{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T05:52:53Z","timestamp":1761630773333,"version":"3.41.2"},"reference-count":35,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2016,12,13]],"date-time":"2016-12-13T00:00:00Z","timestamp":1481587200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100008737","name":"Stiftelsen Professor Lars-Erik Gelins Minnesfond","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008737","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatric Transplantation"],"published-print":{"date-parts":[[2017,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Biliary atresia (<jats:styled-content style=\"fixed-case\">BA<\/jats:styled-content>) is the most common indication for <jats:styled-content style=\"fixed-case\">LT<\/jats:styled-content> in children. We investigated whether this diagnosis per se, compared to other chronic liver diseases (<jats:styled-content style=\"fixed-case\">OCLD<\/jats:styled-content>), had an influence on patient survival. Data from 421 Scandinavian children, 194 with <jats:styled-content style=\"fixed-case\">BA<\/jats:styled-content> and 227 with <jats:styled-content style=\"fixed-case\">OCLD<\/jats:styled-content>, listed for <jats:styled-content style=\"fixed-case\">LT<\/jats:styled-content> between 1990 and 2010 were analyzed. The intention\u2010to\u2010treat survival and influencing risk factors were studied. Patients with <jats:styled-content style=\"fixed-case\">BA<\/jats:styled-content> had higher risk of death after listing than patients with <jats:styled-content style=\"fixed-case\">OCLD<\/jats:styled-content>. The youngest (&lt;1\u00a0year) and smallest (&lt;10\u00a0kg) children with the highest bilirubin (&gt;510\u00a0\u03bcmol\/L), highest <jats:styled-content style=\"fixed-case\">INR<\/jats:styled-content> (&gt;1.6), and highest <jats:styled-content style=\"fixed-case\">PELD<\/jats:styled-content> score (&gt;20) listed during 1990s had the worst outcome. Given the same <jats:styled-content style=\"fixed-case\">PELD<\/jats:styled-content> score, patients with <jats:styled-content style=\"fixed-case\">BA<\/jats:styled-content> had higher risk of death than patients with <jats:styled-content style=\"fixed-case\">OCLD<\/jats:styled-content>. For adolescents, low weight\/<jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content> was the only prognostic marker. Impaired intention\u2010to\u2010treat survival in patients with <jats:styled-content style=\"fixed-case\">BA<\/jats:styled-content> was mainly explained by more advanced liver disease in younger ages and higher proportion of young children in the <jats:styled-content style=\"fixed-case\">BA<\/jats:styled-content> group rather than diagnosis per se. <jats:styled-content style=\"fixed-case\">PELD<\/jats:styled-content> score predicted death, but seemed to underestimate the severity of liver disease in patients with <jats:styled-content style=\"fixed-case\">BA<\/jats:styled-content>. Poor nutritional status and severe cholestasis had negative impact on survival, supporting the \u201csickest children first\u201d allocation policy and correction of malnutrition before surgery.<\/jats:p>","DOI":"10.1111\/petr.12851","type":"journal-article","created":{"date-parts":[[2016,12,13]],"date-time":"2016-12-13T08:12:55Z","timestamp":1481616775000},"source":"Crossref","is-referenced-by-count":11,"title":["Impaired intention\u2010to\u2010treat survival after listing for liver transplantation in children with biliary atresia compared to other chronic liver diseases: 20\u00a0years\u2019 experience from the Nordic countries"],"prefix":"10.1111","volume":"21","author":[{"given":"S.","family":"Malenicka","sequence":"first","affiliation":[{"name":"Department of Pediatric Gastroenterology Hepatology and Nutrition Astrid Lindgren Children's Hospital CLINTEC Karolinska Institute Karolinska University Hospital Huddinge  Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B.\u2010G.","family":"Ericzon","sequence":"additional","affiliation":[{"name":"Division of Transplantation Surgery CLINTEC Karolinska Institute Karolinska University Hospital Huddinge  Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M. H.","family":"J\u00f8rgensen","sequence":"additional","affiliation":[{"name":"Department of Pediatric and Adolescent Medicine Rigshospitalet  Copenhagen Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H.","family":"Isoniemi","sequence":"additional","affiliation":[{"name":"Department of Transplantation Surgery Helsinki University Central Hospital  Helsinki Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T. H.","family":"Karlsen","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Oslo University Hospital Rikshospitalet  Oslo Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Krantz","sequence":"additional","affiliation":[{"name":"Department of Pediatric Gastroenterology Hepatology and Nutrition The Queen Silvia Children's Hospital  Gothenburg Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"V.","family":"Naeser","sequence":"additional","affiliation":[{"name":"Medical Faculty Rigshospitalet  Copenhagen Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Olausson","sequence":"additional","affiliation":[{"name":"Department of Transplantation Surgery Sahlgrenska University Hospital  Gothenburg Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Rasmussen","sequence":"additional","affiliation":[{"name":"Department of Transplantation Surgery Rigshospitalet  Copenhagen Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K.","family":"R\u00f6nnholm","sequence":"additional","affiliation":[{"name":"Department