positive16 566 (60.4)741 (62.2)
 Negative7 660 (27.9)323 (27.2)
 Unknown3 212 (11.7)126 (10.6)
SD – standardized difference,
* a value

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Annals of Transplantation eISSN: 2329-0358
Annals of Transplantation eISSN: 2329-0358