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HEART TRANSPLANTATION. Overall. ISHLT. 2007. J Heart Lung Transplant 2007;26: 769-781. NUMBER OF HEART TRANSPLANTS REPORTED BY YEAR.
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HEART TRANSPLANTATION Overall ISHLT 2007 J Heart Lung Transplant 2007;26: 769-781
NUMBER OF HEART TRANSPLANTS REPORTED BY YEAR NOTE: This figure includes only the heart transplants that are reported to the ISHLT Transplant Registry. As such, this should not be construed as evidence that the number of hearts transplanted worldwide has declined in recent years. ISHLT 2007 J Heart Lung Transplant 2007;26: 769-781
AVERAGE CENTER VOLUMEHeart Transplants: January 1, 1992 - June 30, 1996and January 1, 2002 – June 30, 2006 ISHLT 2007 J Heart Lung Transplant 2007;26: 769-781
DISTRIBUTION OF TRANSPLANTS BY CENTER VOLUMEHeart Transplants: January 1, 1992 - June 30, 1996and January 1, 2002 – June 30, 2006 ISHLT 2007 J Heart Lung Transplant 2007;26: 769-781
HEART TRANSPLANTS:Donor Age by Year of Transplant ISHLT 2007 J Heart Lung Transplant 2007;26: 769-781
AGE DISTRIBUTIONOF HEART RECIPIENTS(1/1982-6/2006) % of Transplants ISHLT 2007 J Heart Lung Transplant 2007;26: 769-781
AGE DISTRIBUTION OF HEART TRANSPLANT RECIPIENTS BY ERA P < 0.0001 ISHLT 2007 J Heart Lung Transplant 2007;26: 769-781
HEART TRANSPLANTATIONKaplan-Meier Survival(1/1982-6/2005) HEART TRANSPLANTATIONKaplan-Meier Survival(1/1982-6/2005) N at risk at 22 years: 33 ISHLT 2007 J Heart Lung Transplant 2007;26: 769-781
HEART TRANSPLANTATION Adult Recipients ISHLT 2007 J Heart Lung Transplant 2007;26: 769-781
DIAGNOSIS IN ADULT HEART TRANSPLANTS ISHLT 2007 J Heart Lung Transplant 2007;26: 769-781
ADULT HEART TRANSPLANTS:RECIPIENT AGE DISTRIBUTION BY LOCATIONTransplants between January 2000 and June 2006 ISHLT 2007 J Heart Lung Transplant 2007;26: 769-781
ADULT HEART TRANSPLANTS:DONOR AGE DISTRIBUTION BY LOCATIONTransplants between January 2000 and June 2006 ISHLT 2007 J Heart Lung Transplant 2007;26: 769-781
ADULT HEART TRANSPLANTATIONKaplan-Meier Survival by Era (Transplants: 1/1982 – 6/2005) Survival (%) ISHLT 2007 J Heart Lung Transplant 2007;26: 769-781
ADULT HEART TRANSPLANTATIONKaplan-Meier Survival by Age Group(Transplants: 1/1982-6/2005) ISHLT 2007 J Heart Lung Transplant 2007;26: 769-781
ADULT HEART TRANSPLANTATIONKaplan-Meier Survival by Age Group(Transplants: 1/1998-6/2005) HALF-LIFE 18-34: NA; 35-49: NA; 50-59: NA; 60-64: 8.3 years; 65-69: 8.1 years; 70+: 7.3 years ISHLT 2007 J Heart Lung Transplant 2007;26: 769-781
ADULT HEART TRANSPLANTATION Kaplan-Meier Survival by Diagnosis(Transplants: 1/1982-6/2005) ISHLT 2007 J Heart Lung Transplant 2007;26: 769-781
ADULT HEART TRANSPLANTATION Kaplan-Meier Survival by Diagnosis Conditional on Survival to 1 Year (Transplants: 1/1982-6/2005) ISHLT 2007 J Heart Lung Transplant 2007;26: 769-781
ADULT HEART TRANSPLANTATION Kaplan-Meier Survival by Diagnosis (Transplants: 1/2000-6/2005) ISHLT 2007 J Heart Lung Transplant 2007;26: 769-781
ADULT HEART TRANSPLANTATIONKaplan-Meier Survival by Diagnosis Conditional on Survival to 1 Year (Transplants: 1/2000-6/2005) Cardiomyopathy vs. Re-TX: p = .006; Cardiomyopathy vs. Other: p = .02; CAD vs. Re-TX: p = .03; Congenital vs. Re-TX: p = .01; Valvular vs. Other: = .01; Re-TX vs. Other: p = .0003 ISHLT 2007 J Heart Lung Transplant 2007;26: 769-781
