Clinical Outcomes for Saudi and Egyptian Patients Receiving Deceased Donor Liver Transplantation in China
Long waiting list times in liver transplant programs in Saudi Arabia and unavailability of deceased donor transplantation in Egypt have led several patients to seek transplantation in China. All patients who received transplants in China and followed in three centers from January 2003–January 2007 w...
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| Veröffentlicht in: | American journal of transplantation 2010-08, Vol.10 (8), p.1834-1841 |
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| creator | Allam, N. Al Saghier, M. El Sheikh, Y. Al Sofayan, M. Khalaf, H. Al Sebayel, M. Helmy, A. Kamel, Y. AlJedai, A. Abdel‐Dayem, H. Kenetman, N. M. Al Saghier, A. Al Hamoudi, W. Abdo, A. A. |
| description | Long waiting list times in liver transplant programs in Saudi Arabia and unavailability of deceased donor transplantation in Egypt have led several patients to seek transplantation in China. All patients who received transplants in China and followed in three centers from January 2003–January 2007 were included. All patients’ charts were reviewed. Mortality and morbidity were compared to those transplanted in King Faisal Specialist Hospital & Research Centre (KFSH&RC) during the same period. Seventy‐four adult patients were included (46 Saudi nationals; 28 Egyptians). One‐year and 3‐year cumulative patient survival rates were 83% and 62%, respectively compared to 92% and 84% in KFSH&RC. One‐year and 3‐year cumulative graft survival rates were 81% and 59%, respectively compared to 90% and 84% in KFSH&RC. Compared to KFSH&RC, the incidence of complications was significantly higher especially biliary complications, sepsis, metastasis and acquired HBV infection posttransplant. Requirements of postoperative interventions and hospital admissions were also significantly greater. Our data show high mortality and morbidity rates in Saudi and Egyptian patients receiving transplants in China. This could be related to more liberal selection criteria, use of donation after cardiac death (DCD) donors or possibly more limited posttransplant care.
Patient and graft survival rates are low in Saudi and Egyptian patients receiving liver transplantation compared to those transplanted locally.
See Editorial by Fung on page 1723. |
| doi_str_mv | 10.1111/j.1600-6143.2010.03088.x |
| format | Article |
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Patient and graft survival rates are low in Saudi and Egyptian patients receiving liver transplantation compared to those transplanted locally.
See Editorial by Fung on page 1723.</description><identifier>ISSN: 1600-6135</identifier><identifier>EISSN: 1600-6143</identifier><identifier>DOI: 10.1111/j.1600-6143.2010.03088.x</identifier><identifier>PMID: 20353478</identifier><language>eng</language><publisher>Malden, USA: Blackwell Publishing Inc</publisher><subject>Adult ; Aged ; Biliary complications ; Biliary Tract Diseases - etiology ; Biological and medical sciences ; Carcinoma, Hepatocellular - complications ; Carcinoma, Hepatocellular - surgery ; China ; Constriction, Pathologic - etiology ; Data processing ; Death ; deceased donor grafts ; Donors ; Egypt ; Female ; Graft Survival ; Heart ; Hepatitis B - complications ; Hepatitis B - surgery ; Hepatitis B virus ; Hepatitis C - complications ; Hepatitis C - surgery ; Hospitals ; Humans ; Infection ; Liver Neoplasms - complications ; Liver Neoplasms - surgery ; Liver transplantation ; Liver Transplantation - adverse effects ; Liver Transplantation - mortality ; Liver, biliary tract, pancreas, portal circulation, spleen ; Male ; Medical sciences ; Medical Tourism ; Metastases ; Middle Aged ; Morbidity ; Mortality ; non‐heart beating ; outcome ; Postoperative Complications - etiology ; Retrospective Studies ; Saudi Arabia - epidemiology ; Sepsis ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the digestive system ; Survival ; Tissue Donors ; transplant hepatology ; Treatment Outcome</subject><ispartof>American journal of transplantation, 2010-08, Vol.10 (8), p.1834-1841</ispartof><rights>©</rights><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4808-b6840ce58213a1c74dfe3711f0d91202804e48b4773e142d1c0570d68595fad03</citedby><cites>FETCH-LOGICAL-c4808-b6840ce58213a1c74dfe3711f0d91202804e48b4773e142d1c0570d68595fad03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1600-6143.2010.03088.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1600-6143.2010.03088.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=23164618$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20353478$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Allam, N.