1. Dynamics of the Romanian waiting list for liver transplantation after changing organ allocation policy
- Author
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Liana, Gheorghe, Speranta, Iacob, Razvan, Iacob, Gabriela, Smira, Corina, Pietrareanu, Doina, Hrehoret, Vlad, Brasoveanu, Cristian, Gheorghe, and Irinel, Popescu
- Subjects
Adult ,Male ,Chi-Square Distribution ,Time Factors ,Tissue and Organ Procurement ,Waiting Lists ,Romania ,Liver Diseases ,Kaplan-Meier Estimate ,Middle Aged ,Severity of Illness Index ,Liver Transplantation ,Risk Factors ,Multivariate Analysis ,Humans ,Female ,Policy Making ,Proportional Hazards Models ,Retrospective Studies - Abstract
The aim of the present study was to characterize the dynamics of the Romanian waiting list (WL) for liver transplantation (LT) over two periods: 2004-2007 vs. 2008-2011.1,085 patients listed for LT during the time period 2004-2011 were included in our analysis.Death on the WL was significantly higher before 2008 (37% vs. 26.4%, p=0.0001) and risk of dying while on WL was 60% higher. Waiting time on the WL was 75% longer and time until LT was 102% longer before 2008 compared to the second time period (p=0.0001). After 2008, 62.3% of patients were listed for LT with Child Pugh class C compared to 22.1% before 2008 (p0.0001).A significant reduction of mortality has been registered on the Romanian WL for LT after 2008, despite the increased severity of liver disease in patients listed for LT.
- Published
- 2013