Table 2.
Patient and transplant center characteristics associated with DRI of liver transplants
Coefficient | P value | ||
---|---|---|---|
Patient characteristics | Age, per decade | .02 | <0.001 |
Encephalopathy (mild, moderate, severe) | .02 | <0.001 | |
Male gender | −.06 | <0.001 | |
MELD, per ten points | −.05 | <0.001 | |
Priority exception (yes/no) | −.04 | <0.001 | |
Prior liver transplant (yes/no) | −.09 | <0.001 | |
Hepatitis C (yes/no) | −.03 | <0.001 | |
Ascites (mild, moderate, severe) | −.01 | 0.07 | |
Transplant center characteristics | Liver transplants performed per year, per ten transplants | .006 | <0.001 |
Mean MELD at transplant/10 points | .01 | 0.5 | |
Multiple centers within OPO (competition) | .05 | 0.013 | |
Proportion of transplants with MELD exceptions | −0.04 | 0.57 |
DRI = Donor Risk Index. MELD = Model for End-stage Liver Disease, OPO = Organ Procurement Organization. Based upon multivariable mixed-effects hierarchical regression which adjusts for clustering at the center, OPO, and Region levels. Statistically significant results are in bold. For the purpose of reference, a difference of 0.1 in DRI is associated with an approximately 2% difference in risk of graft failure at 3 years after transplant(3).