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Introduction: Machine perfusion (MP) was developed to expand the available donor pool and to improve liver transplantation outcomes. Despite optimal results in clinical trials, MP benefit outside of clinical experimentation in unknown. Low/mid volume centres (L/MVCs) may face logistical/economical difficulties that may in turn hamper optimal MP results.
Methods: An Online 22-item survey on the use of machine perfusion for liver transplantation outside of clinical trials, was distributed to worldwide LT centres representatives. Variables of interest included MP logistics, MP technicalities, MP results, post-MP LT results. Responding centres were grouped into high volume centre (HVCs)(defined as >60 LTs per year in 2019) and L/MVCs. Results from HVCs vs L/MVCs were compared.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Low/mid-volume liver transplant centres |
| ||
| High-volume liver transplant centres |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| MACHINE PERFUSION | Device | Different outcomes of MP use in low/mid-volume and high-volume LT centres |
|
| Measure | Description | Time Frame |
|---|---|---|
| Liver transplant(LT) centres different use of graft after utilization of machine perfusion (MP) | High Volume Centers and Low/Mid Volume centers differ in their rates of graft utilization after Machine perfusion | 12/2021 - 03/2022 |
| Measure | Description | Time Frame |
|---|---|---|
| Liver Transplant outcomes after Machine Perfusion | Reported patient survival rates for Liver Transplant after Machine Perfusion | 12/2021 - 03/2022 |
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Inclusion Criteria:
Exclusion Criteria:
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67 LT centres divided by a cutoff of 60LT/year in: 31 low/mid-volume LT centres (<60LT/year) and 36 high-volume LT centres (>60 LT/year)
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Roberta Angelico | Rome | 00133 | Italy |
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