<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1688-0390</journal-id>
<journal-title><![CDATA[Revista Médica del Uruguay]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Méd. Urug.]]></abbrev-journal-title>
<issn>1688-0390</issn>
<publisher>
<publisher-name><![CDATA[Sindicato Médico del Uruguay]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1688-03902020000400004</article-id>
<article-id pub-id-type="doi">10.29193/rmu.36.4.2</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Resultados del Programa Nacional de Trasplante Hepático del Uruguay a 10 años de su inicio]]></article-title>
<article-title xml:lang="en"><![CDATA[Results of the National Program of Liver Transplantation in Uruguay 10 years after it was initiated]]></article-title>
<article-title xml:lang="pt"><![CDATA[Resultados do Programa Nacional de Transplante de Fígado do Uruguai 10 anos após seu início]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mainardi]]></surname>
<given-names><![CDATA[Victoria]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Menéndez]]></surname>
<given-names><![CDATA[Josemaría]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Valverde]]></surname>
<given-names><![CDATA[Marcelo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[San Martín]]></surname>
<given-names><![CDATA[Gonzalo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Prieto]]></surname>
<given-names><![CDATA[Jimena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Noceti]]></surname>
<given-names><![CDATA[Ofelia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Botto]]></surname>
<given-names><![CDATA[Germán]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Medina]]></surname>
<given-names><![CDATA[Julio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez]]></surname>
<given-names><![CDATA[Paula]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Montaño]]></surname>
<given-names><![CDATA[Claudia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Castelli]]></surname>
<given-names><![CDATA[Jorge]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pedemonte]]></surname>
<given-names><![CDATA[Iliana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gestal]]></surname>
<given-names><![CDATA[Alejo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Adler]]></surname>
<given-names><![CDATA[Felipe]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Elizondo]]></surname>
<given-names><![CDATA[Martín]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vanerio]]></surname>
<given-names><![CDATA[Patricio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cervera]]></surname>
<given-names><![CDATA[Victorio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González]]></surname>
<given-names><![CDATA[Sara]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Harguindeguy]]></surname>
<given-names><![CDATA[Martín]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Leites]]></surname>
<given-names><![CDATA[Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gerona]]></surname>
<given-names><![CDATA[Solange]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro Nacional Hepato-Bilio-Pancreático Hospital Central de las Fuerzas Armadas-UDA Programa Nacional de Trasplante Hepático del Uruguay-Servicio de Enfermedades Hepáticas]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<volume>36</volume>
<numero>4</numero>
<fpage>4</fpage>
<lpage>36</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_arttext&amp;pid=S1688-03902020000400004&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_abstract&amp;pid=S1688-03902020000400004&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_pdf&amp;pid=S1688-03902020000400004&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  el trasplante hepático (TH) constituye el tratamiento de elección en pacientes con enfermedades hepáticas severas e irreversibles, sin opción de tratamientos alternativos eficaces. La medición de indicadores de calidad permite detectar problemáticas susceptibles de ser mejoradas a fin de optimizar los resultados.  Objetivo:  presentar los resultados del Programa Nacional de Trasplante Hepático (PNTH) del Uruguay a 10 años de su implementación y compararlos con los estándares de calidad internacionales.  Material y método:  estudio retrospectivo de los TH realizados del 14/7/2009 al 14/7/2019.  Resultados:  N: 190 TH. Edad promedio: 45 años. Sexo: 60% hombres. MELD promedio al TH: 21. Principales indicaciones: cirrosis (59%) y hepatocarcinoma (21%). Mortalidad posoperatoria: 7,4% y perioperatoria: 2,1% (estándares &lt;10% y 1%). Tasa de retrasplante: precoz 3,7% y tardío 4,2% (estándares &lt;5% y 8%). Tasa de reintervención: 13,1% (estándar &lt;10%) y de no función primaria: 2,6% (estándar &lt;2%). Sobrevida: 86,6% al año, 81,8% a 3, 77,4% a 5 y 63,2% a 10 años (estándares &gt;80, 75, 70 y 60%). Pacientes evaluados en menos de 30 días: 47% (estándar &gt;75%). Tasa de hígados no implantados sin causa objetiva: 0,5% (estándar &lt;1%). El 86% de los usuarios expresaron satisfacción (estándar &gt;80%). Mortalidad en lista: 19% (estándar &lt;15%). Mortalidad precoz con hígado funcionante: 1% (estándar &lt;1%).  