Liver Transplantation Trends and Survival in the Asian Population
Studies to address the ethnic minorities in liver transplantation (LT) have focused traditionally on African Americans and Hispanics. Although, the Asian population accounts for 4.4% of the US population, there is limited information on transplantation trends for this ethnic group. The aim of this s...
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| Veröffentlicht in: | Transplantation 2009-08, Vol.88 (3), p.392-394 |
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| creator | KEMMER, Nyingi M NEFF, Guy W |
| description | Studies to address the ethnic minorities in liver transplantation (LT) have focused traditionally on African Americans and Hispanics. Although, the Asian population accounts for 4.4% of the US population, there is limited information on transplantation trends for this ethnic group. The aim of this study was to evaluate the transplantation trends and determine survival patterns of Asian LT recipients.
The United Network for Organ Sharing database was reviewed for all Asian adult (>18 years) recipients who underwent LT between 1998 and 2007 (n=1953). The data collected included demographics, diagnosis, survival data, and United Network for Organ Sharing regions.
During the study period 1953 Asians received liver transplantation. The most frequent indication for transplantation among Asians was HBV (28.1%) in contrast to the non-Asian group in which HCV (29.6%) was the most common. The 5-yr Patient and graft survival was 76%, 74%, 73%, 65% and 71%, 68%, 67% and 57% for Asian, Hispanic, White and Black respectively.
We found (1) regional variation and differences in liver disease pattern among Asian population; and (2) overall LT recipients of Asian ethnicity have a significant survival advantage in comparison to non-Asian groups. |
| doi_str_mv | 10.1097/TP.0b013e3181aed68c |
| format | Article |
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The United Network for Organ Sharing database was reviewed for all Asian adult (>18 years) recipients who underwent LT between 1998 and 2007 (n=1953). The data collected included demographics, diagnosis, survival data, and United Network for Organ Sharing regions.
During the study period 1953 Asians received liver transplantation. The most frequent indication for transplantation among Asians was HBV (28.1%) in contrast to the non-Asian group in which HCV (29.6%) was the most common. The 5-yr Patient and graft survival was 76%, 74%, 73%, 65% and 71%, 68%, 67% and 57% for Asian, Hispanic, White and Black respectively.
We found (1) regional variation and differences in liver disease pattern among Asian population; and (2) overall LT recipients of Asian ethnicity have a significant survival advantage in comparison to non-Asian groups.</description><identifier>ISSN: 0041-1337</identifier><identifier>EISSN: 1534-6080</identifier><identifier>DOI: 10.1097/TP.0b013e3181aed68c</identifier><identifier>PMID: 19667943</identifier><identifier>CODEN: TRPLAU</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins</publisher><subject>Adolescent ; Adult ; African Americans - statistics & numerical data ; Aged ; Asian Continental Ancestry Group - statistics & numerical data ; Biological and medical sciences ; European Continental Ancestry Group - statistics & numerical data ; Female ; Fundamental and applied biological sciences. Psychology ; Fundamental immunology ; Graft Survival ; Health Status Disparities ; Hepatitis B virus ; Hepatitis C virus ; Hispanic Americans - statistics & numerical data ; Humans ; Kaplan-Meier Estimate ; Liver Diseases - ethnology ; Liver Diseases - etiology ; Liver Diseases - mortality ; Liver Diseases - surgery ; Liver Transplantation - ethnology ; Liver Transplantation - mortality ; Liver, biliary tract, pancreas, portal circulation, spleen ; Male ; Medical sciences ; Middle Aged ; Proportional Hazards Models ; Registries ; Residence Characteristics ; Risk Assessment ; Risk Factors ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the digestive system ; Time Factors ; Tissue, organ and graft immunology ; United States - epidemiology ; Young Adult</subject><ispartof>Transplantation, 2009-08, Vol.88 (3), p.392-394</ispartof><rights>2009 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c409t-9940656ae560cc00a2054eeb81df7fc103ef4b0d6472d21c528010295813856a3</citedby><cites>FETCH-LOGICAL-c409t-9940656ae560cc00a2054eeb81df7fc103ef4b0d6472d21c528010295813856a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21810837$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19667943$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>KEMMER, Nyingi M</creatorcontrib><creatorcontrib>NEFF, Guy W</creatorcontrib><title>Liver Transplantation Trends and Survival in the Asian Population</title><title>Transplantation</title><addtitle>Transplantation</addtitle><description>Studies to address the ethnic minorities in liver transplantation (LT) have focused traditionally on African Americans and Hispanics. Although, the Asian population accounts for 4.4% of the US population, there is limited information on transplantation trends for this ethnic group. The aim of this study was to evaluate the transplantation trends and determine survival patterns of Asian LT recipients.
