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Outcomes

You can call (866) 548-3783 toll-free to make a referral to the liver transplant program at the Shands Transplant Center at the University of Florida. Outcome measurement is rapidly emerging as a key component of the Shands HealthCare Quality Initiatives. The Liver Transplant Program is a leader in measuring, evaluating and reporting clinical outcomes. Using variance data from the employment of clinical pathways and clinical data generated by our program, the team uses the results to identify and initiate improvements in how they manage patient care. Additionally, the team evaluates patient satisfaction and functional health status.

The Liver Transplant Team has performed more than 1,000 liver transplants in patients with end-stage liver disease.

Since December 2001, there were 819 transplants, 746 of these were first grafts. The first graft recipients range in age from 21 days to 68 years old:

  • 120 (or 16%) have been 18 or younger
  • 43 (or almost 6%) have been less than 12 months old
  • 40 (or 5%) have been over 65

The retransplant rates for adults and children are below their respective national averages. Of the first 400 patients, 13 received both a liver and kidney, one has received a liver and a pancreas and 386 received a liver alone.

In our adult patients, the most common diagnoses before transplantation are:

  • Cirrhosis from hepatitis C virus infection (almost 27%)
  • Cryptogenic cirrhosis (10%)
  • Alcoholic liver disease (10%)
  • Primary biliary cirrhosis (almost 6%)
  • Cirrhosis from hepatitis C/EtOH (13%)

Biliary atresia is the most common diagnosis for our pediatric patients.

According to the 1997 Report of Center Specific Graft and Patient Survival Rates published by the United Network for Organ Sharing (UNOS), the Shands Transplant Center Liver Transplant Program had the best one-year survival rate of programs in Florida between 5/1/92 and 4/30/94. Since then, our outcomes have continued to improve, even though we are transplanting patients who are sicker. For our most recent 200 patients, our one-year survival rate is 88 percent. Long-term survival in all patients now approaches 84 percent (two years and beyond).

The experience and innovation of our UF transplant surgeons and other members of the Shands Transplant Center Liver Transplant Team have resulted in a reduced amount of blood transfused during liver transplant surgery, a reduced length of stay, and reduced overall cost. In 1997, the University HealthCare Consortium (UHC) reported that our Liver Transplant Program's cost per discharge on 93 patients was significantly lower than the mean cost reported by other programs. Recent data from the Center for Healthcare Industry Performance Studies confirmed that the Shands Transplant Center Liver Transplant Program is the lowest-cost provider for liver transplantation in Florida and the Southeast.

Statistics
Success rate and various other statistics regarding the Shands Transplant Center at UF are available from the Scientific Registry of Transplant Recipients at ustransplant.org.

Contact
For more information about the Shands Transplant Center at UF, call us toll-free at (866) 548-3783.

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Make an Appointment

To make an appointment or find out more information about transplant services offered at Shands at the University of Florida, please call 352.265.8000 or toll-free 1.800.749.7424

You may also email our Consultation Center (consult@shands.ufl.edu) or use our secure online form.