Increasing equity in liver transplant
- National liver review board to be implemented April 30 (3/2019)
- Board approves updated liver distribution system (12/2018)
- See a summary of the discussion at the board meeting (PDF; 12/2018)
- View Board briefing paper (PDF; 12/2018)
- Access a recording of the liver proposal discussion at the 12/3/2018 Board of Directors Meeting
- Read a transcript of the liver proposal discussion (PDF; 12/2018)
- SRTR Liver Simulated Allocation Model (LSAM) Analysis Report - (PDF - 15 MB)
- DSA-level Data Tables - Data Request Based on Circle-Based Allocation - (PDF - 136 KB)
- OPTN Liver and Intestinal Organ Transplantation Committee Data Analysis Request - (PDF - 466 KB)
- Proposed distribution frameworks overview (PDF - 1.3 M; 8/2018)
- Ad Hoc Geography Committee's charge, its members, and summaries of previous meetings.
- Article in the Journal of Health & Biomedical Law analyzing legal issues related to the emergent lung allocation policy enacted in November 2017. (PDF - 180 K; 7/2018)
- June 6 memo to members from Board President Yolanda Becker, M.D. (PDF - 51 K; 6/2018)
- June 20 update to members from Board President Yolanda Becker, M.D. (PDF - 63 K; 6/2018)
- Read a July 31 memo from HRSA Administrator George Sigounas, M.S., Ph.D., to the OPTN regarding further development of organ distribution policies. (PDF - 142 K; 7/2018)
- Read an August 13 reply from the OPTN to HRSA’s memo of July 31. (PDF - 251 K; 8/2018)
- Read a March 14 memo from HRSA administrator George Sigounas, M.S., Ph.D. (PDF - 3/2019)
- Read a March 26 reply from the OPTN to HRSA's memo of March 14. (PDF - 3/2019)
- Liver committee updates:
The OPTN is working to improve the equitable allocation of livers for transplantation for patients across the country waiting for a liver transplant.
The MELD score is used to assess liver candidates’ severity of illness. The OPTN is committed to developing a policy to minimize the variance in the median MELD score at transplant across different areas of the country.
The OPTN/UNOS Liver and Intestinal Organ Transplantation Committee has studied a number of possible solutions. It has widely sought public feedback on concepts to improve liver distribution and reviewed statistical modeling of the possible impact of various options.
- Learn more about how a proposal idea can become transplant policy.
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Watch a video about how organ allocation and distribution policy is made. [Exit Disclaimer]
Liver allocation and distribution policy has continued to evolve since it began in 1987. Changes over time have broadened urgent candidates’ access to liver transplantation and significantly reduced deaths among waiting list candidates.
Per the OPTN Final Rule, OPTN allocation policies must, among other factors, be based on sound medical judgment, seek to achieve the best use of donated organs, and shall not be based on a candidate’s place of residence or listing except to the extent required to satisfy other factors. The OPTN and transplant community must always balance these factors as organ allocation policies are created and changed.