Journal article
The Evolution of Organ Allocation for Liver Transplantation: Tackling Geographic Disparity Through Broader Sharing
Annals of surgery, Vol.262(2), pp.224-227
08/2015
DOI: 10.1097/SLA.0000000000001340
PMID: 26164429
Abstract
The liver transplant allocation system has evolved to a ranking system of “sickest-first” system based on objective criteria. Yet, organs continue to be distributed first within OPOs and regions that are largely based on historical practice patterns related to kidney transplantation and were never designed to minimize waitlist death or equalize opportunity for liver transplant. The current proposal is a move to enhance survival though the application of modern mathematical techniques to optimize liver distribution. Like MELDbased allocation, it will never be perfect and should be continually evaluated and revised. However, the disparity in access, which favors those residing in or able to travel to privileged areas, to the detriment of the patients dying on the list in underserved areas, is simply not defensible in 2015.
Details
- Title: Subtitle
- The Evolution of Organ Allocation for Liver Transplantation: Tackling Geographic Disparity Through Broader Sharing
- Creators
- David A Axelrod - Dartmouth–Hitchcock Medical CenterParsia A Vagefi - Harvard UniversityJohn P Roberts - University of California, San Francisco
- Resource Type
- Journal article
- Publication Details
- Annals of surgery, Vol.262(2), pp.224-227
- DOI
- 10.1097/SLA.0000000000001340
- PMID
- 26164429
- ISSN
- 0003-4932
- eISSN
- 1528-1140
- Language
- English
- Date published
- 08/2015
- Academic Unit
- Surgery
- Record Identifier
- 9984322933002771
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