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Title: The trials and tribulations of liver allocation.
Austin Authors: Lee, Eunice ;Johnston, Chris Jc;Oniscu, Gabriel C
Affiliation: Department of Surgery, Austin Health, The University of Melbourne, Heidelberg, Victoria, Australia
University of Edinburgh, Edinburgh, UK
Issue Date: Nov-2020 2020-07-28
Publication information: Transplant International 2020; 33(11): 1343-1352
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 the indication for transplant, whilst maximising organ utilisation. Organ allocation for liver transplantation has evolved from simple centre based approaches driven by local issues, to complex, evidence based algorithm prioritising according to need. Despite the rapid evolution of allocation policies, there remain a number of challenges and new approaches are required to ensure transparency and equity on the decision making process and the best possible outcomes for patients on the waiting list. New ways of modelling, together with novel outcome criteria will be required to enable a dynamic adaptability of the allocation policies to the ever changing demographics of the donor population and the changing landscape of indications for transplantation.
DOI: 10.1111/tri.13710
ORCID: 0000-0003-1714-920X
Journal: Transplant international : official journal of the European Society for Organ Transplantation
PubMed URL: 32722866
Type: Journal Article
Subjects: Liver allocation
transplant benefit
Appears in Collections:Journal articles

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