</creatorcontrib><creatorcontrib>Al Saghier, M.</creatorcontrib><creatorcontrib>El Sheikh, Y.</creatorcontrib><creatorcontrib>Al Sofayan, M.</creatorcontrib><creatorcontrib>Khalaf, H.</creatorcontrib><creatorcontrib>Al Sebayel, M.</creatorcontrib><creatorcontrib>Helmy, A.</creatorcontrib><creatorcontrib>Kamel, Y.</creatorcontrib><creatorcontrib>AlJedai, A.</creatorcontrib><creatorcontrib>Abdel‐Dayem, H.</creatorcontrib><creatorcontrib>Kenetman, N. M.</creatorcontrib><creatorcontrib>Al Saghier, A.</creatorcontrib><creatorcontrib>Al Hamoudi, W.</creatorcontrib><creatorcontrib>Abdo, A. A.</creatorcontrib><title>Clinical Outcomes for Saudi and Egyptian Patients Receiving Deceased Donor Liver Transplantation in China</title><title>American journal of transplantation</title><addtitle>Am J Transplant</addtitle><description>Long waiting list times in liver transplant programs in Saudi Arabia and unavailability of deceased donor transplantation in Egypt have led several patients to seek transplantation in China. All patients who received transplants in China and followed in three centers from January 2003–January 2007 were included. All patients’ charts were reviewed. Mortality and morbidity were compared to those transplanted in King Faisal Specialist Hospital & Research Centre (KFSH&RC) during the same period. Seventy‐four adult patients were included (46 Saudi nationals; 28 Egyptians). One‐year and 3‐year cumulative patient survival rates were 83% and 62%, respectively compared to 92% and 84% in KFSH&RC. One‐year and 3‐year cumulative graft survival rates were 81% and 59%, respectively compared to 90% and 84% in KFSH&RC. Compared to KFSH&RC, the incidence of complications was significantly higher especially biliary complications, sepsis, metastasis and acquired HBV infection posttransplant. Requirements of postoperative interventions and hospital admissions were also significantly greater. Our data show high mortality and morbidity rates in Saudi and Egyptian patients receiving transplants in China. This could be related to more liberal selection criteria, use of donation after cardiac death (DCD) donors or possibly more limited posttransplant care.
Patient and graft survival rates are low in Saudi and Egyptian patients receiving liver transplantation compared to those transplanted locally.
See Editorial by Fung on page 1723.</description><subject>Adult</subject><subject>Aged</subject><subject>Biliary complications</subject><subject>Biliary Tract Diseases - etiology</subject><subject>Biological and medical sciences</subject><subject>Carcinoma, Hepatocellular - complications</subject><subject>Carcinoma, Hepatocellular - surgery</subject><subject>China</subject><subject>Constriction, Pathologic - etiology</subject><subject>Data processing</subject><subject>Death</subject><subject>deceased donor grafts</subject><subject>Donors</subject><subject>Egypt</subject><subject>Female</subject><subject>Graft Survival</subject><subject>Heart</subject><subject>Hepatitis B - complications</subject><subject>Hepatitis B - surgery</subject><subject>Hepatitis B virus</subject><subject>Hepatitis C - complications</subject><subject>Hepatitis C - surgery</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Infection</subject><subject>Liver Neoplasms - complications</subject><subject>Liver Neoplasms - surgery</subject><subject>Liver transplantation</subject><subject>Liver Transplantation - adverse effects</subject><subject>Liver Transplantation - mortality</subject><subject>Liver, biliary tract, pancreas, portal circulation, spleen</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medical Tourism</subject><subject>Metastases</subject><subject>Middle Aged</subject><subject>Morbidity</subject><subject>Mortality</subject><subject>non‐heart beating</subject><subject>outcome</subject><subject>Postoperative Complications - etiology</subject><subject>Retrospective Studies</subject><subject>Saudi Arabia - epidemiology</subject><subject>Sepsis</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the digestive system</subject><subject>Survival</subject><subject>Tissue Donors</subject><subject>transplant hepatology</subject><subject>Treatment Outcome</subject><issn>1600-6135</issn><issn>1600-6143</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkc1uGyEUhVHUKknTvELFJurK7r0DM5BFFpGT_slSqtRZIwx3Uqwx4w4zafz2ZWLXXbZsOILvwNU5jHGEKeb1YTXFCmBSoRTTAvIpCNB6-nzETg8Xrw5alCfsTUorAFSFLo7ZSQGiFFLpUxZmTYjB2YbfDb1r15R43Xb8ux184DZ6fvu43fTBRv7N9oFin_g9OQpPIT7ym6xsIs9v2phN8_BEHV90NqZNY2OfDW3kIfLZjxDtW_a6tk2i8_1-xh4-3i5mnyfzu09fZtfziZMa9GRZaQmOSl2gsOiU9DUJhViDv8QCCg2SpF5KpQShLDw6KBX4SpeXZW09iDP2fvfupmt_DpR6sw7JUZMnonZIRpVSq-zGf5NCgkAJOpN6R7quTamj2my6sLbd1iCYsRGzMmPYZgzejI2Yl0bMc7a-238yLNfkD8Y_FWTgYg_YlHuoc3wupL-cwEpWOHJXO-5XaGj73wOY66-LUYnf6aWlQg</recordid><startdate>201008</startdate><enddate>201008</enddate><creator>Allam, N.