Liver Transplantation Market Outlook 2023 to 2033

As demand for a healthy liver rises, the current market value for liver transplants is likely to reach USD 1,409.8 million. The market is expected to be worth around USD 2,653.4 million by 2033. The market for liver transplants is estimated to record a growth of 6.5% during the forecast period.

Key Market Highlights

Shortage of Donor Livers is Boosting the Machine Perfusion Technique

Machine perfusion techniques are becoming popular in clinical practice as they preserve organs and are suitable for reconditioning. The technology is widely used for the defatting of steatotic livers and gene therapy. It also avoids the needless wastage of organs and improves the quality of marginal livers.

A study published on new therapy and drug trials in 2023 stated that out of 10,000 people who needed a liver transplant, only around 5,000 managed to get one. Therefore, liver perfusion, which includes warm and cold perfusion techniques, is making a difference in clinical trials for liver transplants.

Bile Duct Cancer and Alcoholic Liver Disease Increased the Requirement of Liver Transplant

Excess consumption of alcohol, which is also the common cause of cirrhosis and hepatitis C, leads to irreversible liver failure. According to a survey conducted by NIDDK, alcoholic-related liver disease is most common in the United States, where 1 out of 400 people is diagnosed with cirrhosis.

As per the National Institute of Cancer, patients with cholangiocarcinoma or bile duct cancer are more prone to liver transplant. However, according to the researchers at NYU Langone Transplant Institute, patients with early liver cancer have a higher liver transplant success rate. In 2020, around 905,600 people were diagnosed with liver cancer, and men are more likely to be diagnosed with the disease than women.

Attributes Key Statistics
Expected Base Year Value (2023) USD 1,409.8 million
Anticipated Forecast Value (2033) USD 2,653.4 million
Estimated Growth (2023 to 2033) 6.5% CAGR

Usually, the liver is procured from deceased donors, but advancements in medical technology have made it possible to obtain a liver from a living person as well. Being one of the most replaced organs after the kidney, the demand for the liver has increased substantially over the years.

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Historical Outlook of the Liver Transplantation Market Compared to the Forecast Period

In the comparative outlook between the liver transplant market from 2018 to 2022 and the forecast projected for 2023 to 2033, the disease has become the third most common globally.

As per the liver transplant market analysis, the industry is poised to attain revenue of about USD 2,653.4 million by 2033. The market recorded a growth of

Attributes Details
Market Size (2022) USD 1,340.3 million
CAGR (2017 to 2022) 4.2%

According to Cancer.Net, liver cancer was stabilized between 2016 and 2020, although surging acute liver failure and autoimmune hepatitis are damaging the liver, leading to transplants. By the end of 2023, around 19,000 men in the United States may be diagnosed with liver cancer.

Globally, the demand for organs greatly outpaces the supply. The same is true for liver transplantation as well. One of the key concerns regarding this is that many patients who need liver transplants die on the waiting list.

In the United States alone, over 8,000 liver transplants are performed annually, with a survival rate of 90 percent. The only concern is the waiting period, which is about 15 months. Many studies in the medical field aim to bridge the gap between donor availability and the requirement for a healthy liver all around the world.

Factors Driving the Demand for Liver Transplantation

  • Hepatitis A, B, or C is the main reason for liver failure globally. Over the years, there has been a great surge in the cases where liver failure has been observed.
  • Acute hepatic necrosis due to malnourishment or alcohol abuse is another reason why the functionality of the liver gets adversely affected.
  • Reimbursement policies, both from the government and some private healthcare organizations, have led to a surge in the liver transplantation market size. This case has largely been observed in developed countries.
  • The replacement process, which is undergoing a substantial transformation in cutting down the liver transplantation costs and the waiting lists, is a key driving force for the market's growth.
  • The rise of unhealthy lifestyles, alcohol and drug abuse, bad eating habits, and intoxication due to pollution is set to increase the risks of liver failure.

