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
Public Comment
- Continued Review of National Liver Review Board (NLRB) Guidance (8/3/2022 - 9/28/2022)
- Review of Liver and Intestines Variances in OPTN Policy (8/3/2022 - 9/28/2022)
- Continuous Distribution of Livers and Intestines Concept Paper (8/3/2022 - 9/28/2022)
Review
- Redesigning liver distribution (8/2016)
Board approved and pending implementation
- 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
- Further Enhancements to the National Liver Review Board
Implemented
- 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)
- Split liver variance (1/2019)
- Liver and Intestine Distribution Using Distance from Donor Hospital (9/2018)
- Modify HCC extension criteria (12/2017)
- National liver review board 201701 (1/2017)
- HCC auto approval criteria changes (8/2016)
- Membership and Personnel Requirements for Intestine Transplant Programs (1/2015)
Chair
- Dr. James J Pomposelli
- University of Colorado Hospital/Health Science Center
Vice Chair
- Dr. Scott W Biggins
- University of Washington Medical Center
Liaison
- Matt Cafarella
- UNOS Employees
- matt.cafarella@unos.org
| Members | Organization | Position | End Term Date |
|---|---|---|---|
| Dr. Peter L Abt | Hospital of the University of Pennsylvania | Region 2 Representative | 6/30/2023 |
| Dr. Sophoclis P Alexopoulos | Vanderbilt University Medical Center | At Large | 6/30/2024 |
| Dr. Diane Alonso | Intermountain Medical Center | Region 5 Representative | 6/30/2023 |
| Dr. Sumeet Asrani | Baylor University Medical Center | At Large | 6/30/2023 |
| Dr. James S Bowman | Division of Transplantation, HHS | Ex Officio (non voting) | 6/30/2023 |
| Dr. James D Eason | Methodist University Hospital | At Large | 6/30/2023 |
| Dr. Alan E Gunderson | University of Iowa Hospitals and Clinics Transplant Programs | Region 8 Representative | 6/30/2023 |
| Ms. Bailey Heiting | Versiti Wisconsin, Inc | Region 7 Representative | 6/30/2023 |
| Dr. Allison J Kwong | Stanford Health Care | At Large | 6/30/2024 |
| Dr. Marilyn E Levi | Division of Transplantation, HHS | Ex Officio (non voting) | 6/30/2023 |
| Dr. James F Markmann | Massachusetts General Hospital | Region 1 Representative | 6/30/2023 |
| Mr. Peter J Matthews | General Public Region 2 | At Large | 6/30/2023 |
| Dr. Erin C Maynard | Oregon Health and Science University | Region 6 Representative | 6/30/2025 |
| Dr. Gregory J McKenna | Baylor University Medical Center | Region 4 Representative | 6/30/2023 |
| Ms. Vanessa Pucciarelli | AdventHealth Orlando | Region 3 Representative | 6/30/2025 |
| 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 |
| Dr. Kymberly D Watt | Mayo Clinic Hospital Minnesota | At Large | 6/30/2024 |
Meeting Summaries
- 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, 2021 Liver Committee (PDF - 113 K)
- December 9, 2021 Liver NLRB Subcommittee (PDF - 112 K)
- December 3, 2021 Liver Committee (PDF - 149 K)
- November 16, 2021 Liver Committee (PDF - 117 K)
- November 5, 2021 Liver Committee (PDF - 117 K)
