{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T13:07:03Z","timestamp":1784552823167,"version":"3.55.0"},"reference-count":31,"publisher":"Elsevier BV","issue":"6","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Transplantation Proceedings"],"published-print":{"date-parts":[[2026,7]]},"DOI":"10.1016\/j.transproceed.2026.06.017","type":"journal-article","created":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T03:30:11Z","timestamp":1782358211000},"page":"1143-1151","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Karnofsky Performance Status Is Associated with Patient and Graft Survival After Liver Retransplantation"],"prefix":"10.1016","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6278-1370","authenticated-orcid":false,"given":"Avesh J.","family":"Thuluvath","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helen","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sharmitha","family":"Yerneni","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth C.","family":"Verna","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.transproceed.2026.06.017_bib0001","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1007\/s10620-024-08741-x","article-title":"Indications and outcomes with liver retransplantation in 2025","volume":"70:","author":"Likhitsup","year":"2025","journal-title":"Dig Dis Sci"},{"key":"10.1016\/j.transproceed.2026.06.017_bib0002","doi-asserted-by":"crossref","first-page":"4039","DOI":"10.1007\/s10620-023-08065-2","article-title":"Mortality and morbidity among adult liver retransplant recipients","volume":"68","author":"Dakroub","year":"2023","journal-title":"Dig Dis Sci"},{"key":"10.1016\/j.transproceed.2026.06.017_bib0003","doi-asserted-by":"crossref","first-page":"878","DOI":"10.1097\/00007890-199709270-00015","article-title":"Clinical characteristics affecting the outcome of liver retransplantation","volume":"64","author":"Wong","year":"1997","journal-title":"Transplantation"},{"key":"10.1016\/j.transproceed.2026.06.017_bib0004","doi-asserted-by":"crossref","first-page":"1404","DOI":"10.1016\/j.jhep.2011.11.027","article-title":"Futility and rationing in liver retransplantation: when and how can we say no?","volume":"56","author":"Biggins","year":"2012","journal-title":"J Hepatol"},{"key":"10.1016\/j.transproceed.2026.06.017_bib0005","doi-asserted-by":"crossref","first-page":"842","DOI":"10.1016\/j.jhep.2023.04.036","article-title":"Changing epidemiology, global trends and implications for outcomes of NAFLD","volume":"79","author":"Wong","year":"2023","journal-title":"J Hepatol"},{"key":"10.1016\/j.transproceed.2026.06.017_bib0006","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1038\/s41575-022-00688-6","article-title":"Global epidemiology of alcohol-associated cirrhosis and HCC: trends, projections and risk factors","volume":"20","author":"Huang","year":"2023","journal-title":"Nat Rev Gastroenterol Hepatol"},{"key":"10.1016\/j.transproceed.2026.06.017_bib0007","doi-asserted-by":"crossref","first-page":"388","DOI":"10.1038\/s41575-023-00759-2","article-title":"Global epidemiology of cirrhosis - aetiology, trends and predictions","volume":"20","author":"Huang","year":"2023","journal-title":"Nat Rev Gastroenterol Hepatol"},{"key":"10.1016\/j.transproceed.2026.06.017_bib0008","doi-asserted-by":"crossref","first-page":"S147","DOI":"10.1016\/j.jhep.2021.01.025","article-title":"Sarcopenia and frailty in decompensated cirrhosis","volume":"75(Suppl. 