Factors Restraining the Growth of Liver Transplantation Market

  • The liver transplantation procedure is one of the main reasons people are reluctant to undergo it.
  • Long waiting lists and inadequate information about them also negatively affect the liver transplantation market.
  • Several other risks are also involved in this surgery, instilling fear in the minds of the donor and the recipient.
  • Diseases arising from the surgery, including diabetes, high cholesterol, and diarrhea, may impact the market’s growth.
  • The shortage of liver transplantation centers, ICUs, and blood products required during the replacement procedure also hampers the market’s revenue growth.
  • A lack of awareness and advanced medical facilities in underdeveloped nations and the long hospitalization period involved in the process.

Region-wise Outlook

Attributes Details
North America Market Share (2022) 29.2%
Europe Market Share (2022) 20.7%

North America is Dominating the Liver Transplantation Market Due to the High Incidence of NASH

The highly urban lifestyle, which includes excessive alcohol consumption, junk food, and exposure to toxins, plays an important role in the liver's health. According to liver transplantation statistics, the North America liver transplantation market showed a 29.2% share in 2022.

Better medical facilities coupled with robust support from the government when it comes to reimbursement policies are vital reasons for the market expansion in this region.

Europe to Showcase Impressive Growth in Liver Transplant in the Coming Years

Several countries are showing promising demand in the European liver transplant market. Of the total global share, over 20% of liver transplants are carried out in Europe, making it one of the core regions in this industry.

Advanced medical facilities in developed nations and better financial conditions for people residing in these nations contribute massively to the growth of the liver transplantation sector.

Sabyasachi Ghosh
Sabyasachi Ghosh

Principal Consultant

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Country-wise Analysis

The below highlights the market revenue by key countries. The United States is leading in the market, with a growth of 25.8%. The next leading market is China, with a CAGR of 7.7 in 2022, followed by India. FMI estimates that these top five markets represent an overwhelming regional opportunity out of the other countries covered in reports.

Multiple Organ Failures is Driving the Sales of Organ Transplant Devices in The United States

As per the liver transplantation market analysis by FMI, The United States emerged as a significant market due to organ transplant surgeries, the United States liver transplant market recorded a growth of 25.8% in 2022.

Country The United States
Value Share in 2022 25.8%

Research and development for liver transplant devices, both by private and public organizations, are some prominent factors involved in the betterment of the liver transplantation market in the United States.

For instance, OrganOx metra, developed by OrganOx Limited, is an automated transportable device for normothermic organ perfusion. The device makes the liver functional throughout the preservation period by continuously perfusing it with oxygenated blood, nutrients, and medications at a normal body temperature.

Efficient Techniques to Transfer Organs are Fueling the Liver Transplantation Market in Germany

The market share of liver transplants in Germany was around 5.3% in 2022. Currently securing the first market position in terms of growth, this standing is anticipated to continue in the foreseeable future

Country Germany
Value Share in 2022 5.3%

To fasten the liver transplantation process by cutting down long waiting lines and increasing transplantation rates, many European countries have started cooperating with transnational organizations like Eurotransplant, Scandiatransplant, and the Southern Alliance for Transplantation. Transnational organ-sharing companies oversee and regulate all the liver transplantation procedures within their member nations, which fuels an efficient, fast, and swift process.

Several strategies have been implemented by the Department of Surgery and Transplantation in Germany to expand the pool of donors for orthotopic LT. Significant advancement has been made to organ preservation, which includes hypothermic oxygenated machine perfusion (HOPE) and hypothermic and normothermic, among others.

Increasing Geriatric Population in Japan is Experiencing Modest Liver Transplantation Market Growth

The market share of liver transplants in Japan was around 5.2% in 2022. The market is expected to grow substantially due to the country's surging awareness of organ transplantation.

Country Japan
Value Share in 2022 5.2%

Awareness regarding liver donation is increasing day by day, which positively affects the market in Japan. According to the Liver Transplantation Society, more than 9,000 liver transplant was carried out in Japan in around 67 institutions in 2017.

Government programs fuel large-scale transplantation schemes for the residents who deal with such diseases. With the entry of private players in the market, the country is all set to experience tremendous growth in the liver transplant surgery instrument market, which may elevate market revenue in the years to come.

Surge in Living Donor Liver Transplantation Techniques is Leading the Market in China

Evolving technology to optimize organ preservation is increasing the market size of liver transplants in China. The market for liver transplants registered a growth of 7.7% in 2022.