ADULT HEART TRANSPLANTATIONKaplan-Meier Survival by PVR(Transplants: 1/2002-6/2005) ISHLT 2007 J Heart Lung Transplant 2007;26: 769-781
ADULT HEART TRANSPLANTATIONKaplan-Meier Survival by VAD usage(Transplants: 1/1999-6/2005) ISHLT 2007 J Heart Lung Transplant 2007;26: 769-781
ADULT HEART TRANSPLANTATIONKaplan-Meier Survival by VAD usage and Era(Transplants: 1/1999-6/2005) ISHLT 2007 J Heart Lung Transplant 2007;26: 769-781
ADULT HEART TRANSPLANTS1-Year Predicted Survival Model (Transplants: 1/2002-6/2005) Impact of Pre-Transplant VAD Recipient: 54 y.o., Dx=cardiomyopathy, weight=78 kg, PVR=2.2, volume=22/year, bilirubin=0.8, PA systolic=40, creatinine=1.3 mg/dl, ischemia=180 min Donor: 30 y.o., weight = 77 kg ISHLT 2007 J Heart Lung Transplant 2007;26: 769-781
ADULT HEART RE-TRANSPLANTS1-Year Survival ISHLT 2007 J Heart Lung Transplant 2007;26: 769-781
ADULT HEART RECIPIENTSFunctional Status of Surviving Recipients(Follow-ups: 1995 - June 2006) ISHLT 2007 J Heart Lung Transplant 2007;26: 769-781
ADULT HEART RECIPIENTSEmployment Status of Surviving Recipients (Follow-ups: 1995 - June 2006) ISHLT 2007 J Heart Lung Transplant 2007;26: 769-781
ADULT HEART RECIPIENTSRehospitalization Post-transplant of Surviving Recipients (Follow-ups: 1995 - June 2006) ISHLT 2007 J Heart Lung Transplant 2007;26: 769-781
ADULT HEART RECIPIENTSInduction Immunosuppression (Transplants: January 2001 – June 2006) ISHLT 2007 J Heart Lung Transplant 2007;26: 769-781
ADULT HEART RECIPIENTSInduction Immunosuppression (Transplants: 1995, 2000 and 2005) ISHLT 2007 J Heart Lung Transplant 2007;26: 769-781
ADULT HEART TRANSPLANTATIONKaplan-Meier Survival by Induction Type(Transplants: 1/2000-6/2005, conditional on survival to 14 days) ISHLT 2007 J Heart Lung Transplant 2007;26: 769-781
ADULT HEART RECIPIENTSMaintenance Immunosuppression at Time of Follow-up(Follow-ups: January 2003 - June 2006) NOTE: Different patients are analyzed in Year 1 and Year 5 ISHLT 2007 J Heart Lung Transplant 2007;26: 769-781
ADULT HEART RECIPIENTSMaintenance Immunosuppression at Time of 1 Year Follow-up NOTE: Different patients are analyzed in each time frame. ISHLT 2007 J Heart Lung Transplant 2007;26: 769-781
ADULT HEART RECIPIENTS Maintenance Immunosuppression Drug Combinations at Time of Follow-up(Follow-ups: January 2004 - June 2006) NOTES: Different patients are analyzed in Year 1 and Year 5. In the Year 1 cohort 73.9% of patients were on prednisone; in the Year 5 cohort 56.8% of patients were on prednisone. ISHLT 2007 J Heart Lung Transplant 2007;26: 769-781
ADULT HEART RECIPIENTS Maintenance Immunosuppression Drug Combinations at Time of Follow-up(Follow-ups: January 2004 - June 2006) ISHLT NOTES: Different patients are analyzed in Year 1 and Year 5. 2007 J Heart Lung Transplant 2007;26: 769-781
ADULT HEART RECIPIENTS Maintenance Immunosuppression Drug Combinations at Time of Follow-upFor the Same Patients(Follow-ups: January 1999 - June 2006) ISHLT 2007 J Heart Lung Transplant 2007;26: 769-781
PERCENTAGE OF ADULT HEART TRANSPLANT RECIPIENTS TREATED FOR REJECTION IN 1ST YEARStratified by Type of Induction (Transplants: January 1, 2000 - June 30, 2005) ISHLT 2007 J Heart Lung Transplant 2007;26: 769-781