Conclusiones:  el PNTH del Uruguay cumple con la mayoría de los indicadores de calidad, presentando resultados en sobrevida por encima de los estándares internacionales.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Summary:  Introduction:  liver transplantation constitutes the first therapy chosen by patients with severe and irreversible liver conditions, when no effective alternative options are available. Measurement of quality indicators allow for the detection of problems that may be solved in order to optimize results.  Objective:  to present the results obtained in the National Program of Liver Transplantation in Uruguay, 10 years after its implementation and to compare them to international quality standards.  Method:  retrospective study of liver transplantations performed from July 14, 2009 through July 14, 2019.  Results:  N: 190 Liver transplantations (LT). Average age: 45 years old. Gender: 60% male. MELD average MELD (Model for End-stage Liver Disease) upon LT: 21. Main indications: cirrhosis he(59%) y hepatocarcinoma (21%). Post-surgery mortality: 7.4% and peri-operative mortality 2.1% (standards &lt;10 and 1%). Re-transplantation rate: early 3.7% and late 4.2% (standards &lt;5% and 8%). Reoperation rate: 13.1% (standard &lt;10%) and of non-primary function: 2.6% (standard &lt;2%). Survival: 86.6% per year, 81.8% after 3 years, 77.4% after 5 and 63.2% after 10 years (standards &gt;80, 75, 70 and 60%). Patients assessed in less than 30 days: 47% (standard &gt;75%). Non-implanted livers with no objective cause rate: 0.5% (standard &lt;1%). 86% of users stated they were satisfied (standard &gt;80%). Mortality in the waiting list: 19% (standard &lt;15%). Early mortality with functioning liver: 1% (standard &lt;1%).  Conclusions:  national Program of Liver Transplantation in Uruguay meets most quality indicators standards, evidencing survival results that are above international standards.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo:  Introdução: o transplante de fígado (TH) é o tratamento de escolha em pacientes com doenças hepáticas graves e irreversíveis, sem a opção de tratamentos alternativos eficazes. A medição de indicadores de qualidade permite detectar problemas que podem ser melhorados para otimizar os resultados.  Objetivo:  apresentar os resultados do Programa Nacional de Transplante de Fígado (PNTH) do Uruguai 10 anos após sua implantação e compará-los com os padrões internacionais de qualidade.  Materiais e métodos:  estudo retrospectivo do HT realizado de 14/07/2009 a 14/07/2019.  Resultados:  N: 190 TH. Idade média: 45 anos. Sexo: 60% homens. Escala MELD média no TH: 21. Principais indicações: cirrose (59%) e hepatocarcinoma (21%). Mortalidade pós-operatória: 7,4% e peri-operatória 2,1% (padrões &lt;10 e 1%). Taxa de retransplante: 3,7% inicial e 4,2% tardio (padrão &lt;5% e 8%). Taxa de reintervenção: 13,1% (padrão &lt;10%) e não função primária: 2,6% (padrão &lt;2%). Sobrevivência: 86,6% em 1 ano, 81,8% em 3, 77,4% em 5 e 63,2% em 10 anos (padrões&gt; 80, 75, 70 e 60%). Pacientes avaliados em menos de 30 dias: 47% (padrão&gt; 75%). Taxa de fígados não implantados sem causa objetiva: 0,5% (padrão &lt;1%). 86% dos usuários expressaram satisfação (padrão&gt; 80%). Mortalidade em lista de espera: 19% (padrão &lt;15%). Mortalidade precoce com fígado funcionante: 1% (padrão &lt;1%).  Conclusões:  o PNTH do Uruguai cumpre a maioria dos indicadores de qualidade, apresentando resultados de sobrevivência acima dos padrões internacionais.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Trasplante de hígado]]></kwd>
<kwd lng="es"><![CDATA[Sobrevida]]></kwd>
<kwd lng="es"><![CDATA[Mejoramiento de la calidad]]></kwd>
<kwd lng="es"><![CDATA[Indicadores de calidad]]></kwd>
<kwd lng="es"><![CDATA[Uruguay]]></kwd>
<kwd lng="en"><![CDATA[Liver transplantation]]></kwd>
<kwd lng="en"><![CDATA[Survival]]></kwd>
<kwd lng="en"><![CDATA[Quality improvement]]></kwd>
<kwd lng="en"><![CDATA[Quality indicators]]></kwd>
<kwd lng="en"><![CDATA[Uruguay]]></kwd>
<kwd lng="pt"><![CDATA[Transplante de Fígado]]></kwd>
<kwd lng="pt"><![CDATA[Sobrevida]]></kwd>
<kwd lng="pt"><![CDATA[Indicadores de qualidade]]></kwd>
<kwd lng="pt"><![CDATA[Melhoria de qualidade]]></kwd>
<kwd lng="pt"><![CDATA[Uruguai]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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