title: Pediatric liver transplantation in Latin America: Where do we stand?
abstract: LT started in LA in 1968, and pediatric LT records are available starting in the 1990s. Currently, eight countries perform pediatric LT in LA. Registries by national organizations fail to report robust data on pediatric LT. The aim of this paper was to report on the pediatric LT activity in LA. Data were gathered retrospectively through information available in the national registries websites and from local centers. Of the eight countries that report pediatric LT activity, Brazil, Argentina, Mexico, and Colombia have adequate registries of the numbers of LT performed. These countries concentrate most of the activity for pediatric LT. A total of 4593 pediatric LT were reported in LA. Websites for national organizations do not provide open data on post-transplant survival rates or waiting list mortality. The information herein is based on reports by local centers. Overall, survival from select centers is similar to that reported on North American and European registries, between 80 and 90% in the first year post-transplant. In conclusion, pediatric LT activity is growing in LA, especially in Brazil and Argentina. However, the lack of an appropriate LA registry restricts the assessment of quality and therefore restricts interventions aimed at quality improvements in different regions.
authors: Hepatology and Liver Transplantation Group, Hospital Sirio-Libanes, São Paulo, Brazil.|Hepatology and Liver Transplantation Group, AC Camargo Cancer Center, São Paulo, Brazil.
authors: Flavia
authors: F
authors: Feier
authors: Hepatology and Liver Transplantation Group, Hospital Sirio-Libanes, São Paulo, Brazil.|Hepatology and Liver Transplantation Group, AC Camargo Cancer Center, São Paulo, Brazil.
authors: Eduardo
authors: E
authors: Antunes
authors: Hepatology and Liver Transplantation, Hospital Italiano, Buenos Aires, Argentina.
authors: Daniel
authors: D
authors: D'Agostino
authors: Transplantation Department, Hospital Infantil de México Federico Gómez, Mexico City, Mexico.
authors: Gustavo
authors: G
authors: Varela-Fascinetto
authors: Liver Transplantation, Escuela de Medicina, Pontificia Universidad Catolica de Chile, Santiago, Chile.
authors: Nicolas
authors: N
authors: Jarufe
authors: Liver Transplantation, Escuela de Medicina, Pontificia Universidad Catolica de Chile, Santiago, Chile.
authors: Juan C
authors: JC
authors: Patillo
authors: Transplant Department, University Hospital Fundación Santa Fe de Bogota, Bogota, Colombia.
authors: Alonso
authors: A
authors: Vera
authors: Hepatobiliary Surgery Department, Hospital Nacional Guillermo Almenara, Lima, Peru.
authors: Felix
authors: F
authors: Carrasco
authors: Hepatology and Liver Transplantation Group, Hospital Sirio-Libanes, São Paulo, Brazil.|Hepatology and Liver Transplantation Group, AC Camargo Cancer Center, São Paulo, Brazil.
authors: Mario
authors: M
authors: Kondo
authors: Hepatology and Liver Transplantation Group, Hospital Sirio-Libanes, São Paulo, Brazil.|Hepatology and Liver Transplantation Group, AC Camargo Cancer Center, São Paulo, Brazil.
authors: Gilda
authors: G
authors: Porta
authors: Hepatology and Liver Transplantation Group, Hospital Sirio-Libanes, São Paulo, Brazil.
authors: Paulo
authors: P
authors: Chapchap
authors: Hepatology and Liver Transplantation Group, Hospital Sirio-Libanes, São Paulo, Brazil.|Hepatology and Liver Transplantation Group, AC Camargo Cancer Center, São Paulo, Brazil.
authors: Joao
authors: J
authors: Seda-Neto
mesh_terms: D002648:Child; D006801:Humans; D007391:International Cooperation; D007843:Latin America; D017093:Liver Failure / Q000453:epidemiology / Q000601:surgery*; D016031:Liver Transplantation / Q000379:methods* / Q000639:trends; D010372:Pediatrics / Q000379:methods; D012042:Registries; D012189:Retrospective Studies; D015996:Survival Rate; D014019:Tissue Donors; D009927:Tissue and Organ Procurement; D016896:Treatment Outcome; D014850:Waiting Lists
keywords: children; economy; living donor; outcomes; survival