The United Network for Organ Sharing database was reviewed for all Asian adult (>18 years) recipients who underwent LT between 1998 and 2007 (n=1953). The data collected included demographics, diagnosis, survival data, and United Network for Organ Sharing regions.
During the study period 1953 Asians received liver transplantation. The most frequent indication for transplantation among Asians was HBV (28.1%) in contrast to the non-Asian group in which HCV (29.6%) was the most common. The 5-yr Patient and graft survival was 76%, 74%, 73%, 65% and 71%, 68%, 67% and 57% for Asian, Hispanic, White and Black respectively.
We found (1) regional variation and differences in liver disease pattern among Asian population; and (2) overall LT recipients of Asian ethnicity have a significant survival advantage in comparison to non-Asian groups.</description><subject>Adolescent</subject><subject>Adult</subject><subject>African Americans - statistics & numerical data</subject><subject>Aged</subject><subject>Asian Continental Ancestry Group - statistics & numerical data</subject><subject>Biological and medical sciences</subject><subject>European Continental Ancestry Group - statistics & numerical data</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Fundamental immunology</subject><subject>Graft Survival</subject><subject>Health Status Disparities</subject><subject>Hepatitis B virus</subject><subject>Hepatitis C virus</subject><subject>Hispanic Americans - statistics & numerical data</subject><subject>Humans</subject><subject>Kaplan-Meier Estimate</subject><subject>Liver Diseases - ethnology</subject><subject>Liver Diseases - etiology</subject><subject>Liver Diseases - mortality</subject><subject>Liver Diseases - surgery</subject><subject>Liver Transplantation - ethnology</subject><subject>Liver Transplantation - mortality</subject><subject>Liver, biliary tract, pancreas, portal circulation, spleen</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Proportional Hazards Models</subject><subject>Registries</subject><subject>Residence Characteristics</subject><subject>Risk Assessment</subject><subject>Risk Factors</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the digestive system</subject><subject>Time Factors</subject><subject>Tissue, organ and graft immunology</subject><subject>United States - epidemiology</subject><subject>Young Adult</subject><issn>0041-1337</issn><issn>1534-6080</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkE1LxDAURYMozjj6CwTpRncd30vSJF0O4hcMOGBdlzRNsdJpa9IO-O-NTlFw4-px4dzL4xByjrBESOV1tllCAcgsQ4XalkKZAzLHhPFYgIJDMgfgGCNjckZOvH8DgIRJeUxmmAohU87mZLWud9ZFmdOt7xvdDnqouzZk25Y-0m0ZPY9uV-90E9VtNLzaaOVr3Uabrh-bb_aUHFW68fZsugvycneb3TzE66f7x5vVOjYc0iFOUw4iEdomAowB0BQSbm2hsKxkZRCYrXgBpeCSlhRNQhUg0DRRyFTosQW52u_2rnsfrR_ybe2NbcLTtht9LmSiqAD5L0gRGVKKAWR70LjOe2ervHf1VruPHCH_Upxnm_yv4tC6mObHYmvL387kNACXE6C90U0V1Jra_3A0TIFikn0CjhSD-w</recordid><startdate>20090815</startdate><enddate>20090815</enddate><creator>KEMMER, Nyingi M</creator><creator>NEFF, Guy W</creator><general>Lippincott Williams & Wilkins</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>H94</scope><scope>7X8</scope></search><sort><creationdate>20090815</creationdate><title>Liver Transplantation Trends and Survival in the Asian Population</title><author>KEMMER, Nyingi M ; NEFF, Guy W</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c409t-9940656ae560cc00a2054eeb81df7fc103ef4b0d6472d21c528010295813856a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>African Americans - statistics & numerical data</topic><topic>Aged</topic><topic>Asian Continental Ancestry Group - statistics & numerical data</topic><topic>Biological and medical sciences</topic><topic>European Continental Ancestry Group - statistics & numerical data</topic><topic>Female</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Fundamental immunology</topic><topic>Graft Survival</topic><topic>Health Status Disparities</topic><topic>Hepatitis B virus</topic><topic>Hepatitis C virus</topic><topic>Hispanic Americans - statistics & numerical data</topic><topic>Humans</topic><topic>Kaplan-Meier Estimate</topic><topic>Liver Diseases - ethnology</topic><topic>Liver Diseases - etiology</topic><topic>Liver Diseases - mortality</topic><topic>Liver Diseases - surgery</topic><topic>Liver Transplantation - ethnology</topic><topic>Liver Transplantation - mortality</topic><topic>Liver, biliary tract, pancreas, portal circulation, spleen</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Proportional Hazards Models</topic><topic>Registries</topic><topic>Residence Characteristics</topic><topic>Risk Assessment</topic><topic>Risk Factors</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the digestive system</topic><topic>Time Factors</topic><topic>Tissue, organ and graft immunology</topic><topic>United States - epidemiology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>KEMMER, Nyingi M</creatorcontrib><creatorcontrib>NEFF, Guy W</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Transplantation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>KEMMER, Nyingi M</au><au>NEFF, Guy W</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Liver Transplantation Trends and Survival in the Asian Population</atitle><jtitle>Transplantation</jtitle><addtitle>Transplantation</addtitle><date>2009-08-15</date><risdate>2009</risdate><volume>88</volume><issue>3</issue><spage>392</spage><epage>394</epage><pages>392-394</pages><issn>0041-1337</issn><eissn>1534-6080</eissn><coden>TRPLAU</coden><abstract>Studies to address the ethnic minorities in liver transplantation (LT) have focused traditionally on African Americans and Hispanics. Although, the Asian population accounts for 4.4% of the US population, there is limited information on transplantation trends for this ethnic group. The aim of this study was to evaluate the transplantation trends and determine survival patterns of Asian LT recipients.
The United Network for Organ Sharing database was reviewed for all Asian adult (>18 years) recipients who underwent LT between 1998 and 2007 (n=1953). The data collected included demographics, diagnosis, survival data, and United Network for Organ Sharing regions.
During the study period 1953 Asians received liver transplantation. The most frequent indication for transplantation among Asians was HBV (28.1%) in contrast to the non-Asian group in which HCV (29.6%) was the most common. The 5-yr Patient and graft survival was 76%, 74%, 73%, 65% and 71%, 68%, 67% and 57% for Asian, Hispanic, White and Black respectively.
We found (1) regional variation and differences in liver disease pattern among Asian population; and (2) overall LT recipients of Asian ethnicity have a significant survival advantage in comparison to non-Asian groups.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins</pub><pmid>19667943</pmid><doi>10.1097/TP.0b013e3181aed68c</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Adult African Americans - statistics & numerical data Aged Asian Continental Ancestry Group - statistics & numerical data Biological and medical sciences European Continental Ancestry Group - statistics & numerical data Female Fundamental and applied biological sciences. Psychology Fundamental immunology Graft Survival Health Status Disparities Hepatitis B virus Hepatitis C virus Hispanic Americans - statistics & numerical data Humans Kaplan-Meier Estimate Liver Diseases - ethnology Liver Diseases - etiology Liver Diseases - mortality Liver Diseases - surgery Liver Transplantation - ethnology Liver Transplantation - mortality Liver, biliary tract, pancreas, portal circulation, spleen Male Medical sciences Middle Aged Proportional Hazards Models Registries Residence Characteristics Risk Assessment Risk Factors Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the digestive system Time Factors Tissue, organ and graft immunology United States - epidemiology Young Adult |
| title | Liver Transplantation Trends and Survival in the Asian Population |
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