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Deceased Organ Donation Liver Donor Organ Allocation

No Reason Not to Use Deceased Liver Donors Over 60 Years Old

As OPTN has admitted, organs from deceased donors over the age of 50 are often discarded despite being viable. A recent study compared patient and graft (transplanted organ) survival rates in liver transplant recipients given livers from deceased donors younger than 60, 60-70 years of age, and older than 70 years old.

Summary results are as follows:

 

Patient survival 1-year 3 year 5-year
<60yoa   (n=226) 81% 76.1% 71%
60-70yoa    (n=75) 83.8% 74% 72.2%
>70yoa   (n=25) 76% 70% 64.1%

 

Graft Survival 1-year 3-year 5 year
<60yoa   (n=226) 74.8% 69% 64.1%
60-70yoa    (n=75) 82.7% 71.4% 69.6%
>70yoa   (n=25) 71.4% 64.8% 58.3%

 

Conclusion;

Because patient and graft survival rates are not affected by donor age, well-selected older donor livers can be safely used if they show good function and preharvesting conditions.

 

Read full abstract here: http://link.springer.com/article/10.1007/s00268-013-2085-7

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