Evidence map›Paper›PMID 39534757›Full record

ArticleTransplantation direct2024

Use of Machine Perfusion in the United States Increases Organ Utilization and Improves DCD Graft Survival in Liver Transplantation.

Steven A Wisel, Justin A Steggerda, Irene K Kim

Abstract read
In one paragraph

Article in Transplantation direct, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–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.

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

9 citing papers in PubMed.

  1. Comparative analysis of early post-transplant infections after DCD with hypothermic oxygenated liver perfusion and DBD liver transplantation: A retrospective cohort study.Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society · 2026
    Article
  2. Article
  3. Review
  4. The perfused liver utilisation study (PLUS): challenges and innovation in the evaluation of an emerging technology.Transplant international : official journal of the European Society for Organ Transplantation · 2026
    Article
  5. Advancements inFrontiers in transplantation · 2026
    Review
  6. Review
  7. Article
  8. Article
  9. Temporal changes in obesity and outcomes for patients listed for liver transplant.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2025
    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

3 authors.

Steven A WiselComprehensive Transplant Center, Jim and Eleanor Randall Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, CA.ORCID https://orcid.org/0000-0002-4571-2517
Justin A SteggerdaComprehensive Transplant Center, Jim and Eleanor Randall Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, CA.ORCID https://orcid.org/0000-0001-9320-9871
Irene K KimComprehensive Transplant Center, Jim and Eleanor Randall Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, CA.ORCID https://orcid.org/0000-0002-6605-8104

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Adoption of machine perfusion (MP) technology has rapidly expanded in liver transplantation without real-world data on utilization and outcomes, which are critical to understand the appropriate application of MP technology. Methods: The Organ Procurement and Transplant Network/Standard Transplant Analysis and Research database was used to identify all deceased donor livers procured with intent for transplant between October 27, 2015 (date of first recorded MP) and June 30, 2023 (n = 67 795). Liver allografts were cohorted by donation after brain death (DBD; n = 59 957) or circulatory death (DCD; n = 7873) and analyzed by static cold storage (SCS) or MP preservation method. Donor demographics, organ utilization, and graft survival were evaluated. Results: By 2023, 12.5% of all livers and 37.2% of DCD livers underwent MP preservation (82.6% normothermic, 6.7% hypothermic, and 10.8% other/unknown). Compared with SCS, MP liver donors were older (DBD: 48 versus 40 y [ Conclusions: The use of MP in liver transplantation increased rates of liver utilization and improved graft survival after DCD. Further monitoring of MP outcomes is required to understand long-term benefits.

Identifiers

PMID39534757
PMCPMC11554346

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Registered trials

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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.