ArticleAmerican journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons2020
Split liver transplantation is utilized infrequently and concentrated at few transplant centers in the United States.
Article in American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 34 citations in OpenAlex.
- Impact of Donor Age on Short-Term Outcomes After Pediatric Split Liver Transplantation.Pediatric transplantation · 2026Article
- Short-term outcomes and risk factors of full-size split liver transplantation: a single-center experience of 113 cases.International journal of surgery (London, England) · 2026Article
- Pediatric liver transplantation for metabolic diseases: a single-center experience.World journal of pediatrics : WJP · 2026Article
- An appraisal of technical variant grafts compared to whole liver grafts in pediatric liver transplant recipients: Multicenter analysis from the SPLIT registry.Pediatric transplantation · 2023Article
- Chinese expert consensus on evaluation of donor and donor liver for split liver transplantation.Liver research (Beijing, China) · 2022Article
- Pediatric living donor liver transplantation using liver allograft afterWorld journal of clinical cases · 2022Article
- Variability of Care and Access to Transplantation for Children with Biliary Atresia Who Need a Liver Replacement.Journal of clinical medicine · 2022Article
- Liver simulated allocation model does not effectively predict organ offer decisions for pediatric liver transplant candidates.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2021Article
- Ex Situ Dual Hypothermic Oxygenated Machine Perfusion for Human Split Liver Transplantation.Transplantation direct · 2021Article
- Outcomes of hemi- versus whole liver transplantation in patients from mainland china with high model for end-stage liver disease scores: a matched analysis.BMC surgery · 2020Article
- A Novel Strategy for Preventing Posttransplant Large-For-Size Syndrome in Adult Liver Transplant Recipients: A Pilot Study.Transplant international : official journal of the European Society for Organ TransplantationArticle
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Authors and funding
7 authors at 4 institutions in 1 country.
Funding
Abstract
Split liver transplantation (SLT) is 1 strategy for maximizing the number of deceased donor liver transplants. Recent reports suggest that utilization of SLT in the United States remains low. We examined deceased donor offers that were ultimately split between 2010 and 2014. SLTs were categorized as "primary" and "secondary" transplants. We analyzed allocation patterns and used logistic regression to evaluate factors associated with secondary split discard. Four hundred eighteen livers were split: 54% from adult, 46% from pediatric donors. Of the 227 adult donor livers split, 61% met United Network for Organ Sharing "optimal" split criteria. A total of 770 recipients (418 primary and 352 secondary) were transplanted, indicating 16% discard. Ninety-two percent of the 418 primary recipients were children, and 47% were accepted on the first offer. Eighty-seven percent of the 352 secondary recipients were adults, and 7% were accepted on the first offer. Of the 352 pairs, 99% were transplanted in the same region, 36% at the same center. In logistic regression, shorter donor height was associated with secondary discard (odds ratio 0.97 per cm, 95% CI 0.94-1.00, P = .02). SLT volume by center was not predictive of secondary discard. Current policy proposals that incentivize SLT in the United States could increase the number of transplants to children and adults.
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Registered trials
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