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Received 17 December 1998.
Accepted 26 February 1999.
0041-1337/99/6805-650/0
TRANSPLANTATION Vol. 68, 650 – 655, No. 5, September 15, 1999
Copyright © 1999 by Lippincott Williams & Wilkins, Inc. Printed in U.S.A.
AN ANALYSIS OF PRETRANSPLANTATION VARIABLES
ASSOCIATED WITH LONG-TERM ALLOGRAFT OUTCOME IN
PEDIATRIC LIVER TRANSPLANT RECIPIENTS RECEIVING
PRIMARY TACROLIMUS (FK506) THERAPY
THOMAS V. CACCIARELLI,IGOR DVORCHIK,GEORGE V. MAZARIEGOS,DAVID GERBER,ASHOK B. JAIN,
JOHN J. FUNG, AND JORGE REYES
1
Departments of Transplant Surgery, Thomas E. Starzl Transplantation Institute, University of Pittsburgh
School of Medicine and Children’s Hospital of Pittsburgh, Pittsburgh, Pennsylvania 15213
Background. The present study analyzes pretrans-
plantation variables associated with long-term liver
allograft survival in 278 children who underwent
transplantation under primary tacrolimus (FK506)
therapy at a single center between October 1989 and
October 1996.
Methods. The influence of 17 pretransplantation
variables on long-term liver allograft outcome was an-
alyzed. Donor variables included age, weight, gender,
and cold ischemia time. Recipient variables included
age, weight, gender, original liver disease, pretrans-
plantation waiting time, previous abdominal surgery,
United Network of Organ Sharing (UNOS) status, ABO
blood group, bilirubin level, prothrombin time, ammo-
nia level, creatinine level, and reduced-size/split liver
grafts.
Results. Overall actuarial graft survival was 79.9% at
1 year, 79.1% at 2 years, and 78.3% at 3, 4, and 5 years.
Retransplantation rate was 10.8%. Pretransplantation
variables with a significant adverse effect on graft
survival by univariate analysis were donor age <1
year (P<0.004), donor weight <10 kg (P<0.003), UNOS
status I and II (P<0.007), ABO type O, B, and AB
(P<0.03), and reduced-size/split liver grafts (P<0.02).
1
Address correspondence to: Jorge Reyes, MD, Department of
Transplant Surgery, Children’s Hospital of Pittsburgh, 3705 Fifth
Avenue, Pittsburgh, PA 15213.
TRANSPLANTATION 650 Vol. 68, No. 5