Liver & Intestinal Organ Transplantation Committee
The Liver and Intestinal Organ Transplantation Committee considers medical, scientific, and ethical aspects related to liver and intestine organ procurement, distribution, and allocation. The Committee considers both the broad implications and the specific member situations of these liver or intestinal issues and policies. The goal of the Committee's work is to develop evidence-based policies aimed at reducing the burden of liver disease in transplant patients (candidates and recipients), increasing liver utilization, improving access to liver transplantation, and improving the health outcomes of liver transplant recipients.
Current Projects
Review
- Continuous Distribution of Livers & Intestines Update, Summer 2024
- Update on Continuous Distribution of Livers and Intestines, 2023
- Update on Continuous Distribution of Livers and Intestines
- Continuous Distribution of Livers and Intestines Concept Paper
Board approved and pending implementation
Implemented
- National Liver Review Board (NLRB) Guidance for Multivisceral Transplant Candidates (7/2023)
- Continued Review of National Liver Review Board (NLRB) Guidance (1/2023)
- Review of Liver and Intestines Variances in OPTN Policy
- Improving Liver Allocation: MELD, PELD, Status 1A and Status 1B
- Ongoing Review of National Liver Review Board (NLRB) Diagnoses
- Review of National Liver Review Board (NLRB) Diagnoses and Update to Alcohol-Associated Diagnoses (3/2023)
- Calculate Median MELD at Transplant around the Donor Hospital and Update Sorting within Liver Allocation
- Update National Liver Review Board Guidance Documents and Policy Clarification
- Enhancements to the National Liver Review Board (12/2019)
- Access for Urgent Liver Candidates in Hawaii and Puerto Rico
- Align units of distribution in closed variance for split liver transplantation (11/2019)
- Clarification of pre existing liver disease (11/2019)
- Further Enhancements to the National Liver Review Board
- Liver and Intestine Distribution Using Distance from Donor Hospital (9/2018)
- Split liver variance (1/2019)
- Modify HCC extension criteria (12/2017)
- HCC auto approval criteria changes (8/2016)
- National liver review board 201701 (1/2017)
- Membership and Personnel Requirements for Intestine Transplant Programs (1/2015)
Chair
- Dr. Scott W Biggins
- University of Pittsburgh Medical Center
Vice Chair
- Dr. Shimul A Shah
- University of Cincinnati Medical Center
| Members | Organization | Position | End Term Date |
|---|---|---|---|
| Dr. Aaron J Ahearn | Keck Hospital of USC | Region 5 Representative | 6/30/2026 |
| Dr. James S Bowman | Division of Transplantation, HHS | Ex Officio (non voting) | 6/30/2026 |
| Dr. Lloyd Brown | Rush University Medical Center | Region 7 Representative | 6/30/2026 |
| Dr. Kathleen M Campbell | Children's Hospital Medical Center | At Large | 6/30/2026 |
| Dr. Vanessa L Cowan | Beth Israel Deaconess Medical Center | Region 1 Representative | 6/30/2026 |
| Dr. Joseph Dinorcia | Mount Sinai Medical Center | Region 9 Representative | 6/30/2025 |
| Tovah Dorsey-Pollard | General Public Region 2 | At Large | 6/30/2026 |
