Evidence map›Paper›PMID 27339253›Full record

ArticleLiver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society2016

Recurrent primary sclerosing cholangitis in the Adult-to-Adult Living Donor Liver Transplantation Cohort Study: Comparison of risk factors between living and deceased donor recipients.

Fredric D Gordon, David S Goldberg, Nathan P Goodrich, Anna S F Lok, Elizabeth C Verna, Nazia Selzner, R Todd Stravitz, Robert M Merion

Registry-linked trialAbstract readComparative Study
In one paragraph

Article in Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01619475 (A2ALL), which is not on this map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01619475 completednot on this map

A2ALL: Adult-to-Adult Living Transplant Cohort Study

TypeobservationalSponsorArbor Research Collaborative for HealthRan2011 to 2014Enrolled1,871ConditionsLiver Diseases, Hepatocellular Cancer, End Stage Liver Disease, Hepatitis C
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Graft and Patient Survival After Liver Transplantation for Primary Sclerosing Cholangitis: A French National Cohort Study.Liver international : official journal of the International Association for the Study of the Liver · 2026
    Article
  4. Postoperative detection ofTransplant international : official journal of the European Society for Organ Transplantation · 2026
    Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Review
  10. Article
  11. Primary sclerosing cholangitis: review for radiologists.Abdominal radiology (New York) · 2023
    Review
  12. Review
  13. Observational
  14. Review
  15. Review
  16. Post-Transplant Disease Recurrence in Pediatric PSC.Current gastroenterology reports · 2018
    Review
  17. Review
  18. Article
  19. Review
  20. Long-term Management of the Adult Liver Transplantation Recipients.Journal of clinical and experimental hepatology
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Fredric D GordonDepartment of Hepatobiliary Surgery and Transplantation, Lahey Hospital and Medical Center, Burlington, MA.
David S GoldbergDivision of Gastroenterology, University of Pennsylvania, Philadelphia, PA.
Nathan P GoodrichArbor Research Collaborative for Health, Ann Arbor, MI.
Anna S F LokDepartment of Internal Medicine-Gastroenterology, University of Michigan, Ann Arbor, MI.
Elizabeth C VernaCollege of Physicians and Surgeons, Center for Liver Disease and Transplantation, Columbia University, New York, NY.
Nazia SelznerMultiorgan Transplant Program, University of Toronto, Toronto, Ontario, Canada.
R Todd StravitzDivision of Gastroenterology, Hepatology, and Nutrition, Virginia Commonwealth University, Richmond, VA.
Robert M MerionArbor Research Collaborative for Health, Ann Arbor, MI.

Funding

Living donor liver transplant data coordinating centerU01DK062498 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MERION, ROBERT M · 2002 to 2016
$15.3M
Living Donor Liver Transplant - Predictive Models for Long-Term Health OutcomesU01DK062467 · NIDDK · NORTHWESTERN UNIVERSITY AT CHICAGO · PI ABECASSIS, MICHAEL M · 2002 to 2014
$4.7M
Living Donor Liver Transplant :Short & Long-Term Impact on Donors and RecipientsU01DK062444 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI FREISE, CHRIS · 2002 to 2014
$3.7M
Adult to Adult Living Donor Liver Transplantation Cohort StudyU01DK062483 · NIDDK · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI EMOND, JEAN C · 2002 to 2014
$3.5M
Adult to Adult Living Donor Liver Transplantation Cohort Study (A2ALL)U01DK062536 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI BURTON, JAMES · 2002 to 2013
$3.4M
Adult to Adult Living Donor Liver Transplantation Cohort StudyU01DK062494 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI OLTHOFF, KIM MARIE · 2002 to 2014
$3.3M
Adult to Adult Living Donor Liver TransplantationU01DK062531 · NIDDK · VIRGINIA COMMONWEALTH UNIVERSITY · PI COTTERELL, ADRIAN · 2002 to 2014
$2.7M
A2ALL Cohort Study: Pyschosocial and Surgical OutcomesU01DK085587 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI HUMAR, ABHINAV · 2009 to 2014
$1.8M
Living Donor Liver Transplantation Cohort StudyU01DK062484 · NIDDK · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI BERG, CARL L. · 2002 to 2010
$1.8M
ADLDT: An Opportunity to Expand the National Donor PoolU01DK062496 · NIDDK · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI HONG, JOHNNY C · 2002 to 2010
$1.8M
University Health Network's Application to Join the A2ALL ConsortiumU01DK085563 · NIDDK · UNIVERSITY HEALTH NETWORK · PI GRANT, DAVID R · 2009 to 2014
$1.4M
Right Lobe Living Donor Liver Transplantation in AdultsU01DK062505 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI HAYASHI, PAUL HIDEYO · 2002 to 2010
$1.2M
NIDDK NIH HHS U01 DK062444NIDDK NIH HHS U01 DK062467NIDDK NIH HHS U01 DK062483NIDDK NIH HHS U01 DK062484NIDDK NIH HHS U01 DK062494NIDDK NIH HHS U01 DK062496NIDDK NIH HHS U01 DK062498NIDDK NIH HHS U01 DK062505NIDDK NIH HHS U01 DK062531NIDDK NIH HHS U01 DK062536NIDDK NIH HHS U01 DK085515NIDDK NIH HHS U01 DK085563NIDDK NIH HHS U01 DK085587
6 · The paper itself

