Evidence map›Paper›PMID 31618968›Full record

ArticleJournal of clinical medicine2019

Liver Grafts with Major Extended Donor Criteria May Expand the Organ Pool for Patients with Hepatocellular Carcinoma.

Vladimir J Lozanovski, Larissa T B Kerr, Elias Khajeh, Omid Ghamarnejad, Jan Pfeiffenberger, Katrin Hoffmann, De-Hua Chang, Markus Mieth, Thomas Longerich, Oliver Strobel and 3 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 21% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Incidental Combined Hepatocellular-Cholangiocarcinoma in Liver Transplant Recipients: A Matched Cohort Study.Transplant international : official journal of the European Society for Organ Transplantation · 2025
    Article
  5. Review
  6. Article
  7. Article
  8. Article
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

13 authors at 1 institution in 1 country.

Vladimir J LozanovskiDepartment of General, Visceral and Transplant Surgery, University Hospital Heidelberg, 69120 Heidelberg, Germany. Vladimir.Lozanovski@med.uni-heidelberg.de.ORCID 0000-0002-7332-3973
Larissa T B KerrDepartment of General, Visceral and Transplant Surgery, University Hospital Heidelberg, 69120 Heidelberg, Germany.
Elias KhajehDepartment of General, Visceral and Transplant Surgery, University Hospital Heidelberg, 69120 Heidelberg, Germany. Elias.Khajeh@med.uni-heidelberg.de.
Omid GhamarnejadDepartment of General, Visceral and Transplant Surgery, University Hospital Heidelberg, 69120 Heidelberg, Germany. Omid.Ghamarnejad@med.uni-heidelberg.de.ORCID 0000-0001-7424-1323
Jan PfeiffenbergerLiver Cancer Center Heidelberg (LCCH), University of Heidelberg, 69120 Heidelberg, Germany. Jan.Pfeiffenberger@med.uni-heidelberg.de.
Katrin HoffmannDepartment of General, Visceral and Transplant Surgery, University Hospital Heidelberg, 69120 Heidelberg, Germany. Katrin.Hoffmann@med.uni-heidelberg.de.
De-Hua ChangLiver Cancer Center Heidelberg (LCCH), University of Heidelberg, 69120 Heidelberg, Germany.
Markus MiethDepartment of General, Visceral and Transplant Surgery, University Hospital Heidelberg, 69120 Heidelberg, Germany. Markus.Mieth@med.uni-heidelberg.de.
Thomas LongerichLiver Cancer Center Heidelberg (LCCH), University of Heidelberg, 69120 Heidelberg, Germany. Thomas.Longerich@med.uni-heidelberg.de.
Oliver StrobelDepartment of General, Visceral and Transplant Surgery, University Hospital Heidelberg, 69120 Heidelberg, Germany. Oliver.Strobel@med.uni-heidelberg.de.
Karl Heinz WeissLiver Cancer Center Heidelberg (LCCH), University of Heidelberg, 69120 Heidelberg, Germany. Karl-Heinz.Weiss@med.uni-heidelberg.de.
Markus W BüchlerDepartment of General, Visceral and Transplant Surgery, University Hospital Heidelberg, 69120 Heidelberg, Germany. Markus.Buechler@med.uni-heidelberg.de.
Arianeb MehrabiDepartment of General, Visceral and Transplant Surgery, University Hospital Heidelberg, 69120 Heidelberg, Germany. Arianeb.Mehrabi@med.uni-heidelberg.de.
Heidelberg University · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The major extended donor criteria (maEDC; steatosis >40%, age >65 years, and cold ischemia time >14 h) influence graft and patient outcomes after liver transplantation. Despite organ shortages, maEDC organs are often considered unsuitable for transplantation. We investigated the outcomes of maEDC organ liver transplantation in patients with hepatocellular carcinoma (HCC). Two hundred and sixty-four HCC liver transplant patients were eligible for analysis. Risk factor analysis was performed for early allograft dysfunction; primary nonfunction; 30-day and 90-day graft failure; and 30-day, 90-day, and 1-year patient mortality. One-year graft survival was higher in recipients of no-maEDC grafts. One-year patient survival did not differ between the recipients of no-maEDC and maEDC organs. The univariate and multivariate analyses revealed no association between maEDC grafts and one-year patient mortality. Graft survival differed between the recipients of no-maEDC and maEDC organs after correcting for a laboratory model of end-stage liver disease (labMELD) score with a cut-off value of 20, but patient survival did not. Patient survival did not differ between recipients who did and did not meet the Milan criteria and who received grafts with and without maEDC. Instead of being discarded, maEDC grafts may expand the organ pool for patients with HCC without impairing patient survival or recurrence-free survival.

Indexed as

HCCliver transplantationmajor extended donor criteria

Identifiers

PMID31618968
PMCPMC6832253
OpenAlexW2980461642

What OpenQuestion holds

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Registered trials

None linked

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.