Table 1 Patient characteristics.
no D → R one way MM (n = 2652) | D → R one way MM (n = 18) | p value | |
|---|---|---|---|
Recipient characteristics | |||
Age (years, median) | 55.5 (48.8–61.3) | 54.4 (45.8–64.7) | 0.742 |
Sex (n, % male) | 1846 (69.6) | 11 (61.1) | 0.6 |
Weight (kg, median) | 65.1 (56.5–73.8) | 64.1 (56.0–71.3) | 0.666 |
BMI (kg/m2, median) | 23.6 (21.3–26.3) | 23.3 (21.1–27.3) | 0.828 |
Etiology (n, %) | 0.438 | ||
HBV | 1312 (49.5) | 6 (33.3) | |
HCV | 156 (5.9) | 1 (5.6) | |
Alcoholic | 682 (25.7) | 6 (33.3) | |
Cryptogenic | 163 (6.1) | 2 (11.1) | |
Autoimmune | 71 (2.7) | 0 (0.0) | |
PBC/PSC/SSC | 54 (2.0) | 0 (0.0) | |
Congenital bile duct disorder | 81 (3.1) | 1 (5.6) | |
Other | 133 (5.0) | 2 (11.1) | |
Liver cancer (n, %) | 0.725 | ||
HCC | 1302 (49.1) | 10 (55.6) | |
CCC | 8 (0.3) | 0 (0.0) | |
HCC & CCC | 25 (0.9) | 0 (0.0) | |
Other malignancy | 4 (0.2) | 0 (0.0) | |
Reason for primary LT | 1.000 | ||
Acute liver failure | 114 (4.3) | 0 (0.0) | |
Acute on chronic liver failure | 123 (4.6) | 0 (0.0) | |
Liver cirrhosis | 1076 (40.6) | 8 (44.4) | |
Liver cancer | 1339 (50.5) | 10 (55.6) | |
Era of LT | 0.260 | ||
2014–2016 | 933 (35.2) | 3 (16.7) | |
2017–2018 | 799 (30.1) | 7 (38.9) | |
2019–2020 | 920 (34.7) | 8 (44.4) | |
3.2 (2.8–3.7) | 3.0 (2.6–3.6) | 0.254 | |
Pre-transplant Total bilirubin (mg/dL, median) | 2.2 (1.0–8.0) | 1.9 (0.9–3.2) | 0.491 |
Pre-transplant INR (median) | 1.39 (1.15–1.95) | 1.45 (1.20–1.97) | 0.706 |
Pre-transplant Creatinine (mg/dL, median) | 0.81 (0.64–1.07) | 0.82 (0.62–1.00) | 0.55 |
Ascites (n, %) | 0.869 | ||
None | 1020 (38.5) | 8 (44.4) | |
Mild (diuretic responsive) | 844 (31.8) | 5 (27.8) | |
Moderate to severe (diuretic refractory) | 788 (29.7) | 5 (27.8) | |
Hepatic encephalopathy (n, %) | 0.838 | ||
None | 2038 (76.8) | 15 (83.3) | |
Grade I–II | 456 (17.2) | 3 (16.7) | |
Grade III–IV | 158 (6.0) | 0 (0.0) | |
Child-Turcotte-Pugh (CTP) class (n, %) | 0.455 | ||
A | 792 (29.9) | 5 (27.8) | |
B | 830 (31.3) | 8 (44.4) | |
C | 1030 (38.8) | 5 (27.8) | |
CTP score (median) | 8 (6–11) | 8.5 (6–10) | 0.637 |
MELD score (median) | 14 (9–24) | 12 (9–16.5) | 0.335 |
Re-LT (n, %) | 1 | ||
2nd re-LT | 41 (1.5) | 0 (0.0) | |
3rd re-LT | 5 (0.2) | 0 (0.0) | |
LT type (n, %) | 0.011 | ||
Living donor | 1991 (75.1) | 18 (100.0) | |
Deceased donor | 661 (24.9) | 0 (0.0) | |
Donor characteristics | |||
Age (years, median) | 36.4 (26.3–48.7) | 32.6 (23.9–38.9) | 0.027 |
Sex (n, % male) | 1604 (60.5) | 9 (50.0) | 0.506 |
Relationship (n, %) | 0.002 | ||
Parent | 84 (3.2) | 2 (11.1) | |
Offspring | 1266 (47.7) | 15 (83.3) | |
Sibling | 199 (7.5) | 0 (0.0) | |
Spouse | 277 (10.4) | 0 (0.0) | |
Relatives in blood | 143 (5.4) | 1 (5.6) | |
Other relationships | 683 (25.8) | 0 (0.0) | |
Graft weight (g, median) | 710 (612–816) | 764 (606–876) | 0.383 |
GRWR (%, median) | 1.09 (0.93–1.30) | 1.18 (1.02–1.53) | 0.093 |
Graft type (n, %) | 0.045 | ||
Right lobe | 1730 (65.2) | 15 (83.3) | |
Extended Right lobe | 130 (4.9) | 1 (5.6) | |
Extended Left lobe | 30 (1.1) | 1 (5.6) | |
Left lobe | 58 (2.2) | 0 (0.0) | |
Left lateral section | 59 (2.2) | 1 (5.6) | |
Whole liver | 613 (23.1) | 0 (0.0) | |
Others | 32 (1.2) | 0 (0.0) | |
Post-transplant outcome | |||
Warm ischemic time (min, median) | 35.5 (27.0–49.0) | 50.0 (36.5–61.0) | 0.025 |
Cold ischemic time (hours, median) | 1.9 (1.3–3.0) | 1.9 (1.2–2.5) | 0.615 |
GVHD (n, %) | 7 (0.3) | 4 (22.2) | < 0.001 |
Graft failure (n, %) | 106 (4.0) | 1 (5.6) | 0.522 |
Biopsy proven Rejection (n, %) | 0.353 | ||
Acute T-cell mediated rejection | 267 (10.1) | 0 (0.0) | |
Acute antibody mediated rejection | 13 (0.5) | 0 (0.0) | |
Chronic rejection | 11 (0.4) | 0 (0.0) | |
Follow up period (years, median) | 2.00 (0.49–4.00) | 0.95 (0.25, 2.25) | 0.060 |
Death (n, %) | 307 (11.6) | 7 (38.9) | 0.003 |
Cause of death (n, %) | 0.024 | ||
Cardiovascular disease | 22 (7.2) | 0 (0.0) | |
Infection | 126 (41.0) | 2 (28.6) | |
Liver failure | 70 (22.8) | 2 (28.6) | |
Recurred HCC | 45 (14.7) | 1 (14.3) | |
Malignancy except HCC | 3 (1.0) | 0 (0.0) | |
GVHD | 3(1.0) | 2 (28.6) | |
Others | 38 (12.4) | 0 (0.0) | |