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Journal of Indian Association of Pediatric Surgeons
     Journal of Indian Association of Pediatric Surgeons
Official journal of the Indian Association of Pediatric Surgeons         
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LETTER TO THE EDITOR
Year : 2011  |  Volume : 16  |  Issue : 3  |  Page : 120
 

Pediatric liver transplantation in India: The complete picture?


Department of Pediatric Oncology, Alder Hey Children's Hospital, Liverpool, United Kingdom

Date of Web Publication4-Aug-2011

Correspondence Address:
Ramandeep S Arora
19 Wet Earth Green, Swinton, Manchester, M27 8AL
United Kingdom
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9261.83494

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How to cite this article:
Arora RS. Pediatric liver transplantation in India: The complete picture?. J Indian Assoc Pediatr Surg 2011;16:120

How to cite this URL:
Arora RS. Pediatric liver transplantation in India: The complete picture?. J Indian Assoc Pediatr Surg [serial online] 2011 [cited 2019 Sep 21];16:120. Available from: http://www.jiaps.com/text.asp?2011/16/3/120/83494


Sir,

It was a pleasure to read the recent report on pediatric liver transplantation in India. [1] I congratulate the authors, not only on their endeavor in this field, but also for the good outcomes they have managed to achieve. For patients, parents, and clinicians in India, where liver transplantation offers the only hope of cure, such news is welcome.

The authors have provided detailed results, which mainly relate to the demography, procedure, complications, and outcome. This is followed by an extended discussion of their results. Could I request the authors to provide some more details, which I believe may provide a more complete picture of their experience? It is possible that they were unable to provide this information due to editorial limitations in manuscript size.

First, it would be useful to know the financial cost of such a treatment. This could have been direct (surgery, drugs, investigations, hospitalizations, etc.) or indirect costs (transportation, food, lodging, etc.). Second, could there be some detail on survival by the underlying etiology? The authors have described the overall survival as well as survival by two time periods. Did the survival vary by etiology? Finally, a succinct and critical review of the published and gray literature on the pediatric liver transplantation experience in India could have put their achievements in context. I believe this entire information would help all stakeholders involved in the care of a child with end-stage liver disease, in India, make an informed decision.

 
   References Top

1.Rao S, D'Cruz AL, Aggarwal R, Chandrashekar S, Chetan G, Gopalakrishnan G, et al. Pediatric liver transplantation: A report from a pediatric surgical unit. J Indian Assoc Pediatr Surg 2011;16:2-7.  Back to cited text no. 1
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