| Dr. Omer Junaidi | Methodist Specialty and Transplant Hospital | Region 4 Representative | 6/30/2026 |
| Michael Kriss | University of Colorado Hospital/Health Science Center | Region 8 Representative | 6/30/2025 |
| Dr. Allison J Kwong | Stanford Health Care | At Large | 6/30/2027 |
| Dr. Marilyn E Levi | Division of Transplantation, HHS | Ex Officio (non voting) | 6/30/2026 |
| Dr. Cal S Matsumoto | Medstar Georgetown Transplant Institute | At Large | 6/30/2026 |
| Dr. Erin C Maynard | Oregon Health and Science University | Region 6 Representative | 6/30/2025 |
| Dr. Shunji Nagai | Henry Ford Hospital | At Large | 6/30/2025 |
| Dr. James J Pomposelli | University of Colorado Hospital/Health Science Center | At Large | 6/30/2025 |
| Ms. Vanessa Pucciarelli | AdventHealth Orlando | Region 3 Representative | 6/30/2025 |
| Ms. Christine Radolovic | Gift of Life Donor Program | Region 2 Representative | 6/30/2026 |
| Dr. Colleen J Reed | General Public Region 8 | At Large | 6/30/2025 |
| Marina Serper | Hospital of the University of Pennsylvania | At Large | 6/30/2027 |
| Dr. Neil Shah | University of North Carolina Hospitals | Region 11 Representative | 6/30/2025 |
| Dr. Chris Sonnenday | University of Michigan Medical Center | Region 10 Representative | 6/30/2025 |
- December 6, 2024 Liver (PDK - 119 K)
- November 21, 2024 - HCC Subcommittee (PDF - 121 K)
- November 15, 2024 Liver (PDF - 154 K)
- November 1, 2024 Liver (PDF - 123 K)
- October 28, 2024 - HCC Subcommittee (PDF - 115 K)
- October 24, 2024 Liver - NLRB Subcommittee (PDF - 121 K)
- October 9, 2024 Liver (PDF - 182 K)
- September 26, 2024 Liver - NLRB Subcommittee (PDF - 132 K)
- September 25, 2024 - HCC Subcommittee (PDF - 122 K)
- September 20, 2024 Liver (PDF - 120 K)
- September 6, 2024 Liver (PDF - 117 K)
- August 22, 2024 Liver - NLRB Subcommittee (PDF - 147 K)
- August 16, 2024 Liver (PDF - 124 K)
- August 2, 2024 Liver (PDF - 149 K)
- July 25, 2024 Liver - NLRB Subcommittee (PDF - 155 K)
- July 19, 2024 Liver (PDF - 153 K)
- June 21, 2024 Liver (PDF - 150 K)
- June 11, 2024 Liver - NLRB Subcommittee (PDF - 148 K)
- June 7, 2024 Liver (PDF - 197 K)
- May 17, 2024 Liver (PDF - 126 K)
- May 3, 2024 Liver (PDF - 128 K)
- April 19, 2024 Liver (PDF - 131 K)
- April 15, 2024 Liver (PDF - 205 K)
- April 9, 2024 Liver - NLRB Subcommittee (PDF - 163 K)
- April 5, 2024 Liver (PDF - 156 K)
- March 15, 2024 Liver (PDF - 117 K)
- March 12, 2024 Liver - NLRB Subcommittee (PDF - 160 K)
- March 1, 2024 Liver (PDF - 127 K)
- February 16, 2024 Liver (PDF - 146 K)
- February 12, 2024 Liver - NLRB Subcommittee (PDF - 140 K)
- February 2, 2024 Liver (PDF - 118 K)
- January 19, 2024 Liver (PDF - 238 K)
- January 9, 2024 Liver NLRB Subcommittee (PDF - 138 K)
- January 5, 2024 Liver (PDF - 123 K)
- December 15, 2023 Liver (PDF - 179 K)
- December 12, 2023 Liver NLRB Subcommittee (PDF - 157 K)
- December 1, 2023 Liver (PDF - 134 K)
- November 17, 2023 Liver (PDF - 166 K)
- November 3, 2023 Liver (PDF - 153 K)
- October 16, 2023 Liver (PDF - 303 K)
- October 10, 2023 Liver NLRB Subcommittee (PDF - 194 K)
