Transplant Report Outcomes Report Liver & Intestinal Program

Transcription

1 Transplant Report

2 We will always be thankful to everyone on the team at the hospital Davan Jones, liver transplant recipient with parents Leanne and Arica Liver & Intestinal Program: Overview Our Pediatric Liver and Intestinal Transplant Program is one of the largest in the country with a long history of transplant innovation and superior outcomes, which has contributed to our worldwide reputation as a leader in the field. Our surgeons perform liver-only and combined organ transplants as well as utilizing living donors. This broad range of options and the use of novel techniques to increase the donor pool allow us to minimize wait times and to provide children with better chances for a successful transplant. Our team offers extensive work up and treatment options for children with liver tumors in conjunction with our oncology team, including expertise in hepatoblastomas. We are also recognized for our success in transplants for metabolic disorders. Program Directors William Berquist MD Medical Director Liver Transplant Ricardo Castillo MD Medical Director Intestinal Transplant Carlos Esquivel MD PhD Surgical Director Liver & Intestinal Transplant 2

3 Liver & Intestinal Program: Milestones A dedicated teen clinic for liver transplant patients helps transition patients to adulthood through education by promoting responsibility to help them take care of themselves effectively Intestinal Rehabilitation Program demonstrates efficacy of ethanol lock therapy in dramatic reduction of central line infections and the need for line removal Our Median Wait Time for a Liver (months) Average 14.5 Internationally Recognized and the only pediatric liver transplant program in the U.S. to have statistically higher than expected outcomes Received a $6.9M grant from the Institute of Health to study post-transplant lymphoproliferative disorder (PTLD), which targets a form of cancer that strikes children who received solid organ transplants 13 th in the nation for Gastroenterology U.S. News & World s Report Best Children s Hospitals Report Established in Our team has performed over 600 liver transplants 3

4 Liver & Intestinal Program: Volume & Recipient Age Transplant Volumes As a national leader in liver and intestinal transplant volume, we have continued growth since Living Donor Deceased Donor Recipient Age The most common age group to receive liver transplants is made up of patients under the age 5, but we also transplant a significant amount of children and adolescents suffering from liver failure. Age % Age 6-10 Age > % 20.1% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% *Chart data represents patients from

5 Liver & Intestinal Program: Survival Rates Graft Survival Rates (Liver Only) The graphs below show the liver only survival rates of the transplanted liver one year and three years after it was transplanted. A high graft survival rate means the organ is doing well in the child who received it. Our program was the only one in the U.S. to achieve statistically higher than expected survival rates % 97.0% 95.8% 95.8% 94.0% 95% 97.6% 94.3% 91.6% 96.0% 97.6% 90 90% % 88.0% 7/1/08-12/31/10 1/1/09-6/30/ % One Year 7/1/09-12/31/ % 1/1/10-6/30/ % 7/1/10-12/31/12 85% 80% 75% 86.6% 1/1/06-6/30/ % 7/1/06-12/31/ % Three Year 1/1/07-6/30/ % 7/1/07-12/31/ % 1/1/08-6/30/10 Patient Survival Rates (Liver Only) The graphs below show the liver only survival rates of the patient one year and three years after they received a liver transplant. Our program was the only one in the U.S. to achieve statistically higher than expected survival rates. 95% 90% 94.2% 94.1% 93.9% 93.9% 94.9% 95% 90% 94.2% 93.1% 95.2% 90.1% 90.8% 91.0% 91.0% 85% 85% 80% One Year 80% Three Year 75% 7/1/08-12/31/10 1/1/09-6/30/11 7/1/09-12/31/11 1/1/10-6/30/12 7/1/10-12/31/12 75% 1/1/06-6/30/08 7/1/06-12/31/08 1/1/07-6/30/09 7/1/07-12/31/09 1/1/08-6/30/10 5

6 Program Contact Info Kidney: (650) Liver & Intestine: (650) Heart: (650) Lung & Heart-Lung: (650) MEDICINE transplant.stanfordchildrens.org Transplant Center 2014 Outcomes Report