Evidence map›Paper›PMID 41694481›Full record

ArticleTransplantation direct2026

Effect of Donor-Recipient Age Difference on Liver Transplant Outcomes.

Kasra Shirini, Akram Al Ramlawi, Alban Longchamp, Chandra Bhati, Raphael P H Meier

Abstract read
In one paragraph

Article in Transplantation direct, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

5 authors.

Kasra ShiriniDivision of Transplant Surgery, Department of Surgery, University of Maryland School of Medicine, Baltimore, MD.ORCID https://orcid.org/0000-0003-4104-7633
Akram Al RamlawiDepartment of Surgery, Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, Baltimore, MD.ORCID https://orcid.org/0000-0002-9917-2974
Alban LongchampDivision of Transplant Surgery, Department of Surgery, Massachusetts General Hospital Transplant Center, Massachusetts General Hospital and Harvard Medical School, Boston, MA.
Chandra BhatiDivision of Transplant Surgery, Department of Surgery, University of Maryland School of Medicine, Baltimore, MD.
Raphael P H MeierDivision of Transplant Surgery, Department of Surgery, University of Maryland School of Medicine, Baltimore, MD.ORCID https://orcid.org/0000-0001-9050-0436

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The global organ shortage and aging population lead to the use of liver grafts with increasing donor-recipient age discrepancies. This study evaluated the impact of donor-recipient age mismatch on posttransplant outcomes. Methods: Organ Procurement and Transplantation Network/United Network for Organ Sharing data were analyzed, stratifying donor-to-recipient pairs by age difference: young-to-old (≥20 y), old-to-young (≥20 y), and similar-age group (<20 y difference). Liver life expectancy was calculated by adding recipient survival time to donor age. Graft survival was assessed using Kaplan-Meier and Cox regression analyses. Results: Among 111 125 liver transplantation recipients performed between 2005 and 2024, young-to-old group (≥20 y younger) had the highest 5-y graft survival (77.8%), followed by similar-age group (76.0%). Old-to-young group (≥20 ys older) had the lowest survival (69.9%) ( Conclusions: A greater donor-to-recipient age difference, particularly with older donors, negatively impacted liver graft survival. However, patient survival was not affected, supporting the use of older grafts to optimize transplant benefits for selected recipient populations.

Identifiers

PMID41694481
PMCPMC12900182

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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.