NUMBER OF REJECTION EPISODES FOR ADULT HEART TRANSPLANT RECIPIENTS TREATED FOR REJECTION IN 1ST YEARStratified by Type of Induction (Transplants: January 1, 2000 - June 30, 2005) Overall: no induction vs. OKT3 (p = 0.0017); polyclonal vs. OKT3 (p=0.0065); IL2 vs. OKT3 (p=0.0003). 18-44: no induction vs. IL2 (p = 0.037). 45-62: no induction vs. OKT3 (p = 0.0025); IL2 vs. OKT3 (p = 0.0034). 63+: polyclonal vs. OKT3 (p = 0.0228). For females: no induction vs. OKT3 (p = 0.0078); IL2 vs. OKT3 (p = 0.0466). For males: no induction vs. OKT3 (p =0.040); polyclonal vs. OKT3 (p=0.045); IL2 vs. OKT3 (p = 0.0022). ISHLT 2007 J Heart Lung Transplant 2007;26: 769-781
PERCENTAGE OF ADULT HEART TRANSPLANT RECIPIENTS TREATED FOR REJECTION IN 1ST YEARStratified by Maintenance Immunosuppression (Transplants: January 1, 2000 - June 30, 2005) Overall: p<0.0001 18-44: p<0.0001 Male: p<0.0001 NOTE: There were 1,119 patients with cyclosporine+AZA and 138 with tacrolimus+AZA. These groups were excluded due to small numbers. ISHLT 2007 J Heart Lung Transplant 2007;26: 769-781
NUMBER OF REJECTION EPISODES FOR ADULT HEART TRANSPLANT RECIPIENTS TREATED FOR REJECTION IN 1ST YEARStratified by Maintenance Immunosuppression (Transplants: January 1, 2000 - June 30, 2005) NOTE: Cyclosporine+AZA and tacrolimus+AZA were excluded due to small numbers. ISHLT 2007 J Heart Lung Transplant 2007;26: 769-781
ADULT HEART TRANSPLANTATIONKaplan-Meier Survival Stratified by Rejection Within 1st YearConditional on survival to 1 year for transplants: 1/1999-6/2004 ISHLT 2007 J Heart Lung Transplant 2007;26: 769-781
POST-HEART TRANSPLANT MORBIDITY FOR ADULTSCumulative Prevalence in Survivors at 1 Year Post-Transplant (Follow-ups: April 1994 – December 1997 and January 2002 - June 2006) ISHLT 2007 J Heart Lung Transplant 2007;26: 769-781
POST-HEART TRANSPLANT MORBIDITY FOR ADULTSCumulative Prevalence in Survivors at 5 and 10 Years Post-Transplant (Follow-ups: April 1994 - June 2006) ISHLT 2007 J Heart Lung Transplant 2007;26: 769-781
FREEDOM FROM CARDIAC ALLOGRAFT VASCULOPATHY AND FREEDOM FROM SEVERE RENAL DYSFUNCTION*For Adult Heart Recipients (Follow-ups: April 1994-June 2006) ISHLT 2007 J Heart Lung Transplant 2007;26: 769-781
PATIENT SURVIVAL AFTER REPORT OF CAV AND PATIENT SURVIVAL IN PATIENTS WITHOUT CAV*(Transplants: April 1994-June 2004) ISHLT 2007 * Patients without CAV conditioned on survival to median time of CAV development (514 days) J Heart Lung Transplant 2007;26: 769-781
MALIGNANCY POST-HEART TRANSPLANTATION FOR ADULTSCumulative Prevalence in Survivors(Follow-ups: April 1994 - June 2006) ”Other” includes: prostate (11, 34, 17), adenocarcinoma (7, 4, 2), lung (5, 4, 1), bladder (4, 5, 4), sarcoma (3, 3, 1), breast (2, 8, 3), cervical (2, 4, 0), colon (2, 3, 1), and renal (2, 7, 2). Numbers in parentheses are those reported within 1 year, 5 years and 10 years, respectively. ISHLT 2007 J Heart Lung Transplant 2007;26: 769-781
FREEDOM FROM MALIGNANCYFor Adult Heart Recipients (Follow-ups: April 1994 - June 2006) ISHLT 2007 J Heart Lung Transplant 2007;26: 769-781
ADULT HEART TRANSPLANT RECIPIENTS: Cause of Death (Deaths: January 1992 - June 2006) ISHLT J Heart Lung Transplant 2007;26: 769-781
ADULT HEART TRANSPLANT RECIPIENTS: Cause of Death from Leading Causes by Era(Deaths: January 1992 - June 2006) ISHLT 2007 J Heart Lung Transplant 2007;26: 769-781
ADULT HEART TRANSPLANT RECIPIENTS: Cumulative Incidence of Leading Causes of Death(Transplants: January 1992 - June 2005) ISHLT 2007 J Heart Lung Transplant 2007;26: 769-781
ISHLT 2007 ADULT HEART TRANSPLANTS(1/2002-6/2005) Risk Factors for 1 Year Mortality * Temporary circulatory support includes ECMO and Abiomed. (N=7,024) J Heart Lung Transplant 2007;26: 769-781