- October 26, 2021 Liver NLRB Subcommittee (PDF - 111 K)
- October 25, 2021 PELD/Status 1B Criteria Workgroup (PDF - 468 K)
- October 20, 2021 Liver Committee (PDF - 608 K)
- October 14, 2021 Liver NLRB Subcommittee (PDF - 116 K)
- October 14, 2021 PELD/Status 1B Criteria Workgroup (PDF - 115 K)
- October 1, 2021 Liver Committee (PDF - 453 K)
- September 16, 2021 PELD/Status 1B Criteria Workgroup (PDF - 580 K)
- September 9, 2021 Liver NLRB Subcommittee (PDF - 456 K)
- September 3, 2021 Liver Committee (PDF - 584 K)
- August 27, 2021 Liver Committee (PDF - 498 K)
- August 20, 2021 Liver Committee (PDF - 456 K)
- August 19, 2021 PELD/Status 1B Criteria Workgroup (PDF - 475 K)
- August 12, 2021 Liver NLRB Subcommittee (PDF - 113 K)
- August 6, 2021 Liver Committee (PDF - 114 K)
- July 15, 2021 Liver PELD/Status 1B Criteria Workgroup (PDF - 575 K)
- July 8, 2021 Liver NLRB Subcommittee (PDF - 462 K)
- July 2, 2021 Liver Committee (PDF - 583 K)
- June 17, 2021 PELD/Status 1B Criteria Workgroup (PDF - 465 K)
- June 10, 2021 Liver NLRB Subcommittee (PDF - 502K)
- June 4, 2021 Liver Committee (PDF - 511 K)
- May 21, 2021 Liver Improving the MELD Calculation Workgroup (PDF - 109 K)
- May 20, 2021 PELD/Status 1B Criteria Workgroup (PDF - 111 K)
- May 17, 2021 Liver NLRB Subcommittee (PDF - 113 K)
- May 7, 2021 Liver Committee (PDF - 627 K)
- April 15, 2021 PELD/Status 1B Criteria Workgroup (PDF - 503 K)
- April 14, 2021 Liver Committee (PDF - 681 K)
- April 8, 2021 Liver NLRB Subcommittee (PDF - 111 K)
- April 7, 2021 Liver Improving the MELD Calculation Workgroup (PDF - 112 K)
- April 2, 2021 Liver Committee (PDF - 504 K)
- March 19, 2021 Liver Improving the MELD Calculation Workgroup (PDF - 511 K)
- March 18, 2021 PELD/Status 1B Criteria Workgroup (PDF - 511 K)
- March 11, 2021 Liver NLRB Subcommittee (PDF - 510 K)
- March 5, 2021 Liver Committee (PDF - 643 K)
- February 19, 2021 Liver Improving the MELD Calculation Workgroup (PDF - 507 K)
- February 18, 2021 PELD/Status 1B Criteria Workgroup (PDF - 508K)
- February 11, 2021 Liver NLRB Subcommittee (PDF - 497 K)
- February 5, 2021 Liver Committee (PDF - 235 K)
- January 21, 2021 PELD/Status 1B Criteria Workgroup (PDF - 502 K)
- January 7, 2021 Liver Committee (PDF - 508 K)
- December 17, 2020 PELD/Status 1B Criteria Workgroup (PDF - 500 K)
- December 10, 2020 Liver NLRB Subcommittee (PDF - 497 K)
- November 20, 2020 Liver Committee (PDF - 623 K)
- November 19, 2020 PELD/Status 1B Criteria Workgroup (PDF - 501 K)
- November 12, 2020 Liver NLRB Subcommittee (PDF - 493 K)
- November 6, 2020 Liver Committee (PDF - 623 K)
- October 22, 2020 Liver Committee (PDF - 646 K)
- October 15, 2020 PELD/Status 1B Criteria Workgroup (PDF - 609 K)
- October 14, 2020 Acuity Circles Subcommittee (PDF - 623 K)
- October 13, 2020 Liver NLRB Subcommittee (PDF - 614 K)
- October 8, 2020 Liver NLRB Subcommittee (PDF - 609 K)
- October 6, 2020 Acuity Circles Subcommittee (PDF - 611 K)
- October 2, 2020 Liver Committee (PDF - 607 K)
