A, No survival difference between patients who received biliary-enteric drainage (BED) treatment and primary liver transplant (pLT) before 2002. B, Patients who received pLT had superior survival compared with BED treatment on or after 2002 (HR, 0.16; 95% CI, 0.05-0.54; P < .001). C, Recipients of pLT compared with BED treatment on or after 2002 persisted when censoring patients who underwent sLT (HR, 0.23; 95% CI, 0.07-0.82; P = .01).