1)","author":"Tandon","year":"2021","journal-title":"J Hepatol"},{"key":"10.1016\/j.transproceed.2026.06.017_bib0009","doi-asserted-by":"crossref","first-page":"1471","DOI":"10.1002\/hep.32268","article-title":"Frailty, mortality, and health care utilization after liver transplantation: from the multicenter Functional Assessment in Liver Transplantation (FrAILT) study","volume":"75","author":"Lai","year":"2022","journal-title":"Hepatology"},{"key":"10.1016\/j.transproceed.2026.06.017_bib0010","doi-asserted-by":"crossref","first-page":"1365","DOI":"10.1016\/S0140-6736(19)31786-6","article-title":"Frailty: implications for clinical practice and public health","volume":"394","author":"Hoogendijk","year":"2019","journal-title":"Lancet"},{"key":"10.1016\/j.transproceed.2026.06.017_bib0011","doi-asserted-by":"crossref","first-page":"818","DOI":"10.1016\/j.jhep.2018.05.025","article-title":"Karnofsky Performance Status before and after liver transplantation predicts graft and patient survival","volume":"69","author":"Thuluvath","year":"2018","journal-title":"J Hepatol"},{"key":"10.1016\/j.transproceed.2026.06.017_bib0012","doi-asserted-by":"crossref","first-page":"234","DOI":"10.1016\/j.cgh.2019.03.016","article-title":"Karnofsky Performance Status following liver transplantation in patients with multiple organ failures and probable acute-on-chronic liver failure","volume":"18","author":"Thuluvath","year":"2020","journal-title":"Clin Gastroenterol Hepatol"},{"key":"10.1016\/j.transproceed.2026.06.017_bib0013","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1002\/hep.28900","article-title":"A Karnofsky performance status-based score predicts death after hospital discharge in patients with cirrhosis","volume":"65","author":"Tandon","year":"2017","journal-title":"Hepatology"},{"key":"10.1016\/j.transproceed.2026.06.017_bib0014","doi-asserted-by":"crossref","first-page":"783","DOI":"10.1111\/j.1600-6143.2006.01242.x","article-title":"Characteristics associated with liver graft failure: the concept of a donor risk index","volume":"6","author":"Feng","year":"2006","journal-title":"Am J Transplant"},{"key":"10.1016\/j.transproceed.2026.06.017_bib0015","first-page":"174","article-title":"Retransplantation for late liver graft failure: predictors of mortality","volume":"6","author":"Facciuto","year":"2000","journal-title":"Liver Transpl"},{"key":"10.1016\/j.transproceed.2026.06.017_bib0016","doi-asserted-by":"crossref","first-page":"713","DOI":"10.1097\/00000658-200212000-00003","article-title":"Decision for retransplantation of the liver: an experience- and cost-based analysis","volume":"236","author":"Azoulay","year":"2002","journal-title":"Ann Surg"},{"key":"10.1016\/j.transproceed.2026.06.017_bib0017","doi-asserted-by":"crossref","first-page":"444","DOI":"10.1097\/SLA.0b013e31822c5878","article-title":"Predictive index for long-term survival after retransplantation of the liver in adult recipients: analysis of a 26-year experience in a single center","volume":"254","author":"Hong","year":"2011","journal-title":"Ann Surg"},{"key":"10.1016\/j.transproceed.2026.06.017_bib0018","doi-asserted-by":"crossref","first-page":"1016","DOI":"10.1097\/01.tp.0000203798.96491.2f","article-title":"Liver retransplantation: a model for determining long-term survival","volume":"81","author":"Linhares","year":"2006","journal-title":"Transplantation"},{"key":"10.1016\/j.transproceed.2026.06.017_bib0019","doi-asserted-by":"crossref","first-page":"460","DOI":"10.1053\/jhep.2003.50328","article-title":"Validation and refinement of survival models for liver retransplantation","volume":"38","author":"Rosen","year":"2003","journal-title":"Hepatology"},{"key":"10.1016\/j.transproceed.2026.06.017_bib0020","doi-asserted-by":"crossref","first-page":"1928","DOI":"10.1111\/tri.13956","article-title":"The Liver Retransplantation Risk Score: a prognostic model for survival after adult liver retransplantation","volume":"34","author":"Br\u00fcggenwirth","year":"2021","journal-title":"Transpl Int"},{"key":"10.1016\/j.transproceed.2026.06.017_bib0021","doi-asserted-by":"crossref","first-page":"1499","DOI":"10.1097\/00007890-199605270-00016","article-title":"Hepatic retransplantation\u2013an analysis of risk factors associated with outcome","volume":"61","author":"Doyle","year":"1996","journal-title":"Transplantation"},{"key":"10.1016\/j.transproceed.2026.06.017_bib0022","doi-asserted-by":"crossref","first-page":"1373","DOI":"10.1002\/lt.22167","article-title":"Six-minute walk distance predicts mortality in liver transplant candidates","volume":"16","author":"Carey","year":"2010","journal-title":"Liver