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Liver transplantation in Ireland
Masood Iqbal1, Elgaily A Elrayah1, Oscar Traynor1,2
1Liver Unit, St. Vincent's University Hospital, Dublin, Ireland.
Summary
The Irish National Liver Transplant program has performed nearly 1000 adult transplants since 1993, with survival rates of 93% at 1 year and 79% at 5 years. Increasing demand is lengthening waiting lists, prompting consideration of deceased cardiac death donation.
Area of Science:
- Hepatology
- Transplant Surgery
- Organ Donation
Background:
- The Irish National Liver Transplant program, established in 1993, is the sole adult liver transplant service in Ireland.
- Pediatric cases are referred to the UK; nearly 1000 adult liver transplants have been conducted.
- The program operates with government funding and collaborates with UK organ donation services.
Purpose of the Study:
- To review the outcomes and operational status of the Irish National Liver Transplant program.
- To highlight challenges such as increasing demand and lengthening waiting lists.
- To discuss potential strategies for increasing organ donation rates.
Main Methods:
- Retrospective analysis of program data.
- Review of organ donation and transplantation policies and practices in Ireland.
- Examination of patient survival statistics.
Main Results:
- The program has achieved significant milestones, with almost 1000 adult liver transplants performed.
- Current 1-year patient survival is 93%, and 5-year survival is 79%.
- Despite high historical donation rates, demand now exceeds supply, leading to extended waiting lists.
Conclusions:
- The Irish National Liver Transplant program demonstrates successful patient outcomes.
- Rising demand necessitates strategies to increase organ availability, including considering deceased cardiac death donation.
- The appointment of donor coordinators aims to boost organ donation rates.
