TY  - BOOK
AU  - Desai, Chirag S
AU  - Desale, Sameer Y
AU  - Fishbein, Thomas M
AU  - Girlanda, Raffaele
AU  - Hawksworth, Jason S
AU  - Kaufman, Stuart S
AU  - Matsumoto, Cal S
AU  - Mete, Mihriye
TI  - Developing trends in the intestinal transplant waitlist
SN  - 1600-6135
KW  - *Intestines/tr [Transplantation]
KW  - *Mortality/td [Trends]
KW  - *Organ Transplantation/mo [Mortality]
KW  - *Organ Transplantation/sn [Statistics & Numerical Data]
KW  - *Tissue and Organ Procurement/sn [Statistics & Numerical Data]
KW  - *Waiting Lists/mo [Mortality]
KW  - Adolescent
KW  - Adult
KW  - Age Factors
KW  - Child
KW  - Child, Preschool
KW  - Female
KW  - Follow-Up Studies
KW  - Humans
KW  - Infant
KW  - Infant, Newborn
KW  - Male
KW  - Prognosis
KW  - Survival Rate
KW  - Young Adult
KW  - MedStar Health Research Institute
KW  - MedStar Washington Hospital Center
KW  - Surgery/Transplantation
KW  - Journal Article
KW  - Research Support, U.S. Gov't, P.H.S
N1  - Available online from MWHC library: May 2001 - present
N2  - The United Network for Organ Sharing database was examined for trends in the intestinal transplant (ITx) waitlist from 1993 to 2012, dividing into listings for isolated ITx versus liver-intestine transplant (L-ITx). Registrants added to the waitlist increased from 59/year in 1993 to 317/year in 2006, then declined to 124/year in 2012; Spline modeling showed a significant change in the trend in 2006, p<0.001. The largest group of registrants, <1year of age, determined the trend for the entire population; other pediatric age groups remained stable, adult registrants increased until 2012. The largest proportion of new registrants were for L-ITx, compared to isolated ITx; the change in the trend in 2006 for L-ITx was highly significant, p<0.001, but not isolated ITx, p=0.270. New registrants for L-ITx, <1year of age, had the greatest increase and decrease. New registrants for isolated ITx remained constant in all pediatric age groups. Waitlist mortality increased to a peak around 2002, highest for L-ITx, in patients <1year of age and adults. Deaths among all pediatric age groups awaiting L-ITx have decreased; adult L-ITx deaths have dropped less dramatically. Improved care of infants with intestinal failure has led to reduced referrals for L-ITx. � Copyright 2014 The American Society of Transplantation and the American Society of Transplant Surgeons
UR  - http://dx.doi.org/10.1111/ajt.12919
ER  -