AN ANALYSIS OF LIVER-TRANSPLANT EXPERIENCE FROM 37 TRANSPLANT CENTERSAS REPORTED TO MEDICARE

Analysis of 5180 liver transplant caws from 37 liver transplant center s in the United States (1982-1991) shows an overall one-year survival rate of 79.4+/-0.6% and a five-year survival rate of 69.2+/-0.9%. Ther e was marked improvement in the one-year survival rate after liver tra nsplantation from 36.0+/-9.6% in 1982 to 85.0+/-1.8% in 1991. One-year survival rates after liver transplantation for postnecrotic cirrhosis , primary biliary cirrhosis, alcoholic cirrhosis, primary sclerosing c holangitis, alpha-1-antitrypsin deficiency, and Wilson's disease range d from 78.4+/-1.0% to 84.2+/-1.5% and five-year survival rates from 68 .6+/-3.8% to 79.2+/-5.3%. Survival rates after liver transplantation f or hemochromatosis were poor-a one-year survival rate of 53.8+/-6.8% a nd a rive year survival rate of 43.1+/-11%. One- and rive-year surviva l rates for the 0-13 years age group were 74.6+/-2.8% and 66.7+/-3.4%; for the 14-37 years age group, 83.3+/-1.2% and 73.8+/-1.8%; for the 3 8-54 years age group, 79.6+/-0.8% and 69.7+/-1.3%; for the 55-63 years age group, 76.0+/-1.4% and 63.0+/-3.1%; and for the 64-77 years age g roup, 76.5+/-3.0% and 65.4+/-4.6%.