Excellent outcomes with liver transplantation in hepatopulmonary syndrome across pre-transplant PaO

CIF, cumulative incidence function ECMO, extracorporeal membrane oxygenation HPS, hepatopulmonary syndrome HR, hazard ratio Hepatopulmonary syndrome Hypoxia Liver transplantation MELD, model for end-stage liver disease NASH, non-alcoholic steatohepatitis OPTN, Organ Procurement and Transplant Network POPH, portopulmonary hypertension PaO2, partial pressure of arterial oxygen STAR, Standard Transplant Analysis and Research UNOS, United Network for Organ Sharing

Journal

JHEP reports : innovation in hepatology
ISSN: 2589-5559
Titre abrégé: JHEP Rep
Pays: Netherlands
ID NLM: 101761237

Informations de publication

Date de publication:
Oct 2021
Historique:
received: 23 06 2021
revised: 02 08 2021
accepted: 03 08 2021
entrez: 4 10 2021
pubmed: 5 10 2021
medline: 5 10 2021
Statut: epublish

Résumé

Significantly worse survival has been reported in patients with hepatopulmonary syndrome (HPS) and partial pressure of arterial oxygen (PaO A retrospective analysis of 1,152 HPS candidates listed with an approved HPS model for end-stage liver disease (MELD) exception was performed. A Fine and Gray competing risks model was utilised to evaluate pre-transplant outcomes for PaO Patients with a PaO Patients with a PaO A total of 1,152 patients with hepatopulmonary syndrome listed for liver transplant were analysed. Patients with a low PaO

Sections du résumé

BACKGROUND & AIMS OBJECTIVE
Significantly worse survival has been reported in patients with hepatopulmonary syndrome (HPS) and partial pressure of arterial oxygen (PaO
METHODS METHODS
A retrospective analysis of 1,152 HPS candidates listed with an approved HPS model for end-stage liver disease (MELD) exception was performed. A Fine and Gray competing risks model was utilised to evaluate pre-transplant outcomes for PaO
RESULTS RESULTS
Patients with a PaO
CONCLUSIONS CONCLUSIONS
Patients with a PaO
LAY SUMMARY BACKGROUND
A total of 1,152 patients with hepatopulmonary syndrome listed for liver transplant were analysed. Patients with a low PaO

Identifiants

pubmed: 34604726
doi: 10.1016/j.jhepr.2021.100351
pii: S2589-5559(21)00127-0
pmc: PMC8473556
doi:

Types de publication

Journal Article

Langues

eng

Pagination

100351

Informations de copyright

© 2021 The Authors.

Déclaration de conflit d'intérêts

The authors have no conflicts of interest or financial disclosures to make. Please refer to the accompanying ICMJE disclosure forms for further details.

Références

J Hepatobiliary Pancreat Sci. 2019 Jul;26(7):292-299
pubmed: 31069999
Pediatr Transplant. 2012 Nov;16(7):E281-5
pubmed: 22093921
Liver Transpl. 2015 Nov;21(11):1355-64
pubmed: 26077312
Gastroenterology. 2006 Jul;131(1):69-75
pubmed: 16831591
Hepatology. 2005 May;41(5):1122-9
pubmed: 15828054
Stat Med. 2007 Oct 30;26(24):4505-19
pubmed: 17348080
Liver Transpl. 2014 Sep;20(9):1141-4
pubmed: 24916167
Gastroenterology. 2014 May;146(5):1256-65.e1
pubmed: 24412528
Eur Respir J. 2019 Jan 31;53(2):
pubmed: 30487203
Hepatology. 2013 Jun;57(6):2427-35
pubmed: 22996424
Hepatol Res. 2018 Mar;48(4):225-232
pubmed: 28603899
Gastroenterology. 2003 Oct;125(4):1042-52
pubmed: 14517788
Gastroenterology. 2008 Oct;135(4):1168-75
pubmed: 18644373
Pediatr Transplant. 2017 Nov;21(7):
pubmed: 28833992
World J Gastroenterol. 2018 Mar 28;24(12):1285-1298
pubmed: 29599604
Liver Transpl. 2008 Jul;14(7):966-70
pubmed: 18581508
CMAJ. 2018 Feb 26;190(8):E223
pubmed: 29483331
Int J Artif Organs. 2021 Jan 21;:391398821989067
pubmed: 33478326
Am J Transplant. 2010 Feb;10(2):354-63
pubmed: 19775311
Transplantation. 2003 May 15;75(9):1482-9; discussion 1446-7
pubmed: 12792501
Am J Transplant. 2015 Apr;15(4):903-13
pubmed: 25649047
Clin Gastroenterol Hepatol. 2007 Jun;5(6):749-54
pubmed: 17392034
Transplantation. 2016 Jul;100(7):1440-52
pubmed: 27326810
Clin Chest Med. 2017 Dec;38(4):785-795
pubmed: 29128026
Int J Artif Organs. 2015 Mar;38(3):170-2
pubmed: 25837880
Transplantation. 1993 Jan;55(1):212-4
pubmed: 8420052
Liver Transpl. 2014 Feb;20(2):182-90
pubmed: 24142412
Liver Transpl. 2006 Dec;12(12 Suppl 3):S105-7
pubmed: 17123282
Crit Care. 2011;15(5):R234
pubmed: 21958549
Am J Transplant. 2008 May;8(5):954-64
pubmed: 18416736
Respir Med. 2013 Jul;107(7):1030-6
pubmed: 23615223
Echocardiography. 2006 Apr;23(4):271-8
pubmed: 16640703

Auteurs

Zakiyah Kadry (Z)

Division of Transplantation, Department of Surgery, Penn State College of Medicine, Hershey, PA, USA.

Eric Schaefer (E)

Department of Public Health Sciences, Penn State College of Medicine, Hershey, PA, USA.

Karen Krok (K)

Division of Gastroenterology and Hepatology, Department of Medicine, Penn State College of Medicine, Hershey, PA, USA.

Alison Faust (A)

Division of Gastroenterology and Hepatology, Department of Medicine, Penn State College of Medicine, Hershey, PA, USA.

Jonathan Gibson Stine (JG)

Division of Gastroenterology and Hepatology, Department of Medicine, Penn State College of Medicine, Hershey, PA, USA.

Ian Roy Schreibman (IR)

Division of Gastroenterology and Hepatology, Department of Medicine, Penn State College of Medicine, Hershey, PA, USA.

Dmitri Bezinover (D)

Department of Anesthesiology, Penn State College of Medicine, Hershey, PA, USA.

Thomas Roberts Riley (TR)

Division of Gastroenterology and Hepatology, Department of Medicine, Penn State College of Medicine, Hershey, PA, USA.

Classifications MeSH