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As a result, utilization of DCD livers for liver transplant (LT) has generally been limited to short WITs and younger aged donor grafts, causing many recovered DCD organs to be discarded without consideration for transplant. This study assesses how DCD liver utilization and outcomes have changed over time, using OPTN data from adult, first\u2010time, deceased donor, whole\u2010organ LTs between January 1995 and December 2019. Results show that increased clinical experience with DCD LT has translated into increased use of livers from DCD donors, shorter ischemic times, shorter lengths of hospitalization after transplant, and lower rates of retransplantation. The data also reveal that over the past decade, the rate of increase in DCD LTs conducted in the United States has outpaced that of DBD. Together, these trends signal an opportunity for the field of liver transplantation to mitigate the organ shortage by capitalizing on DCD liver allografts that are currently not being utilized.<\/jats:p>","DOI":"10.1111\/ctr.14211","type":"journal-article","created":{"date-parts":[[2020,12,26]],"date-time":"2020-12-26T07:47:20Z","timestamp":1608968840000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":44,"title":["Evolving utilization of donation after circulatory death livers in liver transplantation: The day of DCD has come"],"prefix":"10.1111","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0096-3643","authenticated-orcid":false,"given":"Omar","family":"Haque","sequence":"first","affiliation":[{"name":"Center for Transplantation Sciences Department of Surgery Massachusetts General Hospital Boston MA USA"},{"name":"Department of Surgery Beth Israel Deaconess Medical Center Harvard Medical School Boston MA USA"},{"name":"Center for Engineering in Medicine and Surgery Massachusetts General Hospital Harvard, Medical School Boston MA USA"},{"name":"Shriners Hospitals for Children Boston MA USA"},{"name":"Harvard Medical School Boston MA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3967-8519","authenticated-orcid":false,"given":"Qing","family":"Yuan","sequence":"additional","affiliation":[{"name":"Center for Transplantation Sciences Department of Surgery Massachusetts General Hospital Boston MA USA"},{"name":"Harvard Medical School Boston MA USA"},{"name":"8<sup>th<\/sup> Medical Center Chinese PLA General Hospital Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2088-7860","authenticated-orcid":false,"given":"Korkut","family":"Uygun","sequence":"additional","affiliation":[{"name":"Center for Engineering in Medicine and Surgery Massachusetts General Hospital Harvard, Medical School Boston MA USA"},{"name":"Shriners Hospitals for Children Boston MA USA"},{"name":"Harvard Medical School Boston MA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2762-6535","authenticated-orcid":false,"given":"James F.","family":"Markmann","sequence":"additional","affiliation":[{"name":"Center for Transplantation Sciences Department of Surgery Massachusetts General Hospital Boston MA USA"},{"name":"Harvard Medical School Boston MA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,1,21]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/tri.12776"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v18.i33.4491"},{"key":"e_1_2_8_4_1","first-page":"604","article-title":"Ischemic cholangiopathy after controlled donation after cardiac death liver transplantation: A meta\u2010analysis","volume":"14","author":"Jay CL","year":"2011","journal-title":"Ann Surg"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.tp.0000267424.88023.7b"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.TP.0000128327.95311.E3"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-6143.2010.03293.x"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/tri.12403"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000186178.07110.92"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e31818a080e"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/lt.24494"},{"key":"e_1_2_8_12_1","unstructured":"OPTN.Organ Procurement and Transplantation Network National Data. 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