- October 6, 2023 Liver (PDF - 122 K)
- September 15, 2023 Liver (PDF - 127 K)
- September 12, 2023 Liver NLRB Subcommittee (PDF - 149 K)
- September 8, 2023 Liver (PDF - 157 K)
- August 18, 2023 Liver (PDF - 122 K)
- August 8, 2023 Liver NLRB Subcommittee (PDF - 149 K)
- August 4, 2023 Liver Committee (PDF - 152 K)
- July 21, 2023 Liver Committee (PDF - 144 K)
- July 7, 2023 Liver Committee (PDF - 150 K)
- June 16, 2023 Liver Committee (PDF - 150 K)
- June 8, 2023 Liver NLRB Subcommittee (PDF - 141 K)
- June 2, 2023 Liver Committee (PDF - 124 K)
- May 19, 2023 Liver Committee (PDF - 119 K)
- May 12, 2023 Liver Committee (PDF - 119 K)
- May 11, 2023 Liver NLRB Subcommittee (PDF - 145 K)
- April 21, 2023 Liver Committee (PDF - 142 K)
- April 13, 2023 Liver NLRB Subcommittee (PDF - 150 K)
- April 3, 2023 Liver Committee (PDF - 210 K)
- March 17, 2023 Liver Committee (PDF - 119 K)
- March 9, 2023 Liver Committee (PDF - 240 K)
- February 17, 2023 Liver Committee (PDF - 151 K)
- February 3, 2023 Liver Committee (PDF - 150 K)
- January 20, 2023 Liver Committee (PDF - 113 K)
- January 6, 2023 Liver Committee (PDF - 141 K)
- December 16, 2022 Liver Committee (PDF - 115 K)
- December 2, 2022 Liver Committee (PDF - 141 K)
- November 30, 2022 Liver NLRB Subcommittee (PDF - 141 K)
- November 18, 2022 Liver Committee (PDF - 144 K)
- November 15, 2022 Liver NLRB Subcommittee (PDF - 155 K)
- November 10, 2022 Liver Committee (PDF - 142 K)
- October 28, 2022 Liver Committee (PDF - 157 K)
- October 21, 2022 Liver NLRB Subcommittee (PDF - 147 K)
- October 11, 2022 Liver Committee (PDF - 333 K)
- October 7, 2022 Liver Committee (PDF - 147 K)
- September 30, 2022 Liver Committee (PDF - 171 K)
- September 16, 2022 Liver Committee (PDF - 178 K)
- September 9, 2022 Liver Committee (PDF - 160 K)
- September 8, 2022 Liver NLRB Subcommittee (PDF - 146 K)
- August 19, 2022 Liver Committee (PDF - 161 K)
- August 11, 2022 Liver NLRB Subcommittee (PDF - 136 K)
- August 5, 2022 Liver Committee (PDF - 170 K)
- July 22, 2022 Liver Committee (PDF - 146 K)
- July 14, 2022 Liver NLRB Subcommittee (PDF - 142 K)
- July 8, 2022 Liver Committee (PDF - 157 K)
- June 24, 2022 Liver Committee (PDF - 275 K)
- June 10, 2022 Liver Committee (PDF - 143 K)
- May 12, 2022 Liver NLRB Subcommittee (PDF - 143 K)
- May 6, 2022 Liver Committee (PDF - 151 K)
- April 14, 2022 Liver NLRB Subcommittee (PDF - 107 K)
- April 4, 2022 Liver Committee (PDF - 200 K)
- March 4, 2022 Liver Committee (PDF - 144 K)
- February 10, 2022 Liver NLRB Subcommittee (PDF - 141 K)
- February 4, 2022 Liver Committee (PDF - 114 K)
- January 13, 2022 Liver NLRB Subcommittee (PDF - 136 K)
- January 7, 2022 Liver Committee (PDF - 113 K)
Reports to the board of directors
- June 2019: Split Liver Variance (PDF - 538 K)
- December 2018: Liver Distribution (PDF - 3.2 M)
- June 2017: NLRB (PDF - 617 K)
- June 2017: Liver Review Board Guidance (PDF - 662 K)
- December 2016: Board Report (PDF - 177 K)
- December 2016: HCC (PDF - 376 K)
Looking for something else? Contact us at unoscommunications@unos.org or (804) 782-4800. We maintain an archive of historical OPTN documents.