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9% vs 79.3%, P = .001 and 10-year 73.6% vs 63.5%, P = .004). Suboptimal kidneys showed a 1.6-fold higher adjusted hazard ratio (aHR) of all-cause graft loss (95% confidence interval [CI] 1.1-2.5, P = .025) and had the same impact as older donor age (≥ 54 years old, aHR 1.6, 95% CI 1.1-2.4, P = .008). Conclusions The impact of suboptimal kidney should be factored into the donor selection process.Background In living donor liver transplantation (LDLT), a graft-to-recipient weight ratio (GRWR) of under 0.8 is recognized as the critical gr
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