Heterogeneous Circles for Liver Allocation
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DOI: 10.1002/hep.31648
Abstract: In February 2020, the Organ Procurement and Transplantation Network replaced donor service area‐based allocation of livers with acuity circles, a system based on three homogeneous circles around each donor hospital. This system has been criticized… read more here.
Keywords: liver allocation; allocation; heterogeneous circles; circles liver ... See more keywords
Scorecard and insights from approaches to liver allocation around the world
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DOI: 10.1002/lt.24704
Abstract: With great interest, we read the article by Dutkowski and Clavien on several scoring systems that are used worldwide to predict outcome or futile outcome after liver transplantation (LT). Their study shows the variety of… read more here.
Keywords: risk; liver allocation; donor; model ... See more keywords
CAQ Corner: Evolution of liver allocation policy
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DOI: 10.1002/lt.26497
Abstract: The US urgencybased liver transplantation (LT) policy has two components: allocation and distribution of donor livers. The Model for EndStage Liver Disease (MELD) score, the metric of waitlist mortality, was implemented on February 29, 2002.… read more here.
Keywords: liver allocation; policy; caq corner; corner evolution ... See more keywords
Logistical burden of offers and allocation inefficiency in circle‐based liver allocation
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DOI: 10.1002/lt.26527
Abstract: Recent changes to liver allocation replaced donor service areas with circles as the geographic unit of allocation. Circle‐based allocation might increase the number of transplantation centers and candidates required to place a liver, thereby increasing… read more here.
Keywords: allocation; circle based; liver allocation; logistical burden ... See more keywords
Geographic Disparity in Liver Allocation: Time to Act or Have Others Act for Us.
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DOI: 10.1097/tp.0000000000001993
Abstract: T Final Rule, implemented in 2000, directs the Organ Procurement and Transplantation Network to “distribute organs over as broad a geographic area as feasible” and to ensure that allocation priority “shall not be based on… read more here.
Keywords: disparity liver; geographic disparity; liver allocation; disparity ... See more keywords
Impact of the acuity circle model for liver allocation on multivisceral transplant candidates
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DOI: 10.1111/ajt.16803
Abstract: Liver allocation was updated on February 4, 2020, replacing a Donor Service Area (DSA) with acuity circles (AC). The impact on waitlist outcomes for patients listed for combined liver‐intestine transplantation (multivisceral transplantation [MVT]) remains unknown.… read more here.
Keywords: transplant; transplant probability; mortality; liver allocation ... See more keywords
The trials and tribulations of liver allocation
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DOI: 10.1111/tri.13710
Abstract: Allocation policies are necessary to ensure a fair distribution of a scarce resource. The goal of any liver transplant allocation policy is to achieve the best possible outcomes for the waiting list population, irrespective of… read more here.
Keywords: tribulations liver; liver allocation; trials tribulations; allocation policies ... See more keywords
The Graz Liver Allocation Strategy—Impact of Extended Criteria Grafts on Outcome Considering Immunological Aspects
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DOI: 10.3389/fimmu.2020.01584
Abstract: Background: Transplant centers are forced to use livers of extended criteria donors for transplantation due to a dramatic organ shortage. The outcome effect of extended donor criteria (EDCs) remains unclear. Thus, this study was designed… read more here.
Keywords: immunological aspects; extended criteria; impact; graz liver ... See more keywords
Hepatocellular Carcinoma, Alpha Fetoprotein, and Liver Allocation for Transplantation: Past, Present and Future
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DOI: 10.3390/curroncol29100593
Abstract: Hepatocellular carcinoma (HCC) is one of the leading indications for liver transplantation and has been the treatment of choice due to the oncologic benefit for patients with advanced chronic liver disease (AdvCLD) and small tumors… read more here.
Keywords: hepatocellular carcinoma; hcc; liver allocation; transplantation ... See more keywords