Table 4.
Combined (n=3977) |
Pre-MELD (n=2374) |
Post-MELD (n=1603) |
|||||||
---|---|---|---|---|---|---|---|---|---|
Characteristics of interest | O.R. | C.I. | p | O.R. | C.I. | p | O.R. | C.I. | p |
Intermediate center volume | 0.86 | 0.72–1.03 | 0.11 | 0.74 | 0.58–0.93 | 0.01 | 1.09 | 0.82–1.46 | 0.55 |
High center volume | 0.88 | 0.74–1.04 | 0.14 | 0.79 | 0.63–0.98 | 0.03 | 1.05 | 0.79–1.40 | 0.72 |
Recipient characteristics | O.R. | C.I. | p | O.R. | C.I. | p | O.R. | C.I. | p |
Age (per ten years) | 1.09 | 1.03–1.17 | <0.01 | 1.11 | 1.02–1.20 | 0.02 | 1.07 | 0.96–1.18 | 0.22 |
Male | 0.95 | 0.83–1.10 | 0.49 | 0.94 | 0.78–1.12 | 0.48 | 1.00 | 0.79–1.27 | 0.98 |
Black ethnicity | 1.08 | 0.86–1.36 | 0.51 | 0.95 | 0.68–1.31 | 0.74 | 1.19 | 0.85–1.67 | 0.31 |
Diabetes | 1.15 | 0.97–1.36 | 0.12 | 0.95 | 0.75–1.19 | 0.63 | 1.48 | 1.14–1.93 | <0.01 |
Hepatitis C | 1.24 | 1.07–1.44 | <0.01 | 1.14 | 0.94–1.37 | 0.19 | 1.41 | 1.11–1.78 | <0.01 |
Life support | 1.56 | 1.31–1.87 | <0.01 | 1.57 | 1.25–1.97 | <0.01 | 1.47 | 1.08–2.00 | 0.01 |
Status 1 | 1.19 | 0.97–1.47 | 0.10 | 1.30 | 1.01–1.68 | 0.04 | 1.05 | 0.70–1.57 | 0.83 |
MELD score ** | NA | NA | NA | NA | NA | NA | 1.02 | 1.01–1.04 | <0.01 |
Dialysis | 1.71 | 1.42–2.07 | <0.01 | 1.69 | 1.31–2.17 | <0.01 | 1.51 | 1.09–2.08 | 0.01 |
Simultaneous kidney transplant | 0.77 | 0.58–1.02 | 0.07 | 0.79 | 0.53–1.17 | 0.24 | 0.76 | 0.50–1.15 | 0.19 |
Quartile of time between transplants *** | Reference | Reference | Reference | ||||||
2nd quartile | 1.35 | 1.08–1.68 | <0.01 | 1.41 | 1.07–1.84 | 0.01 | 1.25 | 0.83–1.89 | 0.28 |
3rd quartile | 1.94 | 1.48–2.53 | <0.01 | 2.86 | 2.06–3.96 | <0.01 | 0.99 | 0.60–1.64 | 0.97 |
4th quartile | 1.25 | 0.94–1.66 | 0.12 | 1.49 | 1.04–2.13 | 0.03 | 0.90 | 0.54–1.50 | 0.69 |
Donor characteristics | O.R. | C.I. | p | O.R. | C.I. | p | O.R. | C.I. | P |
Age (per 10 years) | 1.16 | 1.10–1.22 | <0.01 | 1.17 | 1.10–1.25 | <0.01 | 1.16 | 1.07–1.26 | <0.01 |
Male | 0.94 | 0.81–1.09 | 0.39 | 0.88 | 0.73–1.06 | 0.16 | 1.08 | 0.82–1.42 | 0.58 |
Black ethnicity | 1.41 | 1.17–1.71 | <0.01 | 1.55 | 1.21–2.00 | <0.01 | 1.32 | 0.97–1.78 | 0.07 |
Cause of death: CVA | 1.06 | 0.88–1.27 | 0.54 | 1.10 | 0.87–1.38 | 0.43 | 0.98 | 0.74–1.32 | 0.91 |
Cause of death: Anoxia | 0.92 | 0.71–1.19 | 0.52 | 1.18 | 0.84–1.66 | 0.35 | 0.65 | 0.43–0.97 | 0.03 |
Donation after cardiac death | 2.31 | 1.35–3.95 | <0.01 | 2.51 | 0.89–7.05 | 0.08 | 2.29 | 1.20–4.38 | 0.01 |
Height (per 10 cm) | 0.92 | 0.88–0.95 | <0.01 | 0.93 | 0.89–0.97 | <0.01 | 0.84 | 0.74–0.94 | <0.01 |
Allograft characteristics | O.R. | C.I. | p | O.R. | C.I. | p | O.R. | C.I. | P |
Allograft shared beyond region | 1.25 | 0.98–1.59 | 0.08 | 1.19 | 0.89–1.59 | 0.24 | 1.39 | 0.87–2.24 | 0.18 |
Split liver | 1.97 | 1.23–3.15 | <0.01 | 2.21 | 1.29–3.77 | <0.01 | 1.58 | 0.53–4.67 | 0.41 |
Quartile of cold ischemia**** | Reference | Reference | Reference | ||||||
2nd quartile | 1.11 | 0.92–1.35 | 0.28 | 1.22 | 0.94–1.58 | 0.13 | 1.03 | 0.76–1.40 | 0.83 |
3rd quartile | 1.23 | 1.01–1.50 | 0.04 | 1.33 | 1.02–1.72 | 0.03 | 1.15 | 0.84–1.57 | 0.39 |
4th quartile | 1.34 | 1.10–1.63 | <0.01 | 1.42 | 1.10–1.83 | <0.01 | 1.25 | 0.90–1.73 | 0.18 |
Quartile of warm ischemia ***** | Reference | Reference | Reference | ||||||
2nd quartile | 1.03 | 0.86–1.23 | 0.78 | 0.92 | 0.72–1.17 | 0.50 | 1.24 | 0.94–1.63 | 0.13 |
3rd quartile | 1.20 | 0.94–1.54 | 0.15 | 1.17 | 0.85–1.63 | 0.33 | 1.25 | 0.84–1.87 | 0.27 |
4th quartile | 1.26 | 1.04–1.53 | 0.02 | 1.33 | 1.04–1.69 | 0.03 | 1.10 | 0.78–1.53 | 0.59 |
O.R.: Odds ratio; C.I.: 95% Confidence interval; MELD: Model for End-Stage Liver Disease
Multivariable logistic model included variables listed in the table.
Score not available for the majority of patients during the pre-MELD period
Time between transplant: quartile 1 = 1–11 days, quartile 2 = 12–159 days, quartile 3 = 160 – 918 days, quartile 4 = 919 – 7281 days
Cold ischemia: quartile 1 = 4.5–1.40 hours, quartile 2 = 6.0–8.1 hours, quartile 3 = 8.2–9.3 hours, quartile 4 = 9.4–70.4 hours
Warm ischemia: quartile 1 = 0–35 minutes, quartile 2 = 36–44 minutes, quartile 3=45–49 minutes, quartile 4 = 50–237 minutes