ELTR 12/2008 The Present Evolution of Liver Transplantation 1. General evolution of LT in Europe 2. Donor data 3. Recipient data 4. Indications and results.

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Presentation transcript:

ELTR 12/2008 The Present Evolution of Liver Transplantation 1. General evolution of LT in Europe 2. Donor data 3. Recipient data 4. Indications and results 5. Evolution of techniques 6. Mortality and retransplantation

ELTR 12/2008 The Present Evolution of Liver Transplantation 1. General evolution of LT in Europe 2. Donor data 3. Recipient data 4. Indications and results 5. Evolution of techniques 6. Mortality and retransplantation

ELTR 12/2008 EUROPEAN LIVER TRANSPLANT REGISTRY 25 countries institutions 85,446 transplantations - 76,818 patients 05/ /

ELTR 12/2008 Evolution of 85,446 Liver Transplantations in Europe

ELTR 12/2008 Evolution of the number of Liver Transplantations reported to the ELTR

ELTR 12/2008 Evolution of the number of Liver Transplantations by Center

ELTR 12/2008 The Present Evolution of Liver Transplantation 1. General evolution of LT in Europe 2. Donor data 3. Recipient data 4. Indications and results 5. Evolution of techniques 6. Mortality and retransplantation

ELTR 12/2008 Graft Survival according to Donor Age in Europe 01/ /2008

ELTR 12/2008 Graft Survival according to Donor Age in Elective Liver Transplantation 01/1988 – 12/2008

ELTR 12/2008 Graft Survival according to Donor Age in Urgent Liver Transplantation 01/ /2008

ELTR 12/2008 The Present Evolution of Liver Transplantation 1. General evolution of LT in Europe 2. Donor data 3. Recipient data 4. Indications and results 5. Evolution of techniques 6. Mortality and retransplantation

ELTR 12/2008 Evolution of Recipient Age 05/1968 – 12/2008

ELTR 12/2008 Patient Survival according to Recipient Age 01/ /2008

ELTR 12/2008 Patient Survival according to Adult Recipient Age 01/ /2008

ELTR 12/2008 Proportion of Pediatric Transplantation by Country 01/ /2008

ELTR 12/2008 Primary Indication of Liver Transplantation in Pediatric Patients 05/ /2008

ELTR 12/2008 Graft Survival according to Children Recipient Age 01/ /2008

ELTR 12/2008 Survival of Children >= 2 yrs according to the Main Indication in Europe 01/ /2008

ELTR 12/2008 Graft Survival according to Adult Recipient Age 01/ /2008

ELTR 12/2008 Primary Indications of Liver Transplantion in Elderly Patients (>= 60 Years) 01/ /2008

ELTR 12/2008 Survival of Elderly Recipients (>= 60 Years) according to the Main Indication in Europe 01/ /2008

ELTR 12/2008 The Present Evolution of Liver Transplantation 1. General evolution of LT in Europe 2. Donor data 3. Recipient data 4. Indications and results 5. Evolution of techniques 6. Mortality and retransplantation

ELTR 12/2008 * Others :Budd Chiari : 675 Benign liver tumors or Polycystic diseases : 934 Parasitic diseases : 67 Other liver diseases : 533 Primary Diseases leading to Liver Transplantion in Europe 01/ /2008

ELTR 12/2008 Primary Indications of Liver Transplantion in Europe 01/ /2008

ELTR 12/2008 Evolution of Primary Diseases leading to Liver Transplantation in Europe 05/ /2008

ELTR 12/2008 Primary Diseases leading to Liver Transplantion by Country 01/ /2008

ELTR 12/2008 Primary Diseases leading to Liver Transplantation in Adult Recipients 01/ /2008

ELTR 12/2008 Patient and Graft Survival following Liver Transplantation 05/1968 – 12/2008

ELTR 12/2008 Patient Survival according to the Year of Liver Transplantation

ELTR 12/2008 Patient Survival according to the Indication 01/ /2008

ELTR 12/2008 Patient Survival according to the 1st Indication 01/1988 – 12/2008

ELTR 12/2008 Graft Survival according to the Urgency of Liver Transplantation in Europe 01/ /2008

ELTR 12/2008 Graft Survival according to ABO Compatibility In Elective Liver Transplantation 01/ /2008

ELTR 12/2008 Graft Survival according to ABO Compatibility In Urgent Liver Transplantation 01/ /2008

ELTR 12/2008 Liver Transplantation in Europe Indications in Cirrhosis 01/ /2008

ELTR 12/2008 Evolution of Indications for Cirrhosis in Europe 05/ /2008

ELTR 12/2008 Survival of Patients with Cirrhosis as the First Indication 01/ /2008

