Evidence map›Paper›PMID 40893748›Full record

ArticleHepatobiliary surgery and nutrition2025

Hypothermic oxygenated machine perfusion does not increase the risk of infection after liver transplantation: a retrospective cohort study.

Silvia Corcione, Damiano Patrono, Nour Shbaklo, Luca Mirabile, Maria Roberta Fortunato, Tommaso Lupia, Paola Maffezzoli, Antonio Curtoni, Alessandro Bondi, Cristina Costa and 2 more

Abstract read
In one paragraph

Article in Hepatobiliary surgery and nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
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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

12 authors.

Silvia Corcione *Department of Medical Sciences, Infectious Diseases, University of Turin, Turin, Italy.
Damiano Patrono *General Surgery 2U, Liver Transplant Unit, Azienda Ospedaliero Universitaria Città della Salute e della Scienza di Torino, Turin, Italy.
Nour ShbakloDepartment of Medical Sciences, Infectious Diseases, University of Turin, Turin, Italy.ORCID https://orcid.org/0000-0002-0171-9274
Luca MirabileInternal Medicine 2U, Department of Medical Sciences, University of Turin, Turin, Italy.
Maria Roberta FortunatoGeneral Surgery 2U, Liver Transplant Unit, Azienda Ospedaliero Universitaria Città della Salute e della Scienza di Torino, Turin, Italy.
Tommaso LupiaDepartment of Medical Sciences, Infectious Diseases, University of Turin, Turin, Italy.
Paola MaffezzoliInternal Medicine 2U, Department of Medical Sciences, University of Turin, Turin, Italy.
Antonio CurtoniMicrobiology and Virology Unit, Azienda Ospedaliero Universitaria Città della Salute e della Scienza di Torino, Turin, Italy.
Alessandro BondiMicrobiology and Virology Unit, Azienda Ospedaliero Universitaria Città della Salute e della Scienza di Torino, Turin, Italy.
Cristina CostaMicrobiology and Virology Unit, Azienda Ospedaliero Universitaria Città della Salute e della Scienza di Torino, Turin, Italy.
Renato RomagnoliGeneral Surgery 2U, Liver Transplant Unit, Azienda Ospedaliero Universitaria Città della Salute e della Scienza di Torino, Turin, Italy.
Francesco Giuseppe De RosaDepartment of Medical Sciences, Infectious Diseases, University of Turin, Turin, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Liver transplantation (LT) is a crucial treatment for end-stage liver disease, but the limited organ supply has led to the use of extended criteria donors (ECD). The implementation of dynamic preservation techniques like hypothermic oxygenated machine perfusion (HOPE) is crucial in improving outcomes for ECD grafts. However, graft contamination and infection are a concern. This study aimed to evaluate the risk of infections within 10 days from LT between HOPE and static cold storage (SCS) groups and postoperative complications. Methods: A retrospective cohort study was conducted, including LT recipients transplanted at a single-center from March 2016 to June 2023. Patients were divided into HOPE and SCS groups, and propensity score matching was used to select comparable cohorts. Data on patient and donor characteristics were analyzed. Results: After propensity score matching, a cohort of 370 (HOPE, n=185; SCS, n=185) patients was selected for analysis. The study found no significant differences in the rate of clinically relevant infections, microbiological positive samples, or donor-derived infections within 10 days between HOPE and SCS groups. Postoperative outcomes, as well as patient and graft survival, were also similar between the two groups. The study showed that HOPE is a feasible and safe approach, with a comparable risk of infection. Conclusions: The study results indicate that HOPE use in LT does not increase the risk of infection and is associated with similar patient and graft survival outcomes compared to SCS. These findings confirm the safety and efficacy of HOPE in LT and its potential to expand the donor pool without compromising recipient outcomes.

Indexed as

hypothermichypothermic oxygenated machine perfusion (HOPE)infectionsLiver transplantmortality

Identifiers

PMID40893748
PMCPMC12393111

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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.