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March 1, 2008

Outcome of Liver Transplantation in Older Recipients

Arch Surg. 2008;143(3):313. doi:10.1001/archsurg.143.3.313-a

In their recent article published in Archives of Surgery, Lipshutz et al1 reported their experience with liver transplantations in septuageniarians, concluding that age is not an independent risk factor in liver transplant recipients. They reference an article from our group,2 in which survival in patients older than 60 years was not significantly different from survival in younger patients. More recently, we found a worse outcome in older patients and an independent influence of age on survival.3 In this article, we also found that older patients had a higher risk of developing de novo neoplasia. In fact, this complication was the main cause of death in this group of patients.