ELTR 12/2008 Primary Indications of Liver Transplantation in Virus related Cirrhosis in Europe 01/ /2008

ELTR 12/2008 Survival of Patients with Virus related Cirrhosis as the First Indication 01/ /2008

ELTR 12/2008 Survival of Patients with Virus related Cirrhosis as the First Indication 01/ /2008

ELTR 12/2008 Survival of Patients with Virus related Cirrhosis as the First Indication 01/ /2008

ELTR 12/2008 Liver Transplantation in Europe Indications in Hepato-Biliary Cancers 01/ /2008

ELTR 12/2008 Evolution of Indications for Hepato-Biliary Cancers in Europe 05/ /2008

ELTR 12/2008 Survival of Patients with Liver Cancer as the First Indication 01/ /2008

ELTR 12/2008 Survival of Patients with HCC with and without underlying Cirrhosis 01/ /2008

ELTR 12/2008 Primary Indications of Liver Transplantation in 6155 Patients with Acute Hepatic Failure 01/ /2008

ELTR 12/2008 Survival of Patients with Acute Hepatic Failure as the First Indication 01/ /2008

ELTR 12/2008 Primary Indications of Liver Transplantation in 7552 Patients with Cholestatic Diseases 01/ /2008

ELTR 12/2008 Survival of Patients with Cholestatic Diseases as the First Indication 01/ /2008

ELTR 12/2008 Primary Indications of Liver Transplantation in 4542 Patients with Metabolic Diseases 01/ /2008

ELTR 12/2008 Survival of Patients with Metabolic Diseases as the First Indication 01/ /2008

ELTR 12/2008 Indications of Liver Transplantation in 2183 Other liver diseases in Europe 05/ /2008

ELTR 12/2008 Survival of Patients with Other Liver Diseases as the First Indication 01/ /2008

ELTR 12/2008 The Present Evolution of Liver Transplantation 1. General evolution of LT in Europe 2. Donor data 3. Recipient data 4. Indications and results 5. Evolution of techniques 6. Mortality and retransplantation

ELTR 12/2008 Graft Survival in Liver Transplantation only vs Liver Combined to other Organ Transplantation 01/ /2008

ELTR 12/2008 Graft Survival according to the Site of Transplantation in Elective LT 01/ /2008

ELTR 12/2008 Type of Liver Graft in Europe according to the Date of Transplantation

ELTR 12/2008 Graft Survival according to the Type of Graft 01/ /2008

ELTR 12/2008 Graft Survival according to the Type of Graft 01/ /2008

ELTR 12/2008 Graft Survival according to the Type of Graft in Elective Liver Transplantation 01/ /2008

ELTR 12/2008 Graft Survival according to the Type of Graft in Urgent Liver Transplantation 01/ /2008

ELTR 12/2008 Graft Survival according to the Cold Ischemic Time in UW Elective Liver Transplantation 01/ /2008

ELTR 12/2008 Graft Survival according to the Cold Ischemic Time in UW Urgent Liver Transplantation 01/ /2008

ELTR 12/2008 Auxiliary vs Non Auxiliary Graft Survival in Elective Liver Transplantation 01/ /2008

ELTR 12/2008 Auxiliary vs Non Auxiliary Graft Survival in Urgent Liver Transplantation 01/ /2008

ELTR 12/2008 The Present Evolution of Liver Transplantation 1. General evolution of LT in Europe 2. Donor data 3. Recipient data 4. Indications and results 5. Evolution of techniques 6. Mortality and retransplantation

ELTR 12/2008 Liver Transplantation in Europe Mortality and Retransplantation 01/ /2008

ELTR 12/2008 Graft Survival according to the Number of Liver Transplantations in Europe 01/ /2008

ELTR 12/2008 Graft Survival according to the number of the Liver Transplantation in Elective Cases 01/ /2008

ELTR 12/2008 Graft Survival according to the number of the Liver Transplantation in Urgent Cases 01/ /2008

ELTR 12/2008 Patient Survival according to the number of Liver Transplantations 01/ /2008

ELTR 12/2008 Patient Survival according to the number of LTs in Elective cases for the 1st LT 01/ /2008

ELTR 12/2008 Patient Survival according to the number of LTs in Urgent cases for the 1st LT 01/1988 – 12/2008

ELTR 12/2008 Mortality following the 1st LT 01/ /2008

ELTR 12/2008 Causes of Retransplant following the 1st LT 01/ /2008