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The Boston Center for Liver Transplantation (BCLT)Initial Experience of a New Surgical Consortium
Roger L. Jenkins, MD
Arch Surg. 1986;121(4):424-430.
Abstract
• Improved survival following liver transplantation has led to a rapid increase in the number of centers providing this expensive and demanding therapy. In January 1984, four Boston hospitals launched a cooperative program known as the Boston Center for Liver Transplantation (BCLT). From January 1984 through July 1985, 47 liver transplantations were performed in 41 patients ranging in age from 8 months to 60 years. Donor organs were retrieved from 22 states within a 2,500-mile radius. Thirty-five of the 47 procedures were performed by teams consisting of surgeons from at least two BCLT member hospitals. Twelve-month actuarial survival was 54.1% without significant institutional variability. The BCLT has developed into a unique transplant consortium capable of sharing manpower, equipment, and organs without sacrificing quality of care or disrupting preexisting medical services.
(Arch Surg 1986;121:424-430)
Author Affiliations
From the Department of Surgery, Harvard Medical School and New England Deaconess Hospital, Boston.
Footnotes
Accepted for publication Jan 7, 1986.
Read before the 66th Annual Meeting of the New England Surgical Society, Dixville Notch, NH, Oct 12, 1985.
Reprint requests to Department of Surgery, New England Deaconess Hospital, 185 Pilgrim Rd, Boston, MA 02215 (Dr Jenkins).
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