Associations of sarcopenia with graft failure and mortality in patients undergoing living donor liver transplantation
Recent studies have reported that sarcopenia influences morbidity and mortality in surgical patients. However, few studies have investigated the associations of sarcopenia with short‐term and long‐term graft failure in recipients after living donor liver transplantation (LDLT). In this study, we inv...
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Published in | Liver transplantation Vol. 28; no. 8; pp. 1345 - 1355 |
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Main Authors | , , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
United States
Wolters Kluwer Health, Inc
01.08.2022
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Subjects | |
Online Access | Get full text |
ISSN | 1527-6465 1527-6473 1527-6473 |
DOI | 10.1002/lt.26447 |
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Abstract | Recent studies have reported that sarcopenia influences morbidity and mortality in surgical patients. However, few studies have investigated the associations of sarcopenia with short‐term and long‐term graft failure in recipients after living donor liver transplantation (LDLT). In this study, we investigated the associations between sarcopenia and graft failure/mortality in patients undergoing LDLT. We retrospectively examined 2816 recipients who underwent LDLT between January 2008 and January 2018. Cox regression analysis was performed to evaluate the associations between sarcopenia and graft failure/mortality in recipients at 60 days, 180 days, and 1 year and overall. Sarcopenia in the recipient was significantly associated with 60‐day graft failure (adjusted hazard ratio [HR], 1.98; 95% confidence interval [CI], 1.09–3.61; p = 0.03), 180‐day graft failure (HR, 1.85; 95% CI, 1.19–2.88; p = 0.01), 1‐year graft failure (HR, 1.45; 95% CI, 1.01–2.17; p = 0.05), and overall graft failure (HR, 1.42; 95% CI, 1.08–1.87; p = 0.01). In addition, recipient sarcopenia was associated with 180‐day mortality (HR, 1.88; 95% CI, 1.17–3.01; p = 0.01), 1‐year mortality (HR, 1.53; 95% CI, 1.01–2.29; p = 0.04), and overall mortality (HR, 1.43; 95% CI, 1.08–1.90; p = 0.01). Preoperative sarcopenia was associated with high rates of graft failure and mortality in LDLT recipients. Therefore, preoperative sarcopenia may be a strong predictor of the surgical prognosis in LDLT recipients. |
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AbstractList | Recent studies have reported that sarcopenia influences morbidity and mortality in surgical patients. However, few studies have investigated the associations of sarcopenia with short‐term and long‐term graft failure in recipients after living donor liver transplantation (LDLT). In this study, we investigated the associations between sarcopenia and graft failure/mortality in patients undergoing LDLT. We retrospectively examined 2816 recipients who underwent LDLT between January 2008 and January 2018. Cox regression analysis was performed to evaluate the associations between sarcopenia and graft failure/mortality in recipients at 60 days, 180 days, and 1 year and overall. Sarcopenia in the recipient was significantly associated with 60‐day graft failure (adjusted hazard ratio [HR], 1.98; 95% confidence interval [CI], 1.09–3.61; p = 0.03), 180‐day graft failure (HR, 1.85; 95% CI, 1.19–2.88; p = 0.01), 1‐year graft failure (HR, 1.45; 95% CI, 1.01–2.17; p = 0.05), and overall graft failure (HR, 1.42; 95% CI, 1.08–1.87; p = 0.01). In addition, recipient sarcopenia was associated with 180‐day mortality (HR, 1.88; 95% CI, 1.17–3.01; p = 0.01), 1‐year mortality (HR, 1.53; 95% CI, 1.01–2.29; p = 0.04), and overall mortality (HR, 1.43; 95% CI, 1.08–1.90; p = 0.01). Preoperative sarcopenia was associated with high rates of graft failure and mortality in LDLT recipients. Therefore, preoperative sarcopenia may be a strong predictor of the surgical prognosis in LDLT recipients. Recent studies have reported that sarcopenia influences morbidity and mortality in surgical patients. However, few studies have investigated the associations of sarcopenia with short‐term and long‐term graft failure in recipients after living donor liver transplantation (LDLT). In this study, we investigated the associations between sarcopenia and graft failure/mortality in patients undergoing