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Updated: Apr 18, 2026
Porcine Liver Transplantation Without Veno-Venous Bypass As an Extended Criteria Donor Model
Published on: August 17, 2022
Geographic Distance of Liver Allografts: Post Transplant Outcomes Following Broader Sharing Policies
Allison N Moore1, Catherine G Pratt1, Jenna N Whitrock1
1Division of Transplantation, Department of Surgery, University of Cincinnati College of Medicine, Cincinnati, Ohio.
Introduction:
Use of deceased donor liver allografts from geographically far donor hospitals continues to increase since the adoption of broader sharing policies but an evaluation of patient outcomes remains unknown.
Methods:
All deceased donor liver transplants were reviewed from a high-volume center between January, 2017 and July, 2024 and stratified by distance between donor hospital and the transplant center (near < 250 miles, intermediate 250-499 miles and far ≥500 miles). Primary end points included 1 y patient and graft survival.
Results:
During the study period, 749 (73%) of liver allografts were from <250 miles, 218 (21%) 250-499 miles, and 61 (6%) ≥500 miles away. Overall, the proportion of allografts transplanted from intermediate distances significantly increased. Far allograft recipients had lower median model for end-stage liver disease scores (P < 0.05). Kaplan-Meier survival analysis demonstrated no significant differences in patient or graft survival between near, intermediate, or far allografts after a median follow-up of 1.9 y.
Conclusions:
This analysis suggests allografts from further distances can be transplanted safely without compromising patient and graft survival. With careful recipient and donor selection, distance from transplant center alone should not preclude allograft use but requires financial consideration.