of Pediatric Nephrology Helsinki University Central Hospital  Helsinki Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T.","family":"Sanengen","sequence":"additional","affiliation":[{"name":"Department of Pediatric Gastroenterology Oslo University Hospital Rikshospitalet  Oslo Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T.","family":"Scholz","sequence":"additional","affiliation":[{"name":"Department of Transplantation Surgery Uppsala University Hospital Uppsala Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B.","family":"Fischler","sequence":"additional","affiliation":[{"name":"Department of Pediatric Gastroenterology Hepatology and Nutrition Astrid Lindgren Children's Hospital CLINTEC Karolinska Institute Karolinska University Hospital Huddinge  Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Nemeth","sequence":"additional","affiliation":[{"name":"Department of Pediatric Gastroenterology Hepatology and Nutrition Astrid Lindgren Children's Hospital CLINTEC Karolinska Institute Karolinska University Hospital Huddinge  Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,12,13]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-3046.2004.00152.x"},{"key":"e_1_2_8_3_1","unstructured":"US Transplant Scientific Registry of Transplant Recipients. Available atwww.srtr.org."},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-199809000-00014"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007890-199909150-00010"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1053\/jlts.2002.34149"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000146148.01586.72"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2005.04.073"},{"key":"e_1_2_8_9_1","unstructured":"United Networks for Organ Sharing. Available atwww.unos.org."},{"key":"e_1_2_8_10_1","unstructured":"Scandiatransplant. Available atwww.scandiatransplant.org."},{"key":"e_1_2_8_11_1","unstructured":"Annual Report NLTR 2011. Available atwww.scandiatransplant.org."},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-199101000-00009"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhep.2012.04.015"},{"key":"e_1_2_8_14_1","doi-asserted-by":"crossref","unstructured":"RobertsEA.Biliary atresia. The jaundiced baby. In:Disease of the Liver and Biliary System in Children 3rd edn. Wiley\u2010Blackwell;2008:69.","DOI":"10.1002\/9781444300536.ch4"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhep.2013.01.040"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2014.12.063"},{"key":"e_1_2_8_17_1","unstructured":"Unit conversion. Available atwww.dialysis-diagnostics.com."},{"key":"e_1_2_8_18_1","unstructured":"Unit conversion. Available athttp:\/\/www.endmemo.com\/medical\/unitconvert\/Albumin.php."},{"key":"e_1_2_8_19_1","unstructured":"PELD and MELD calculator. Available athttp:\/\/optn.transplant.hrsa.gov\/resources\/allocationcalculators.asp?index=97."},{"key":"e_1_2_8_20_1","unstructured":"Unit conversion. Available athttp:\/\/www.endmemo.com\/medical\/unitconvert\/Bilirubin.php."},{"key":"e_1_2_8_21_1","unstructured":"Unit conversion. Available athttp:\/\/www.endmemo.com\/medical\/unitconvert\/Creatinine.php."},{"key":"e_1_2_8_22_1","doi-asserted-by":"crossref","unstructured":"KamathBM RandEB.Evaluation of the candidate. Goals of evaluation. In:Pediatric Solid Organ Transplantation 2nd edn. Blackwell Publishing Ltd;2007: 207.","DOI":"10.1002\/9781444312720.ch24"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1097\/MPG.0b013e318205993a"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1053\/jlts.2000.7570"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1399-3046.2001.t01-1-00028.x"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1097\/MPG.0000000000000986"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-3046.2011.01549.x"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.1002\/lt.21303"},{"key":"e_1_2_8_29_1","doi-asserted-by":"publisher","DOI":"10.1002\/hep.21923"},{"key":"e_1_2_8_30_1","doi-asserted-by":"publisher","DOI":"10.1097\/MEG.0b013e32835a86f3"},{"key":"e_1_2_8_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2015.08.042"},{"key":"e_1_2_8_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2008.04.012"},{"key":"e_1_2_8_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jceh.2012.11.002"},{"key":"e_1_2_8_34_1","doi-asserted-by":"publisher","DOI":"10.1111\/ctr.12420"},{"key":"e_1_2_8_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.transproceed.2012.11.007"},{"key":"e_1_2_8_36_1","doi-asserted-by":"crossref","unstructured":"MelcherML RobertsJP.Outcomes and risk factors. In:Pediatric Solid\u00a0Organ Transplantation 2nd edn. Blackwell Publishing Ltd;2007:242.","DOI":"10.1002\/9781444312720.ch28"}],"container-title":["Pediatric Transplantation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fpetr.12851","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/petr.12851","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,18]],"date-time":"2023-09-18T12:31:06Z","timestamp":1695040266000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/petr.12851"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,12,13]]},"references-count":35,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2017,3]]}},"alternative-id":["10.1111\/petr.12851"],"URL":"https:\/\/doi.org\/10.1111\/petr.12851","archive":["Portico"],"relation":{},"ISSN":["1397-3142","1399-3046"],"issn-type":[{"type":"print","value":"1397-3142"},{"type":"electronic","value":"1399-3046"}],"subject":[],"published":{"date-parts":[[2016,12,13]]},"article-number":"e12851"}}