Geography, transplant centers, and recipients: What can we learn?

Washburn, K. W.

doi:10.1002/lt.21204

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Approaches To Geographic Waiting‐time Discrepancies1

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2015

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“…Further changes in liver allocation policy are again being proposed in an attempt to correct the problem of geographic variations in the time waiting for a transplant . There is no question that correctable geographic disparities violate the Code of Federal Regulations as well as ethical principles of organ allocation.…”

Section: Approaches To Geographic Waiting‐time Discrepanciesmentioning

confidence: 98%

Competition in liver transplantation: Helpful or harmful?

et al. 2015

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Improved outcomes of liver transplantation have led to increases in the numbers of US transplant centers and candidates on the list. The resultant and ever‐expanding organ shortage has created competition among centers, especially in regions with multiple liver transplant programs. Multiple reports now document that competition among the country's transplant centers has led to the listing of increasingly high‐risk patients and the utilization of more marginal liver allografts. The transplant and medical communities at large should carefully re‐evaluate these practices and promote innovative approaches to restoring trust in the allocation of donor organs and confirming that there is nationwide conformity in the guidelines used for evaluating and listing potential candidates for this scarce resource. Liver Transpl 21:145‐150, 2015. © 2014 AASLD.

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Section: Approaches To Geographic Waiting‐time Discrepanciesmentioning

confidence: 98%