Date: Tuesday, June 4, 2019
Session Time: 6:00pm-7:00pm
Presentation Time: 6:00pm-7:00pm
Location: Hall C & D
*Purpose: The purpose of this study was to determine any difference in resource utilization since the implementation of the mandatory six month wait-time policy for liver transplantation with hepatocellular carcinoma.
*Methods: We conducted a retrospective cohort study of adult liver transplants (LTX) from 2013- 2018. Patients were identified as Pre-Policy or Post-Policy based on 964 days before/after the wait-time policy. Differences across compared groups for continuous variables were assessed using the independent sample t-test and for binary variables using the chi-square test. All p-values were 2-sided and <0.05 was determined statistically significant.
*Results: Of the 369 adult liver transplants performed, 123 had HCC. We found statistical differences in recipient age (p=0.003), days on the waitlist (p=0.01), SVR (p<0.001), and HCC recurrence post LTX (p=0.04). There was no difference in recipient gender, BMI, or pre-transplant MELD. Resource utilization demonstrated significant differences in the number of treatment days pre-liver transplant (p=0.01) and the length of transplant admission stay (p=0.01). There was no difference between the pre/post wait-time groups for either graft survival or patient survival.
*Conclusions: There was lower HCC recurrence post 6 month wait-time but with greater resource utilization indicated by length of stay and number of treatment days pre-liver transplant without differences in graft or patient survival. Further studies are indicated to explore the potential benefits and costs associated with the wait-time policy.
To cite this abstract in AMA style:Sokolich J, McClellan W, Buggs J, Rogers E, Barber K, Cocuy K, Kumar A. Resource Utilization in Hepatocellular Carcinoma Liver Transplantation before and after the Six Month Wait Time [abstract]. Am J Transplant. 2019; 19 (suppl 3). https://atcmeetingabstracts.com/abstract/resource-utilization-in-hepatocellular-carcinoma-liver-transplantation-before-and-after-the-six-month-wait-time/. Accessed February 17, 2020.
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