The Effect of New Acuity Circle Policy on Simultaneous Liver and Kidney Transplantation in the United States.

ABSTRACT:

Background

New deceased donor liver allocation policy using an acuity circle (AC)-based model was implemented on February 4th, 2020. The effect of AC policy on simultaneous liver-kidney transplantation (SLKT) remains unknown. The aim of this study was to assess the effect of AC policy on SLKT waitlist mortality, transplant probability, and post-transplant outcomes.

Methods

Using the United Network for Organ Sharing database, 4908 adult SLKT candidates during two study periods, pre-AC (Aug-2017 to Feb-2020, N = 2770) and post-AC (Feb-2020 to Dec-2021, N = 2138) were analyzed. Outcomes included 90-day waitlist mortality, transplant probability, and post-transplant patient and graft survival.

Results

Compared to pre-AC period, SLKT recipients during post-AC period had hi

SUBMITTER: Okumura K 

PROVIDER: S-EPMC10964071 | biostudies-literature | 2024 Mar-Apr

REPOSITORIES: biostudies-literature