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Increased life expectancy and aging population has led to a trend of increasing liver transplant (LT) volume in the elderly. Nowadays, advanced age is not considered an absolute contraindication for LT but elderly LT candidates typically have an age-associated burden of comorbid conditions that can pose several clinical challenges during the selection/evaluation process for LT. Specific algorithms for elderly patient selection for LT are not well established; however, consensus agreement is that elderly LT candidates need a more rigorous selection process.
This study proposes a "step by step" algorithm of selection for liver transplant candidates more than 70 years.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Liver transplantation | Procedure | Liver transplantation |
| Measure | Description | Time Frame |
|---|---|---|
| 1 year patient survival | Overall patients survival at 12 months from liver transplantation | 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| 1 year graft survival | Overall graft survival at 12 months from liver transplantation | 12 months |
| 3 months mortality and morbidity | Mortality and morbidity rates at 3 months from liver transplantation |
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Inclusion Criteria:
Exclusion Criteria:
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Consecutive candidates for liver transplant with age >70 and ≤ 75 years
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Umberto Cillo, Prof | Contact | 049.8212211-1897 | cillo@unipd.it | |
| Alessandro Vitale, Prof | Contact | alessandro.vitale@unipd.it |
| Name | Affiliation | Role |
|---|---|---|
| Umberto Cillo, Prof | Azienda Ospedaliera di Padova | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| U.O.C Chirurgia Epatobiliare e Trapianti Epatici, Azienda Ospedaliera di Padova | Recruiting | Padova | 35128 | Italy |
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| ID | Term |
|---|---|
| D058625 | End Stage Liver Disease |
| ID | Term |
|---|---|
| D017093 | Liver Failure |
| D048550 | Hepatic Insufficiency |
| D008107 | Liver Diseases |
| D004066 | Digestive System Diseases |
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| ID | Term |
|---|---|
| D016031 | Liver Transplantation |
| ID | Term |
|---|---|
| D016378 | Tissue Transplantation |
| D064987 | Cell- and Tissue-Based Therapy |
| D001691 | Biological Therapy |
| D013812 | Therapeutics |
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| 3 months |
| D013505 |
| Digestive System Surgical Procedures |
| D013514 | Surgical Procedures, Operative |
| D016377 | Organ Transplantation |
| D014180 | Transplantation |