title: An increase in deceased donor incidence alleviated the need for urgent adult living donor liver transplantation in a Korean high-volume center.
abstract: OBJECTIVE
  This study analyzed the effects of a recent increase in deceased donors on the pattern of adult liver transplantation (OLT) in a high-volume center in Korea.
  
  
  METHODS
  OLT patterns relative to pretransplant recipient status were analyzed for 112 deceased donor LTs (DDLT) and 743 living donor OLT (LDLT) in a single center as compared to nationwide Korean data over 3 years from 2006 to 2008.
  
  
  RESULTS
  During the study period, the annual proportion of institutional urgent OLT was relatively invariable (20% to 25.2%), but the annual proportion of DDLTs to all OLT increased from 8.9% to 19.9%, as did the annual rate of DDLTs among those undergoing urgent OLT, from 18.6% to 65.8%, with a reciprocal decrease in the proportion of urgent LDLTs. Korean nationwide data also showed a noticeable increase in deceased liver graft allocation for urgency from 39.8% to 62.2% over the same time period.
  
  
  CONCLUSIONS
  An increase in deceased donors up to 5 per million enabled an increase in urgent adult DDLTs, alleviating the need for urgent adult LDLTs in Korea.
authors.affiliation: Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.
authors.forename: S
authors.initials: S
authors.lastname: Hwang
authors.forename: S G
authors.initials: SG
authors.lastname: Lee
authors.forename: C S
authors.initials: CS
authors.lastname: Ahn
authors.forename: K H
authors.initials: KH
authors.lastname: Kim
authors.forename: D B
authors.initials: DB
authors.lastname: Moon
authors.forename: T Y
authors.initials: TY
authors.lastname: Ha
authors.forename: G W
authors.initials: GW
authors.lastname: Song
authors.forename: D H
authors.initials: DH
authors.lastname: Jung
authors.forename: K W
authors.initials: KW
authors.lastname: Kim
authors.forename: N K
authors.initials: NK
authors.lastname: Choi
authors.forename: G C
authors.initials: GC
authors.lastname: Park
authors.forename: Y D
authors.initials: YD
authors.lastname: Yu
authors.forename: Y I
authors.initials: YI
authors.lastname: Choi
authors.forename: P J
authors.initials: PJ
authors.lastname: Park
mesh_terms: D000293:Adolescent; D000328:Adult; D002102:Cadaver; D006528:Carcinoma, Hepatocellular / Q000601:surgery; D006498:Hepatectomy / Q000379:methods; D006801:Humans; D007723:Korea; D008107:Liver Diseases / Q000145:classification / Q000601:surgery; D008113:Liver Neoplasms / Q000601:surgery; D016031:Liver Transplantation / Q000379:methods / Q000706:statistics & numerical data*; D019520:Living Donors / Q000706:statistics & numerical data*; D008875:Middle Aged; D012189:Retrospective Studies; D014019:Tissue Donors / Q000706:statistics & numerical data*; D014850:Waiting Lists