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Review
. 2016 Oct 27;8(4):108-112.
doi: 10.1002/cld.580. eCollection 2016 Oct.

New organ allocation policy in liver transplantation in the United States

David A Goldberg  1   2   3 , Richard Gilroy  4 , Michael Charlton  4
Affiliations
Review

New organ allocation policy in liver transplantation in the United States

David A Goldberg et al. Clin Liver Dis (Hoboken). .
No abstract available

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Figures

Figure 1
Figure 1
(A) Variation by UNOS region in median allocation MELD score (average MELD scores at time of transplantation regardless of whether laboratory value based or assigned through exception points) at transplant for all adult deceased‐donor liver transplant recipients, 2012–2014. (B) Variation by UNOS region in median laboratory MELD score (average based solely on MELD scores derived from serum total bilirubin, international normalized ratio, and creatinine) at transplant for all adult deceased‐donor liver transplant recipients, 2012–2014. (C) Variation by UNOS region in percentage of liver transplant recipients with exception points at transplant for all adult deceased‐donor liver transplant recipients, 2012–2014.
Figure 2
Figure 2
(A) Variation by UNOS region in percentage of adult patients on the liver transplant waitlist removed for death or clinical deterioration, 2012–2014. (B) Age‐adjusted cause of death data from 2010–2013 on people 15 to 74 years of age dying of “disease of liver” or liver cell carcinoma. Data are from the Compressed Mortality File 1999‐2013 Series 20, No. 2S, 2014, as compiled from data provided by the 57 vital statistics jurisdictions through the Vital Statistics Cooperative Program.10
See this image and copyright information in PMC

References

    1. Scientific Registry of Transplant Recipients . OPO Specific Reports. http://www.srtr.org/opo/Default.aspx. Published 2013. Accessed March 1, 2016.
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    1. Massie AB, Chow EK, Wickliffe CE, Luo X, Gentry SE, Mulligan DC, Segev DL. Early changes in liver distribution following implementation of Share 35. Am J Transplant 2015;15:659‐667. - PMC - PubMed
    1. Fernandez H, Weber J, Barnes K, Wright L, Levy M. Financial impact of liver sharing and Organ Procurement Organizations' experience with Share 35: implications for national broader sharing. Am J Transplant 2016;16:287‐291. - PubMed
    1. Yeh H, Smoot E, Schoenfeld DA, Markmann JF. Geographic inequity in access to livers for transplantation. Transplantation 2011;91:479‐486. - PMC - PubMed