</creator><creator>Al Saghier, M.</creator><creator>El Sheikh, Y.</creator><creator>Al Sofayan, M.</creator><creator>Khalaf, H.</creator><creator>Al Sebayel, M.</creator><creator>Helmy, A.</creator><creator>Kamel, Y.</creator><creator>AlJedai, A.</creator><creator>Abdel‐Dayem, H.</creator><creator>Kenetman, N. M.</creator><creator>Al Saghier, A.</creator><creator>Al Hamoudi, W.</creator><creator>Abdo, A. A.</creator><general>Blackwell Publishing Inc</general><general>Wiley</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>7X8</scope><scope>7QL</scope><scope>C1K</scope></search><sort><creationdate>201008</creationdate><title>Clinical Outcomes for Saudi and Egyptian Patients Receiving Deceased Donor Liver Transplantation in China</title><author>Allam, N. ; Al Saghier, M. ; El Sheikh, Y. ; Al Sofayan, M. ; Khalaf, H. ; Al Sebayel, M. ; Helmy, A. ; Kamel, Y. ; AlJedai, A. ; Abdel‐Dayem, H. ; Kenetman, N. M. ; Al Saghier, A. ; Al Hamoudi, W. ; Abdo, A. 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A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clinical Outcomes for Saudi and Egyptian Patients Receiving Deceased Donor Liver Transplantation in China</atitle><jtitle>American journal of transplantation</jtitle><addtitle>Am J Transplant</addtitle><date>2010-08</date><risdate>2010</risdate><volume>10</volume><issue>8</issue><spage>1834</spage><epage>1841</epage><pages>1834-1841</pages><issn>1600-6135</issn><eissn>1600-6143</eissn><abstract>Long waiting list times in liver transplant programs in Saudi Arabia and unavailability of deceased donor transplantation in Egypt have led several patients to seek transplantation in China. All patients who received transplants in China and followed in three centers from January 2003–January 2007 were included. All patients’ charts were reviewed. Mortality and morbidity were compared to those transplanted in King Faisal Specialist Hospital & Research Centre (KFSH&RC) during the same period. Seventy‐four adult patients were included (46 Saudi nationals; 28 Egyptians). One‐year and 3‐year cumulative patient survival rates were 83% and 62%, respectively compared to 92% and 84% in KFSH&RC. One‐year and 3‐year cumulative graft survival rates were 81% and 59%, respectively compared to 90% and 84% in KFSH&RC. Compared to KFSH&RC, the incidence of complications was significantly higher especially biliary complications, sepsis, metastasis and acquired HBV infection posttransplant. Requirements of postoperative interventions and hospital admissions were also significantly greater. Our data show high mortality and morbidity rates in Saudi and Egyptian patients receiving transplants in China. This could be related to more liberal selection criteria, use of donation after cardiac death (DCD) donors or possibly more limited posttransplant care.
Patient and graft survival rates are low in Saudi and Egyptian patients receiving liver transplantation compared to those transplanted locally.
See Editorial by Fung on page 1723.</abstract><cop>Malden, USA</cop><pub>Blackwell Publishing Inc</pub><pmid>20353478</pmid><doi>10.1111/j.1600-6143.2010.03088.x</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | American journal of transplantation, 2010-08, Vol.10 (8), p.1834-1841 |
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| subjects | Adult Aged Biliary complications Biliary Tract Diseases - etiology Biological and medical sciences Carcinoma, Hepatocellular - complications Carcinoma, Hepatocellular - surgery China Constriction, Pathologic - etiology Data processing Death deceased donor grafts Donors Egypt Female Graft Survival Heart Hepatitis B - complications Hepatitis B - surgery Hepatitis B virus Hepatitis C - complications Hepatitis C - surgery Hospitals Humans Infection Liver Neoplasms - complications Liver Neoplasms - surgery Liver transplantation Liver Transplantation - adverse effects Liver Transplantation - mortality Liver, biliary tract, pancreas, portal circulation, spleen Male Medical sciences Medical Tourism Metastases Middle Aged Morbidity Mortality non‐heart beating outcome Postoperative Complications - etiology Retrospective Studies Saudi Arabia - epidemiology Sepsis Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the digestive system Survival Tissue Donors transplant hepatology Treatment Outcome |
| title | Clinical Outcomes for Saudi and Egyptian Patients Receiving Deceased Donor Liver Transplantation in China |
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