Living donor liver transplant
Pons JM
Record ID 32002000438
Catalan, English, Spanish
Authors' objectives:
To assess the available evidence on the effectiveness of live-donor liver transplants (LDLT).
Authors' recommendations:
LDLT should only be authorised in centres of excellence with longstanding experience in hepatectomies and LT (figures of more than 700 LT already carried out, or more than a given number of consecutive hepatectomies -50?- without no adverse results recorded, have been mooted), and only in patients on the waiting list with well-defined criteria that point to a long wait. LDLT should be looked upon as an innovative procedure, the performance of which should be limited only to experienced and highly-qualified centres.
Although alternative forms of LT make it possible to increase the number of transplants available, increasing supply, it is time to address what is now an unavoidable need, i.e. managing demand favouring patients on the list who can get the most out of the transplant. It seems evident that not all patients present the same survival, but that there are predictive factors (underlying hepatic disease, co-morbidity, age, etc) that must be analysed carefully.
Moreover, sooner than later this situation will need to be addressed by setting up mechanisms of transparency and consensus-based prioritisation that guarantee fairness of access to these complex and costly procedures.
Authors' methods:
Systematic review
Details
Project Status:
Completed
Year Published:
2001
English language abstract:
An English language summary is available
Publication Type:
Not Assigned
Country:
Spain
MeSH Terms
- Liver Transplantation
- Living Donors
Contact
Organisation Name:
Agencia de Qualitat i Avaluacio Sanitries de Catalunya
Contact Address:
Antoni Parada, CAHTA, Roc Boronat, 81-95 (2nd floor), 08005 Barcelona, Spain, Tel. +34 935 513 928, Fax: +34 935 517 510
Contact Name:
direccio@aatrm.catsalut.net / aparada@aatrm.catsalut.net
Contact Email:
direccio@aatrm.catsalut.net / aparada@aatrm.catsalut.net
Copyright:
Catalan Agency for Health Technology Assessment and Research (CAHTA)
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.