- September 23, 2020 Acuity Circles Subcommittee (PDF - 593 K)
- September 17, 2020 PELD/Status 1B Criteria Workgroup (PDF - 637 K)
- September 10, 2020 Liver NLRB Subcommittee (PDF - 631 K)
- September 9, 2020 Acuity Circles Workgroup (PDF - 493 K)
- September 3, 2020 Liver Committee (PDF - 625 K)
- August 26, 2020 Acuity Circles Workgroup (PDF - 500 K)
- August 20, 2020 PELD/Status 1B Criteria Workgroup (PDF - 502 K)
- August 13, 2020 Liver NLRB Subcommittee (PDF - 604K)
- August 12, 2020 Acuity Circles Workgroup (PDF - 520 K)
- August 7, 2020 Liver Committee (PDF - 615 K)
- July 22, 2020 Acuity Circles Workgroup (PDF - 450 K)
- July 16, 2020 PELD/Status 1B Criteria Workgroup (PDF - 492 K)
- July 9, 2020 Liver NLRB Subcommittee (PDF - 133 K)
- July 8, 2020 Acuity Circles Workgroup (PDF 451 K)
- July 2, 2020 Liver Committee (PDF 708 K)
- June 18, 2020 PELD/Status 1B Criteria Workgroup (PDF - 454 K)
- June 11, 2020 Liver NLRB Subcommittee (PDF - 106 K)
- June 10, 2020 Acuity Circles Workgroup (PDF - 107 K)
- June 5, 2020 Liver Committee (PDF - 254 K)
- May 21, 2020 PELD/Status 1B Criteria Workgroup (PDF - 451 K)
- May 14, 2020 Liver NLRB Subcommittee (PDF - 140 K)
- May 13, 2020 Liver NLRB Subcommittee (PDF - 109 K)
- May 1, 2020 Liver Committee (PDF - 581 K)
- April 14, 2020 Liver Committee (PDF - 152 K)
- April 9, 2020 Liver NLRB Subcommittee (PDF - 185 K)
- April 8, 2020 Acuity Circles Workgroup (PDF - 104 K)
- April 3, 2020 Liver Committee (PDF - 140 K)
- March 19, 2020 Liver Committee (PDF - 560 K)
- March 12, 2020 Liver NLRB Subcommittee (PDF - 120 K)
- March 11, 2020 Acuity Circles Workgroup (PDF - 507 K)
- February 13, 2020 Liver NLRB Subcommittee (PDF - 330 K)
- February 12, 2020 Acuity Circles Workgroup (PDF - 112 K)
- February 7, 2020 Liver Committee (PDF - 510 K)
- January 10, 2020 Liver Committee (PDF - 206 K)
- January 9, 2020 Liver NLRB Subcommittee (PDF - 229 K)
- December 12, 2019 Liver Committee (PDF - 475 K)
- November 19, 2019 Liver Committee (PDF - 470 K)
- November 15, 2019 Liver Hawaii and Puerto Rico Workgroup (PDF - 457 K)
- November 14, 2019 Liver NLRB Subcommittee (PDF - 522 K)
- October 22, 2019 Liver Committee (PDF - 218 K)
- October 10, 2019 Liver NLRB Subcommittee (PDF - 114 K)
- October 9, 2019 Acuity Circles Workgroup (PDF 103 K)
- October 4, 2019 Liver Committee (PDF 113 K)
- September 13, 2019 Liver Hawaii and Puerto Rico Workgroup (PDF 441 K)
- September 12, 2019 Liver NLRB Subcommittee (PDF 457 K)
- September 11, 2019 Acuity Circles Subcommittee (PDF 450 K)
- September 6, 2019 Liver Committee (PDF 359 K)
- August 9, 2019 Liver Committee (PDF 458 K)
- August 8, 2019 Liver NLRB Subcommittee (PDF 465 K)
- July 12, 2019 Liver Committee (PDF 591 K)
- July 11, 2019 Liver NLRB Subcommittee (PDF 590 K)
- June 21, 2019 Liver NLRB Subcommittee (PDF 585 K)
- June 7, 2019 Liver Committee (PDF 207K)
- May 9, 2019 Liver Committee (PDF 107 K)
- May 8, 2019 Liver Hawaii and Puerto Rico Workgroup (PDF 144 K)
- May 7, 2019 Acuity Circles Workgroup (PDF 175 K)
- April 8, 2019 Liver Committee (PDF 223 K)
