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 inLiver transplantation Vol. 28; no. 8; pp. 1345 - 1355
Main Authors Sim, Ji‐Hoon, Kwon, Hye‐Mee, Kim, Kyung‐Won, Ko, You‐Sun, Jun, In‐Gu, Kim, Sung‐Hoon, Kim, Kyoung‐Sun, Moon, Young‐Jin, Song, Jun‐Gol, Hwang, Gyu‐Sam
Format Journal Article
LanguageEnglish
Published United States Wolters Kluwer Health, Inc 01.08.2022
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ISSN1527-6465
1527-6473
1527-6473
DOI10.1002/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.
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
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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.
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Snippet Recent studies have reported that sarcopenia influences morbidity and mortality in surgical patients. However, few studies have investigated the associations...
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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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https://www.ncbi.nlm.nih.gov/pubmed/35243771
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Volume 28
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