Country China
Value Share in 2022 7.7%

The risk of technology-related and logistics hurdles is the key concern for liver transplant and preservation. Currently, the orthotopic liver transplantation technique is widely incorporated by surgeons in China. However, the country has witnessed a bar of growth in living donors over the past few years.

According to a report, more than 50,000 people in China were diagnosed with end-stage liver diseases who needed liver transplants in 2020. Moreover, Hepatocellular carcinoma is a key indication for transplant, where 40% of liver grafts were transplanted to patients with liver cancer.

New Approaches of Organ Preservation for Bile Duct Cancer is Driving the Market in India

The liver transplant market in India recorded a share of 6.3% in 2022. The market is expected to rise due to an increase in end-to-end ductal anastomosis for liver transplants and IBDI.

Country India
Value Share in 2022 6.3%

According to the report published by NOTTO in 2022, living donor liver transplant is broadly adopted in India, around 85%. The percentage of LDLT is higher in the country due to a lack of preservation techniques such as machine perfusion technology.

The population that requires liver transplantation in India is 80% male, who suffers from HCC, decompensated cirrhosis, acute-on-chronic liver failure, and ALF. Alcoholic-related liver disease is a key cause of LT in India due to heavy drinkers and autoimmune diseases.

Category-wise Insights

Surge in Liver Transplantation Growth Rates in the Healthcare Industry

The rising prevalence of hepatitis A, B, and C due to passive lifestyles is the leading cause of acute liver failure across the globe. Liver transplantation surgery has shown a promising share of 61.1% based on the treatment type.

Top Segment Liver Transplantation Surgery
Market Share 61.1%

The promising liver transplantation success rate is also why more and more people trust these surgeries. According to an analysis, around 8,000 liver transplants are carried out every year, with a success rate of 85% or more. The availability of robust medical infrastructure, skilled surgeons, and government support have all contributed to improving the liver transplantation surgery market.

Hospitals are Setting New Dimensions of Growth for Liver Transplantation

Liver transplants can be carried out in hospitals, ambulatory surgical centers, and adult liver transplantation centers. By end-use, the liver transplantation market is fragmented in the same centers, with hospitals holding a leading share.

Top Segment Hospitals
Market Share 51.2%

In developed countries, hospitals are more robust and provide excellent services before and after liver transplantation procedures. A lot of blood is lost during the surgery, making the arrangement of blood more feasible for hospitals as compared to other clinical units.

According to the forecast, 51% of liver transplantation surgeries are carried out in hospitals, which may account for more than half of the global revenue generated in this industry.

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New Pioneers are Bringing the Era of Revolution in Liver Transplantation

Many start-up companies in the Western market are bringing innovative medical devices that can ease the process of transplantation and give more advantages to the donor as well as the recipient.

Several European companies are at the forefront of changing how the liver donated by living as well as deceased donors is preserved in the time between liver transplantation procedures. Usually, the shelf-life of the liver once taken out of the body is 12 hours, after which the liver becomes unusable. Efforts are being made to elongate this period for the patient's convenience.

HepaTx, a United States-based company, develops therapies to treat liver disease using regenerative medicine. The company is developing new types of treatments based on stem cells to bring new therapies to patients with late-stage liver disease as an alternative to liver transplants. According to the company's data, only one out of the thirty-three patients who need liver transplants successfully gets the organ on time. Despite millions of dollars spent by the government in the healthcare sector, much disparity is observed between the donor and patient numbers.

Recent Developments in Liver Transplantation

  • In September 2023, Jaslok Hospital and Research Center in Mumbai saved two lives with a single liver transplantation surgery. This transplantation surgery, also known as split cadaver liver donation surgery, splits the liver into two portions, which can be used by both an adult and a pediatric recipient simultaneously.
  • The Liver4Lifeteam, based at the University of Zurich, recently developed a new blood profusion machine that can increase the shelf-life of a removed liver for up to 72 hours, compared to earlier 12 to 15 hours. This normothermic perfusion machine imitates a functioning human body by continuously pumping blood to the liver. The machine is also capable of supplying the required drugs and nutrients to the liver to make sure that it is in its optimal state before the transplantation procedure commences.