- March 21, 2019 Liver Committee (PDF - 170 K)
- February 21, 2019 Liver Committee (PDF - 101 K)
- January 17, 2019 Liver Committee (PDF - 145 K)
- December 7, 2018 Liver Committee (PDF - 114 K)
- November 15, 2018 Liver Committee (PDF - 100 K)
- November 2, 2018 Liver Committee (PDF - 201 K)
- October 30, 2018 Liver Committee (PDF - 104K)
- October 1, 2018 Liver Committee (PDF - 68 K)
- September 27, 2018 Liver Committee (PDF - 78 K)
- September 25, 2018 Liver Committee (PDF - 78 K)
- September 20, 2018 Liver Committee (PDF - 83 K)
- September 4, 2018 Liver Committee (PDF - 109 K)
- August 28, 2018 Liver Committee (PDF - 88 K)
- August 21, 2018 Liver Committee (PDF - 79 K)
- August 14, 2018 Liver Committee (PDF - 78 K)
- August 8, 2018 Liver Committee (PDF - 60 K)
- July 31, 2018 Liver Committee (PDF - 95 K)
- July 24, 2018 Liver Committee (PDF - 15 K)
- July 19, 2018 Liver Committee (PDF - 77 K)
- July 10, 2018 Liver Committee (PDF - 31 K)
- July 3, 2018 Liver Committee (PDF - 67 K)
- June 29, 2018 Liver Committee (PDF - 645 K)
- June 21, 2018 Liver Committee (PDF - 24 K)
- June 15, 2018 Liver Committee (PDF - 101 K)
- June 13, 2018 Liver Committee (PDF - 88 K)
- May 17, 2018 Liver Committee (PDF - 561 K)
- April 19, 2018 Liver Committee (PDF - 74 K)
- March 29, 2018 Liver Committee (PDF - 558 K)
- March 15, 2018 Liver Committee (PDF - 553 K)
- February 15, 2018 Liver Committee (PDF - 560 K)
- February 1, 2018 Liver Committee (PDF - 549 K)
- January 18, 2018 Liver Committee (PDF - 117 K)
- December 21, 2017 Liver Committee (PDF - 562 K)
- December 1, 2017 Liver Committee (PDF - 78 K)
- November 16, 2017 Liver Committee (PDF - 488 K)
- November 8, 2017 Liver Committee (PDF - 478 K)
- November 2, 2017 Liver Committee (PDF - 38 K)
- October 10, 2017 Liver Committee (PDF - 547 K)
- September 26, 2017 Liver Committee (PDF - 485 K)
- August 17, 2017 Liver Committee (PDF - 474 K)
- July 20, 2017 Liver Committee (PDF - 489 K)
- June 19, 2017 Liver Committee (PDF - 486 K)
- June 15, 2017 Liver Committee (PDF - 485 K)
- June 12, 2017 Liver Committee (PDF - 585 K)
- June 8, 2017 Liver Committee (PDF - 475 K)
- May 24, 2017 Liver Committee (PDF - 499 K)
- May 18, 2017 Liver Committee (PDF - 486 K)
- May 8, 2017 Liver Committee (PDF - 504 K)
- April 20, 2017 Liver Committee (PDF - 121 K)
- April 3, 2017 Liver Committee (PDF - 49 K)
- March 9, 2017 Liver Committee (PDF - 469 K)
- February 16, 2017 Liver Committee (PDF - 516 K)
- January 19, 2017 Liver Committee (PDF - 101 K)
- December 29, 2016 Liver Committee (PDF - 62 K)
- December 15, 2016 Liver Committee (PDF - 92 K)
- November 17, 2016 Liver Committee (PDF - 86 K)
- October 24, 2016 Liver Committee (PDF - 245 K)
- September 15, 2016 Liver Committee (PDF - 84 K)
- July 21, 2016 Liver Committee (PDF - 522 K)
- May 26, 2016 Liver Committee (PDF - 492 K)
- April 27, 2016 Liver Committee (PDF - 637 K)
- February 25, 2016 Liver Committee (PDF - 62 K)
- January 21, 2016 Liver Committee (PDF - 580 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.
