End Stage Liver DIsease, Liver Transplantation, Old Age
Conditions
Keywords
liver transplantation, old recipients, age>70 years
Brief summary
Increased life expectancy and aging population has led to a trend of increasing liver transplant (LT) volume in the elderly. Nowadays, advanced age is not considered an absolute contraindication for LT but elderly LT candidates typically have an age-associated burden of comorbid conditions that can pose several clinical challenges during the selection/evaluation process for LT. Specific algorithms for elderly patient selection for LT are not well established; however, consensus agreement is that elderly LT candidates need a more rigorous selection process. This study proposes a step by step algorithm of selection for liver transplant candidates more than 70 years.
Interventions
Liver transplantation
Sponsors
Study design
Eligibility
Inclusion criteria
* Age \>70 years and ≤ 75 years * Liver transplant from cadaveric donor * First liver transplant * End stage liver disease or liver tumor
Exclusion criteria
* Age ≤ 70 years * Living donor liver transplant * Previous liver transplant * Liver transplant for acute liver failure
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 1 year patient survival | 12 months | Overall patients survival at 12 months from liver transplantation |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| 1 year graft survival | 12 months | Overall graft survival at 12 months from liver transplantation |
| 3 months mortality and morbidity | 3 months | Mortality and morbidity rates at 3 months from liver transplantation |
Countries
Italy