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Erratum.

American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons·2022
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OPTN/SRTR 2020 Annual Data Report: Introduction.

American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons·2022
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OPTN/SRTR 2013 Annual Data Report: intestine.

J M Smith1, M A Skeans, S P Horslen

  • 1Scientific Registry of Transplant Recipients, Minneapolis Medical Research Foundation, Minneapolis, MN; Department of Pediatrics, University of Washington, Seattle, WA.

American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons
|January 29, 2015
PubMed
Summary

Intestine transplantation remains vital for intestinal failure, with significantly reduced pre-transplant mortality and improved graft survival over a decade. The number of adult recipients now surpasses pediatric recipients.

Keywords:
Intestinal failureintestine transplantintestine-liver transplantwaiting list

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Area of Science:

  • Transplantation Medicine
  • Gastroenterology
  • Surgical Innovation

Background:

  • Intestinal failure management has advanced, yet intestine transplantation remains a critical therapeutic option.
  • Patient demographics on the intestine transplant waiting list have evolved, with a notable shift in listing types.
  • Pre-transplant mortality rates have seen a substantial decline, indicating improved patient management and outcomes.

Purpose of the Study:

  • To analyze trends in intestine transplantation, including patient demographics, transplant types, and outcomes.
  • To evaluate changes in pre-transplant mortality and graft survival over a ten-year period.
  • To assess the evolving landscape of intestine and intestine-liver transplantation recipients.

Main Methods:

  • Retrospective analysis of patient data from the intestine transplant waiting list.
  • Examination of transplant numbers, recipient ages, and transplant types (alone vs. combined with liver).
  • Assessment of pre-transplant mortality rates and graft survival statistics over specified timeframes.

Main Results:

  • Pre-transplant mortality decreased significantly from 30.3 to 6.9 per 100 waitlist years between 2002-2003 and 2012-2013.
  • The number of intestine transplants declined, while intestine-liver transplants showed a slight increase in 2013 after a previous low.
  • Adult recipients constituted double the number of pediatric recipients in 2013, indicating an age shift in recipients.
  • Graft survival has improved, with 90-day graft failure rates of 14.1% for intestine and 11.2% for intestine-liver transplants in 2013.
  • The number of recipients alive with functioning grafts increased to 1012 by 2013, with nearly half being pediatric intestine-liver recipients.

Conclusions:

  • Intestine transplantation continues to be a crucial intervention for intestinal failure, supported by reduced waiting list mortality and enhanced graft survival.
  • The recipient population is shifting towards adults, and while overall transplant numbers have fluctuated, long-term graft function is improving.
  • Continued advancements in medical and surgical care are vital for optimizing outcomes in intestine transplant recipients.