Race Not Shown to Affect Liver Transplant Outcome

Recurrence of hepatocellular carcinoma is only predictor of survival after transplant
By Jane Parry
HealthDay Reporter

THURSDAY, Sept. 3 (HealthDay News) -- Liver transplant outcomes for patients with hepatitis B are similar regardless of whether the patient is Caucasian, Asian-American or African-American, according to a study in the September issue of Liver Transplantation.

Natalie Bzowej, M.D., of California Pacific Medical Center in San Francisco, and colleagues analyzed data collected from 15 American transplant centers on 274 patients, of whom 116 were Caucasian, 135 were Asian and 23 were African-American. Of these patients, 170 underwent liver transplantation; 19 of these patients died within a median 31 months of follow-up.

The researchers found that all three groups had similar probable odds of undergoing liver transplantation and that five-year post-transplant survival rates were similar, at 94 percent for African-Americans, 89 percent for Caucasians, and 85 percent for Asian-Americans. The recurrence rates for hepatocellular carcinoma, the only predictor of survival, were similar among all groups. The recurrence rate for hepatitis B was 19 percent after four years for Caucasians, but just 7 percent for Asian-Americans and 6 percent for African-Americans.

"There were some differences among these three racial groups. Asian-Americans were significantly more likely to be listed for hepatocellular carcinoma, but hepatocellular carcinoma recurrence rates were similar to those of Caucasians and African-Americans," the authors write. "A surprising finding was a higher rate of hepatitis B recurrence among Caucasians. This finding is inexplicable and needs to be validated."

Abstract
Full Text
Editorial

Copyright © 2009 ScoutNews, LLC. All rights reserved.

Powered by

jQuery UI Accordion - Default functionality

For life-long learning and continuing professional development, come to Lippincott's NursingCenter.

Nursing Jobs Plus
Featured Jobs
Recommended CE Articles

Blunt Chest Trauma
Journal of Trauma Nursing, November/December 2014
Expires: 12/31/2016 CE:2 $21.95


The School Age Child with Congenital Heart Disease
MCN, The American Journal of Maternal/Child Nursing, January/February 2015
Expires: 2/28/2017 CE:2.5 $24.95


Understanding multiple myeloma
Nursing Made Incredibly Easy!, January/February 2015
Expires: 2/28/2017 CE:2 $21.95


More CE Articles

Subscribe to Recommended CE

Recommended Nursing Articles

Comprehensive Care: Looking Beyond the Presenting Problem
Journal of Christian Nursing, January/March 2015
Free access will expire on March 2, 2015.


Pain and Alzheimer dementia: A largely unrecognized problem
Nursing Made Incredibly Easy!, January/February 2015
Free access will expire on February 16, 2015.


Glycemic control in hospitalized patients
Nursing2015 Critical Care, January 2015
Free access will expire on February 16, 2015.


More Recommended Articles

Subscribe to Recommended Articles

Evidence Based Practice Skin Care Network NursingCenter Quick Links What’s Trending Events