{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T13:27:47Z","timestamp":1783690067979,"version":"3.55.0"},"reference-count":13,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"12","license":[{"start":{"date-parts":[[2018,12,1]],"date-time":"2018-12-01T00:00:00Z","timestamp":1543622400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2018,12,4]],"date-time":"2018-12-04T00:00:00Z","timestamp":1543881600000},"content-version":"vor","delay-in-days":3,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Liver Transpl"],"published-print":{"date-parts":[[2018,12]]},"abstract":"<jats:p>Liver transplantation (LT) was performed for the first time in Chile in 1969, but only since the 1990s has it been systematically performed. Our health system is strongly centralized, which is a severe limitation for the patients who need to be evaluated and subsequently listed. Although proper human and technological resources are available and our results are comparable to international outcomes (overall patient survival at 1, 5, and 10 years of 82%, 70%, and 64%, respectively), we are limited because of a severe scarcity of grafts, which translates into an availability of approximately 7 organs per million persons and a wait\u2010list dropout rate of 40% every year. Thus, our main challenge for the next few years is to improve access to LT among the populations from the extreme regions of the country and overall to improve the availability of grafts by increasing the awareness of physicians in intensive care units and emergency departments, to develop living donor LT programs, to educate the population in order to decrease family refusal, and to reinforce the system of potential donor detection. Although hard work is mandatory for these improvements, none of these tasks seem to be unreachable in the midterm.<\/jats:p>","DOI":"10.1002\/lt.25332","type":"journal-article","created":{"date-parts":[[2018,9,8]],"date-time":"2018-09-08T15:06:52Z","timestamp":1536419212000},"page":"1757-1761","source":"Crossref","is-referenced-by-count":18,"title":["Current Status and Future Challenges of Liver Transplantation Programs in Chile"],"prefix":"10.1097","volume":"24","author":[{"given":"Carlos","family":"Ben\u00edtez","sequence":"first","affiliation":[{"name":"Department of Gastroenterology and Liver Transplant Unit,Pontificia Universidad Cat\u00f3lica de Chile,Santiago,Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rodrigo","family":"Wolff","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Liver Transplant Unit,Pontificia Universidad Cat\u00f3lica de Chile,Santiago,Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2018,12,4]]},"reference":[{"key":"lt25332-bib-0001-20240115","first-page":"96","article-title":"Trasplante ortot\u00f3pico del h\u00edgado, un caso de hepatoma","volume":"4","year":"1969","journal-title":"Rev Hosp S Fco de Borja"},{"key":"lt25332-bib-0002-20240115","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1097\/TP.0000000000000198","article-title":"Liver transplantation in Latin America: the state\u2010of\u2010the\u2010art and future trends","volume":"98","year":"2014","journal-title":"Transplantation"},{"key":"lt25332-bib-0003-20240115","doi-asserted-by":"crossref","first-page":"1667","DOI":"10.1016\/j.transproceed.2004.06.021","article-title":"Liver transplantation in Latin America: current status","volume":"36","year":"2004","journal-title":"Transplant Proc"},{"key":"lt25332-bib-0005-20240115","doi-asserted-by":"crossref","first-page":"501","DOI":"10.4067\/S0034-98872014000400012","article-title":"A proposal for the definitive reform of the private health insurance system in Chile","volume":"142","year":"2014","journal-title":"Rev Med Chil"},{"key":"lt25332-bib-0006-20240115","doi-asserted-by":"crossref","first-page":"e5958","DOI":"10.5867\/medwave.2014.04.5958","article-title":"Challenges facing the finance reform of the health system in Chile","volume":"14","year":"2014","journal-title":"Medwave"},{"key":"lt25332-bib-0007-20240115","first-page":"774","article-title":"The Chilean Health Care System: the task ahead","volume":"143","year":"2015","journal-title":"Rev Med Chil"},{"issue":"suppl","key":"lt25332-bib-0011-20240115","first-page":"67","volume":"28","year":"2017","journal-title":"Gastroenterol Latinoam"},{"issue":"suppl","key":"lt25332-bib-0012-20240115","first-page":"120","article-title":"Frailty and reduced gait speed are associated to decreased survival in cirrhotic patients","volume":"102","year":"2018","journal-title":"Transplantation"},{"key":"lt25332-bib-0013-20240115","first-page":"52","article-title":"Newsletter transplant. 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