Transpl"},{"key":"10.1016\/j.transproceed.2026.06.017_bib0023","doi-asserted-by":"crossref","first-page":"1132","DOI":"10.1097\/SLA.0000000000003207","article-title":"Multicenter study of age, frailty, and waitlist mortality among liver transplant candidates","volume":"6","author":"Haugen","year":"2020","journal-title":"Ann Surg"},{"key":"10.1016\/j.transproceed.2026.06.017_bib0024","doi-asserted-by":"crossref","DOI":"10.1097\/TXD.0000000000001097","article-title":"Evaluating the associations between the Liver Frailty Index and Karnofsky Performance Status with waitlist mortality","volume":"7","author":"Xu","year":"2021","journal-title":"Transplant Direct"},{"key":"10.1016\/j.transproceed.2026.06.017_bib0025","doi-asserted-by":"crossref","first-page":"1986","DOI":"10.1111\/ajt.14675","article-title":"Physical frailty after liver transplantation","volume":"18","author":"Lai","year":"2018","journal-title":"Am J Transplant"},{"key":"10.1016\/j.transproceed.2026.06.017_bib0026","doi-asserted-by":"crossref","first-page":"825","DOI":"10.1016\/j.jhep.2022.04.033","article-title":"Normothermic liver machine perfusion as a dynamic platform for regenerative purposes: what does the future have in store for us?","volume":"77","author":"Lascaris","year":"2022","journal-title":"J Hepatol"},{"key":"10.1016\/j.transproceed.2026.06.017_bib0027","doi-asserted-by":"crossref","first-page":"340","DOI":"10.1001\/jamainternmed.2018.6536","article-title":"National trends and long-term outcomes of liver transplant for alcohol-associated liver disease in the United States","volume":"179","author":"Lee","year":"2019","journal-title":"JAMA Intern Med"},{"key":"10.1016\/j.transproceed.2026.06.017_bib0028","doi-asserted-by":"crossref","first-page":"1990","DOI":"10.14309\/ajg.0000000000001901","article-title":"Early liver transplantation for severe alcohol-associated hepatitis and a history of prior liver decompensation","volume":"117","author":"Weinberg","year":"2022","journal-title":"Am J Gastroenterol"},{"key":"10.1016\/j.transproceed.2026.06.017_bib0029","doi-asserted-by":"crossref","first-page":"287","DOI":"10.1016\/j.jhep.2023.03.040","article-title":"Global incidence of non-alcoholic fatty liver disease: a systematic review and meta-analysis of 63 studies and 1,201,807 persons","volume":"79","author":"Le","year":"2023","journal-title":"J Hepatol"},{"key":"10.1016\/j.transproceed.2026.06.017_bib0030","article-title":"Appraisal of the Karnofsky Performance Status and proposal of a simple algorithmic system for its evaluation","volume":"13:72","author":"P\u00e9us","year":"2013","journal-title":"BMC Med Inform Decis Mak"},{"key":"10.1016\/j.transproceed.2026.06.017_bib0031","doi-asserted-by":"crossref","first-page":"437","DOI":"10.1093\/oxfordjournals.annonc.a057981","article-title":"Intra and interobserver variability in cancer patients\u2019 performance status assessed according to Karnofsky and ECOG scales","volume":"2","author":"Roila","year":"1991","journal-title":"Ann Oncol"}],"container-title":["Transplantation Proceedings"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0041134526003106?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0041134526003106?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T12:55:22Z","timestamp":1784552122000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0041134526003106"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":31,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["S0041134526003106"],"URL":"https:\/\/doi.org\/10.1016\/j.transproceed.2026.06.017","relation":{},"ISSN":["0041-1345"],"issn-type":[{"value":"0041-1345","type":"print"}],"subject":[],"published":{"date-parts":[[2026,7]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Karnofsky Performance Status Is Associated with Patient and Graft Survival After Liver Retransplantation","name":"articletitle","label":"Article Title"},{"value":"Transplantation Proceedings","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.transproceed.2026.06.017","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}