Normothermic machine perfusion versus static cold storage for liver transplantation: a systematic review and meta-analysis.
Miguel Lucas Silva Valente, Angela Claudia Paixão Soares de Magalhães, Hercules Magalhães Olivense do Carmo et al.
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In 30 seconds
This systematic review and meta-analysis evaluated the effectiveness of normothermic machine perfusion (NMP) versus static cold storage (SCS) in liver transplantation, involving 630 recipients across five studies. NMP significantly reduced the incidence of early postoperative complications compared to SCS, with a risk ratio of 0.60 (95%CI 0.47-0.75; p < 0.0001).
Key findings
- NMP reduced early postoperative complications with a risk ratio of 0.60 compared to SCS.
- The relative risk reduction for complications with NMP was 40%.
- No significant effect modification was found by study design or donor characteristics.
- Between-study heterogeneity was negligible (I2 = 0%).
Why it matters
Understanding the advantages of NMP over SCS is crucial for clinicians involved in liver transplantation, as it may lead to improved patient outcomes and expanded use of marginal donor organs.