期刊
TRANSPLANT INTERNATIONAL
卷 35, 期 -, 页码 -出版社
FRONTIERS MEDIA SA
DOI: 10.3389/ti.2022.10175
关键词
United Network for Organ Sharing; hepatocellular carcinoma; non-alcoholic steatohepatitis; recurrence; Organ Procurement and Transplantation Network
资金
- National Institutes of Health institutional training [T32GM008562]
- American Liver Foundation
- Health Resources and Services Administration [234-2005-370011C]
Non-alcoholic steatohepatitis (NASH)-related hepatocellular carcinoma (HCC) has become the second leading cause of HCC-related liver transplantation in the United States. The study found that NASH patients had a lower rate of post-transplant recurrence compared to non-NASH patients at 5 years, although the recurrence-free survival was similar.
Non-alcoholic steatohepatitis (NASH)-related hepatocellular carcinoma (HCC) has become the second leading cause of HCC-related liver transplantation in the United States. This study investigated post-transplant recurrence and survival for patients transplanted for NASH-related HCC compared to non-NASH HCC etiologies. Retrospective review of the United Network for Organ Sharing (UNOS) Organ Procurement and Transplantation Network (OPTN) database identified 7,461 patients with HCC-1,405 with underlying NASH and 6,086 with non-NASH underlying diseases. After propensity score matching (PSM) to account for patient- and tumor-related confounders 1,175 remained in each group. Primary outcomes assessed were recurrence rate and recurrence-free survival. Recurrent malignancy at 5 years post-transplant was lower in NASH compared to non-NASH patients (5.80 vs. 9.41%, p = 0.01). Recurrence-free survival, however, was similar at 5 years between groups. Patients with NASH-related HCC were less likely to have post-transplant recurrence than their non-NASH counterparts, although recurrence-free survival was similar at 5 years.
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