TY  - JOUR
AB  - BACKGROUND: The weekend effect describes a phenomenon whereby patients admitted to hospitals on weekends are at higher risk of complications compared to those admitted during weekdays. However, if a weekend effect exists in orthotopic liver transplantation (oLT). METHODS: We analyzed oLT between 2006 and 2016 and stratified patients into weekday (Monday to Friday) and weekend (Saturday, Sunday) groups. Primary outcome measures were one-year patient and graft survival. RESULTS: 364 deceased donor livers were transplanted into 329 patients with 246 weekday (74.77%) and 83 weekend (25.23%) patients. Potential confounders (e.g. age, ischemia time, MELD score) were comparable. One-year patient and graft survival were similar. Frequencies of rejections, primary-non function or re-transplantation were not different. The day of transplantation was not associated with one-year patient and graft survival in multivariate analysis. CONCLUSION: We provide the first data for the Eurotransplant region on oLT stratified for weekend and weekday procedures and our findings suggest there was no weekend effect on oLT. While we hypothesize that the absent weekend effect is due to standardized transplant procedures and specialized multidisciplinary transplant teams, our results are encouraging showing oLT is a safe and successful procedure, independent from the day of the week.
AU  - Becker, Felix
AU  - Vogel, Thomas
AU  - Voß, Thekla
AU  - Mehdorn, Anne-Sophie
AU  - Schütte-Nütgen, Katharina
AU  - Reuter, Stefan Johannes
AU  - Mohr, Annika
AU  - Kabar, Iyad
AU  - Bormann, Eike
AU  - Vowinkel, Thorsten
AU  - Palmes, Daniel Michael
AU  - Senninger, Norbert
AU  - Bahde, Ralf
AU  - Kebschull, Linus
DA  - 2018-05-24
DO  - 10.1371/journal.pone.0198035
LA  - eng
N1  - PLoS ONE 13 (2018) 5, e0198035, 1-14
N1  - Finanziert durch den Open-Access-Publikationsfonds 2018 der Deutschen Forschungsgemeinschaft (DFG) und der Westfälischen Wilhelms-Universität Münster (WWU Münster).
PY  - 2018-05-24
TI  - The weekend effect in liver transplantation
UR  - https://nbn-resolving.org/urn:nbn:de:hbz:6-55109436322
Y2  - 2024-11-21T18:03:07
ER  -