© Copyright 2015 The American Society of Transplantation and the American Society of Transplant Surgeons. Tranplan estimated VMT at approximately 1.6 million, while TransCAD estimated VMT at 2.1 million. In conclusion, pediatric liver transplant recipients who undergo transfer to the adult service have good long-term outcomes.Ĭlinical research/practice graft survival liver transplantation/hepatology patient survival pediatrics transitional care. This suggests that transfer did not impact significantly on graft longevity. When compared to young adult patients transplanted in the adult center, the transferred patients did not have inferior graft survival from the point of transfer (HR 0.28 95% CI 0.10-0.77, p = 0.014). Graft loss was associated with older age at first transplant (p = 0.008). Overall, 4 patients demonstrated graft loss as a consequence of chronic rejection. The estimated posttransfer 10-year patient and graft survival was 89.9% and 86.2%, respectively. The frequency of EBV-specific CTLs within PBMCs is comparable to that of CMV-specific CTLs ( 12 ) this suggests that clinical efficacy was achieved by transfer of similar numbers of CTLs to that used in our study. The following steps utilize such a layer (TransCad streets file) to provide a base for a. Transfer of only 10 6 /kg PBMCs has been used to control posttransplant lymphoproliferative disease that is due to EBV infection (). From the Planning pull-down menu select the Import Planning Data>Import Planning Networks. An alternative method to create a base line file for developing a network entails utilizing street files (such as those provided by Caliper Corporation with the TransCad software). Note: for this example, the imported network will not overlay on any of the other layers, so do not be concerned about that for now. After transfer, there were 5 re-transplants and 12 deaths in 14 patients. In this step, a Tranplan network will be converted to TransCad. fifteen years, beginning in the mid1990s using TRANPLAN transportation. The median time from transplant to transfer was 10.4 years and the median age of the patients at transfer was 18.6 years. TABLE 4: SUMMARY OF CUBE, TRANSCAD, AND VISUM FEATURES AND FUNCTIONALITY. The aim of this single-center study of 137 consecutive pediatric liver transplant recipients was to examine the effect of transfer on patient and graft survival. The impact of transfer on outcomes remains unclear. Liver transplantation has transformed survival for children with liver disease necessitating the transfer of a growing number of patients to the adult healthcare service.