LDLT. We retrospectively examined 2816 recipients who underwent LDLT between January 2008 and January 2018. Cox regression analysis was performed to evaluate the associations between sarcopenia and graft failure/mortality in recipients at 60 days, 180 days, and 1 year and overall. Sarcopenia in the recipient was significantly associated with 60‐day graft failure (adjusted hazard ratio [HR], 1.98; 95% confidence interval [CI], 1.09–3.61; p = 0.03), 180‐day graft failure (HR, 1.85; 95% CI, 1.19–2.88; p = 0.01), 1‐year graft failure (HR, 1.45; 95% CI, 1.01–2.17; p = 0.05), and overall graft failure (HR, 1.42; 95% CI, 1.08–1.87; p = 0.01). In addition, recipient sarcopenia was associated with 180‐day mortality (HR, 1.88; 95% CI, 1.17–3.01; p = 0.01), 1‐year mortality (HR, 1.53; 95% CI, 1.01–2.29; p = 0.04), and overall mortality (HR, 1.43; 95% CI, 1.08–1.90; p = 0.01). Preoperative sarcopenia was associated with high rates of graft failure and mortality in LDLT recipients. Therefore, preoperative sarcopenia may be a strong predictor of the surgical prognosis in LDLT recipients. Recent studies have reported that sarcopenia influences morbidity and mortality in surgical patients. However, few studies have investigated the associations of sarcopenia with short‐term and long‐term graft failure in recipients after living donor liver transplantation (LDLT). In this study, we investigated the associations between sarcopenia and graft failure/mortality in patients undergoing LDLT. We retrospectively examined 2816 recipients who underwent LDLT between January 2008 and January 2018. Cox regression analysis was performed to evaluate the associations between sarcopenia and graft failure/mortality in recipients at 60 days, 180 days, and 1 year and overall. Sarcopenia in the recipient was significantly associated with 60‐day graft failure (adjusted hazard ratio [HR], 1.98; 95% confidence interval [CI], 1.09–3.61; p = 0.03), 180‐day graft failure (HR, 1.85; 95% CI, 1.19–2.88; p = 0.01), 1‐year graft failure (HR, 1.45; 95% CI, 1.01–2.17; p = 0.05), and overall graft failure (HR, 1.42; 95% CI, 1.08–1.87; p = 0.01). In addition, recipient sarcopenia was associated with 180‐day mortality (HR, 1.88; 95% CI, 1.17–3.01; p = 0.01), 1‐year mortality (HR, 1.53; 95% CI, 1.01–2.29; p = 0.04), and overall mortality (HR, 1.43; 95% CI, 1.08–1.90; p = 0.01). Preoperative sarcopenia was associated with high rates of graft failure and mortality in LDLT recipients. Therefore, preoperative sarcopenia may be a strong predictor of the surgical prognosis in LDLT recipients. Recent studies have reported that sarcopenia influences morbidity and mortality in surgical patients. However, few studies have investigated the associations of sarcopenia with short-term and long-term graft failure in recipients after living donor liver transplantation (LDLT). In this study, we investigated the associations between sarcopenia and graft failure/mortality in patients undergoing LDLT. We retrospectively examined 2816 recipients who underwent LDLT between January 2008 and January 2018. Cox regression analysis was performed to evaluate the associations between sarcopenia and graft failure/mortality in recipients at 60 days, 180 days, and 1 year and overall. Sarcopenia in the recipient was significantly associated with 60-day graft failure (adjusted hazard ratio [HR], 1.98; 95% confidence interval [CI], 1.09-3.61; p = 0.03), 180-day graft failure (HR, 1.85; 95% CI, 1.19-2.88; p = 0.01), 1-year graft failure (HR, 1.45; 95% CI, 1.01-2.17; p = 0.05), and overall graft failure (HR, 1.42; 95% CI, 1.08-1.87; p = 0.01). In addition, recipient sarcopenia was associated with 180-day mortality (HR, 1.88; 95% CI, 1.17-3.01; p = 0.01), 1-year mortality (HR, 1.53; 95% CI, 1.01-2.29; p = 0.04), and overall mortality (HR, 1.43; 95% CI, 1.08-1.90; p = 0.01). Preoperative sarcopenia was associated with high rates of graft failure and mortality in LDLT recipients. Therefore, preoperative sarcopenia may be a strong predictor of the surgical prognosis in LDLT recipients.Recent studies have reported that sarcopenia influences morbidity and mortality in surgical patients. However, few studies have investigated the associations of sarcopenia with short-term and long-term graft failure in recipients after living donor liver transplantation (LDLT). In this study, we investigated the