Key Market Players

  • Allosource
  • Conatus Pharmaceuticals Inc.
  • Digna Biotech S.L.
  • Dompe Farmaceutici S.p.A.
  • Isogenis, Inc.
  • RedHill Biopharma Ltd.
  • Thompson Surgical
  • Integra Life Sciences
  • Baxter International Inc.
  • XVIVO
  • VirTech Bio
  • Vital Therapies
  • HepaTx
  • Humedics

Key Segments Profiled in the Global Liver Transplantation Market

By Treatment Type:

  • Liver Transplantation Surgery
  • Post-Surgery Anti-Rejection Treatment
  • Cyclosporine
  • Tacrolimus
  • Sirolimus Prednisone Azathioprine
  • Mycophenolate Mofetil

By End Use:

  • Hospitals
  • Adult Liver Transplantation Centers
  • Ambulatory Surgical Centers

By Region:

  • North America
  • Latin America
  • Europe
  • Asia Pacific
  • The Middle East and Africa

Frequently Asked Questions

What is the Market Value of the Liver Transplantation Market in 2023?

The market value of liver transplantation is estimated to be USD 1,409.8 million.

What are the Key Causes of Liver Failure?

Excessive alcohol abuse, drug intoxication, and unhealthy eating habits.

What are the Prominent Countries in the Asia Pacific for Liver Transplants?

China, Japan, and India dominate the liver transplant industry in Asia Pacific.

How is the Historical Performance of the Market in Germany?

Germany recorded a market share of 5.3% in 2022.

Which Region is Forecast to be Lucrative for Liver Transplantation Market Growth?

North America is expected to be the most opportunistic, accumulating 29.2% of the share in 2022.

Table of Content
	1. Executive Summary
	2. Market Overview
	3. Market Background
	4. Global Market Analysis 2018 to 2022 and Forecast, 2023 to 2033
	5. Global Market Analysis 2018 to 2022 and Forecast 2023 to 2033, By Treatment Type
		5.1. Surgery
		5.2. Post-Surgery Anti-Rejection Treatment
		5.3. Cyclosporine
		5.4. Tacrolimus
		5.5. Sirolimus
		5.6. Prednisone
		5.7. Azathioprine
		5.8. Mycophenolate Mofetil
	6. Global Market Analysis 2018 to 2022 and Forecast 2023 to 2033, By End Use
		6.1. in Hospitals
		6.2. in Adult Centers
		6.3. in Ambulatory Surgical Centers
	7. Global Market Analysis 2018 to 2022 and Forecast 2023 to 2033, By Region
		7.1. North America
		7.2. Latin America
		7.3. Western Europe
		7.4. Eastern Europe
		7.5. South Asia and Pacific
		7.6. East Asia
		7.7. Middle East and Africa
	8. North America Market Analysis 2018 to 2022 and Forecast 2023 to 2033, By Country
	9. Latin America Market Analysis 2018 to 2022 and Forecast 2023 to 2033, By Country
	10. Western Europe Market Analysis 2018 to 2022 and Forecast 2023 to 2033, By Country
	11. Eastern Europe Market Analysis 2018 to 2022 and Forecast 2023 to 2033, By Country
	12. South Asia and Pacific Market Analysis 2018 to 2022 and Forecast 2023 to 2033, By Country
	13. East Asia Market Analysis 2018 to 2022 and Forecast 2023 to 2033, By Country
	14. Middle East and Africa Market Analysis 2018 to 2022 and Forecast 2023 to 2033, By Country
	15. Key Countries Market Analysis
	16. Market Structure Analysis
	17. Competition Analysis
		17.1. Allosource
		17.2. Conatus Pharmaceuticals Inc.
		17.3. Digna Biotech
		17.4. S.L.
		17.5. Dompe Farmaceutici S.p.A.
		17.6. Isogenis, Inc.
		17.7. RedHill Biopharma Ltd.
		17.8. Thompson Surgical
		17.9. Integra Life Sciences
		17.10. Baxter International Inc.
		17.11. XVIVO
		17.12. VirTech Bio
		17.13. Vital Therapies
		17.14. HepaTx
		17.15. Humedics
	18. Assumptions & Acronyms Used
	19. Research Methodology
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