Abstract

Primary sclerosing cholangitis (PSC) recurs in 15%-25% of patients transplanted for PSC. In the United States, PSC transplant patients are more likely to receive an organ from a living donor (LD) than patients without PSC. Our aims were to (1) compare risk of PSC recurrence in LD versus deceased donor recipients and (2) identify risk factors for PSC recurrence. There were 241 living donor liver transplantations (LDLTs) and 65 deceased donor liver transplantation (DDLT) patients transplanted between 1998 and 2013 enrolled in the Adult-to-Adult Living Donor Liver Transplantation Cohort Study who were evaluated. PSC recurrence risk for LDLT and DDLT recipients was compared using Kaplan-Meier survival curves and log-rank tests. Cox models were used to evaluate PSC risk factors. Overall PSC recurrence probabilities were 8.7% and 22.4% at 5 and 10 years after liver transplantation (LT), respectively. The risk of PSC recurrence was not significantly different for DDLT versus LDLT recipients (P = 0.36). For DDLT versus LDLT recipients, unadjusted 5- and 10-year PSC recurrence was 9.4% versus 9.5% and 36.9% versus 21.1%. Higher laboratory Model for End-Stage Liver Disease (MELD) score at LT, onset of a biliary complication, cholangiocarcinoma, and higher donor age were associated with increased risks of PSC recurrence: for MELD (hazard ratio [HR] = 1.06; 95% confidence interval [CI] 1.02-1.10 per MELD point, P = 0.002); for biliary complication (HR, 2.82; 95% CI, 1.28-6.25; P = 0.01); for cholangiocarcinoma (HR, 3.98; 95% CI, 1.43-11.09; P = 0.008); for donor age (per 5-years donor age; HR, 1.17; 95% CI, 1.02-1.35; P = 0.02). Factors not significantly associated with PSC recurrence included the following: first-degree relative donor (P = 0.11), post-LT cytomegalovirus infection (P = 0.38), and acute rejection (P = 0.22). Risk of recurrent PSC was not significantly different for DDLT and LDLT recipients. Biliary complications, cholangiocarcinoma, MELD, and donor age were significantly associated with risk of PSC recurrence. Liver Transplantation 22 1214-1222 2016 AASLD.

Indexed as

AdultCholangitis, SclerosingEnd Stage Liver DiseaseFemaleFollow-Up StudiesGraft SurvivalHumansKaplan-Meier EstimateLiver TransplantationLiving DonorsMaleMiddle AgedPostoperative ComplicationsProportional Hazards ModelsProspective StudiesRecurrence

Identifiers

PMID27339253
PMCPMC4996691

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.