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Futility versus acceptability of the use of grafts taken from end of line in the national organ sharing Network

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dc.contributor.author Soyer, Vural
dc.contributor.author Koç, Süleyman
dc.contributor.author Onur, Asım
dc.contributor.author Sarıcı, Kemal Barış
dc.contributor.author Kayaalp, Cüneyt
dc.contributor.author Işık, Burak
dc.contributor.author Ünal, Bülent
dc.contributor.author Yoloğlu, Saim
dc.contributor.author Yılmaz, Sezai
dc.date.accessioned 2017-08-07T07:17:10Z
dc.date.available 2017-08-07T07:17:10Z
dc.date.issued 2015
dc.identifier.citation Soyer, V. Koç, S. Onur, A. Sarıcı, K. B. Kayaalp, C. Işık, B. Ünal, B. Yoloğlu, S. Yılmaz, S. (2015). Futility versus acceptability of the use of grafts taken from end of line in the national organ sharing Network. Transplantation Proceedings. 47(5), 1257–1261. tr_TR
dc.identifier.uri http://linkinghub.elsevier.com/retrieve/pii/S0041134515003929
dc.identifier.uri 00411345
dc.identifier.uri http://hdl.handle.net/11616/7466
dc.description.abstract Background. The number of suitable donors for organ transplantation is limited in many countries. This limitation can be overcome with the use of organs removed from marginal donors (expanded-criteria donors [ECDs]). We examined the long-term results of 187 patients who underwent marginal cadaveric liver transplantation in our institution. Methods. The data of patients who underwent cadaveric liver transplantation from January 2007 to April 2014 were retrospectively reviewed. ECDs were evaluated by considering 19 internationally accepted criteria. The clinical data of recipients including age, clinical status, and Model for End-Stage Liver Disease (MELD) score were also assessed. Results. A total of 287 patients underwent cadaveric liver transplantation. A graft from an ECD was used in 181 (63.06%) patients. The mean MELD score was 18.8. In all, 45 patients (24.86%) underwent transplantations for fulminant liver failure and 136 patients (75.14%) underwent transplantations for other chronic conditions. The majority of donors died of cerebrovascular disease and trauma. Only hypotension requiring inotropic drugs and obesity significantly affected survival. The 90-day and 12-month survival rates of the recipients who received a graft from an ECD were 51.93% and 46.2%, respectively. Conclusions. The use of ECD allografts immediately and significantly expands the existing donor pool. Because of persistent organ scarcity, pressure to use a greater proportion of the existing donor pool will continue to increase. tr_TR
dc.language.iso eng tr_TR
dc.publisher Transplantation Proceedings tr_TR
dc.relation.isversionof 10.1016/j.transproceed.2015.04.067 tr_TR
dc.rights info:eu-repo/semantics/openAccess tr_TR
dc.title Futility versus acceptability of the use of grafts taken from end of line in the national organ sharing Network tr_TR
dc.type article tr_TR
dc.relation.journal Transplantation Proceedings tr_TR
dc.contributor.department İnönü Üniversitesi tr_TR
dc.contributor.authorID 110105 tr_TR
dc.identifier.volume 47 tr_TR
dc.identifier.issue 5 tr_TR
dc.identifier.startpage 1257 tr_TR

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