associations between sarcopenia and graft failure/mortality in patients undergoing LDLT. We retrospectively examined 2816 recipients who underwent LDLT between January 2008 and January 2018. Cox regression analysis was performed to evaluate the associations between sarcopenia and graft failure/mortality in recipients at 60 days, 180 days, and 1 year and overall. Sarcopenia in the recipient was significantly associated with 60-day graft failure (adjusted hazard ratio [HR], 1.98; 95% confidence interval [CI], 1.09-3.61; p = 0.03), 180-day graft failure (HR, 1.85; 95% CI, 1.19-2.88; p = 0.01), 1-year graft failure (HR, 1.45; 95% CI, 1.01-2.17; p = 0.05), and overall graft failure (HR, 1.42; 95% CI, 1.08-1.87; p = 0.01). In addition, recipient sarcopenia was associated with 180-day mortality (HR, 1.88; 95% CI, 1.17-3.01; p = 0.01), 1-year mortality (HR, 1.53; 95% CI, 1.01-2.29; p = 0.04), and overall mortality (HR, 1.43; 95% CI, 1.08-1.90; p = 0.01). Preoperative sarcopenia was associated with high rates of graft failure and mortality in LDLT recipients. Therefore, preoperative sarcopenia may be a strong predictor of the surgical prognosis in LDLT recipients. |
Author | Kim, Kyung‐Won Kwon, Hye‐Mee Moon, Young‐Jin Ko, You‐Sun Kim, Kyoung‐Sun Song, Jun‐Gol Sim, Ji‐Hoon Jun, In‐Gu Kim, Sung‐Hoon Hwang, Gyu‐Sam |
Author_xml | – sequence: 1 givenname: Ji‐Hoon surname: Sim fullname: Sim, Ji‐Hoon organization: University of Ulsan College of Medicine – sequence: 2 givenname: Hye‐Mee surname: Kwon fullname: Kwon, Hye‐Mee organization: University of Ulsan College of Medicine – sequence: 3 givenname: Kyung‐Won surname: Kim fullname: Kim, Kyung‐Won organization: University of Ulsan College of Medicine – sequence: 4 givenname: You‐Sun surname: Ko fullname: Ko, You‐Sun organization: University of Ulsan College of Medicine – sequence: 5 givenname: In‐Gu surname: Jun fullname: Jun, In‐Gu organization: University of Ulsan College of Medicine – sequence: 6 givenname: Sung‐Hoon surname: Kim fullname: Kim, Sung‐Hoon organization: University of Ulsan College of Medicine – sequence: 7 givenname: Kyoung‐Sun surname: Kim fullname: Kim, Kyoung‐Sun organization: University of Ulsan College of Medicine – sequence: 8 givenname: Young‐Jin surname: Moon fullname: Moon, Young‐Jin organization: University of Ulsan College of Medicine – sequence: 9 givenname: Jun‐Gol surname: Song fullname: Song, Jun‐Gol email: jungol.song@amc.seoul.kr organization: University of Ulsan College of Medicine – sequence: 10 givenname: Gyu‐Sam surname: Hwang fullname: Hwang, Gyu‐Sam organization: University of Ulsan College of Medicine |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/35243771$$D View this record in MEDLINE/PubMed |
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CitedBy_id | crossref_primary_10_1097_CLD_0000000000000215 crossref_primary_10_4174_astr_2023_105_4_219 crossref_primary_10_3350_cmh_2024_0870 crossref_primary_10_3748_wjg_v30_i8_956 crossref_primary_10_1097_JS9_0000000000000688 crossref_primary_10_1016_j_transproceed_2023_03_011 crossref_primary_10_1111_os_14053 crossref_primary_10_23736_S0031_0808_23_04863_2 |
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Copyright | 2022 American Association for the Study of Liver Diseases. 2022 by the American Association for the Study of Liver Diseases. |
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Notes | Funding information This research was supported by a grant of the Korea Health Technology R&D Project through the Korea Health Industry Development Institute (KHIDI), funded by the Ministry of Health & Welfare, Republic of Korea (grant number: HI18C2383, HI18C0022). This study was also supported by a grant (2022IP0053) from the Asan Institute for Life Sciences, Asan Medical Center, Seoul, Korea. ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 content type line 23 |
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SubjectTerms | Graft rejection Graft Survival Grafts Humans Liver transplantation Liver Transplantation - adverse effects Liver transplants Living Donors Morbidity Mortality Retrospective Studies Sarcopenia Sarcopenia - complications Sarcopenia - epidemiology Treatment Outcome |
Title | Associations of sarcopenia with graft failure and mortality in patients undergoing living donor liver transplantation |
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