Overview
Increased life expectancy and aging population has led to a trend of increasing liver transplant (LT) volume in the elderly. Nowadays, advanced age is not considered an absolute contraindication for LT but elderly LT candidates typically have an age-associated burden of comorbid conditions that can pose several clinical challenges during the selection/evaluation process for LT. Specific algorithms for elderly patient selection for LT are not well established; however, consensus agreement is that elderly LT candidates need a more rigorous selection process.
This study proposes a "step by step" algorithm of selection for liver transplant candidates more than 70 years.
Eligibility
Inclusion Criteria:
- Age >70 years and ≤ 75 years
- Liver transplant from cadaveric donor
- First liver transplant
- End stage liver disease or liver tumor
Exclusion Criteria:
- Age ≤ 70 years
- Living donor liver transplant
- Previous liver transplant
- Liver transplant for acute liver failure