Rationing of livers for transplantation is a difficult problem especially when creation of national policies is needed. Italy recently convened a national consensus conference to decide who should be first in line.
This is a preview of subscription content, access via your institution
Access options
Subscribe to this journal
Receive 12 print issues and online access
$209.00 per year
only $17.42 per issue
Rent or buy this article
Prices vary by article type
from$1.95
to$39.95
Prices may be subject to local taxes which are calculated during checkout
References
Alexander, S. Medical miracle and a moral burden of a small committee. They decide who lives, who dies. Life magazine (Time Inc.) (9 November 1962).
Cillo, U. et al. A multistep, consensus-based approach to organ allocation in liver transplantation: toward a “blended principle model”. Am. J. Transplant. 15, 2552–2561 (2015).
US Department of Health and Human Services. Organ Procurement and Transplantation Network: National Data [online], (2015).
Schaubel, D. E. et al. Survival benefit-based deceased-donor liver allocation. Am. J. Transplant. 9, 970–981 (2009).
Wiesner, R. et al. United Network for Organ Sharing Liver Disease Severity Score Committee. Gastroenterology 124, 91–96 (2003).
Kim, W. R. et al. Hyponatremia and mortality among patients on the liver-transplant waiting list. N. Engl. J. Med. 359, 1018–1026 (2008).
Heimbach, J. K. et al. Delayed hepatocellular carcinoma model for end-stage liver disease exception score improves disparity in access to liver transplant in the United States. Hepatology 61, 1643–1650 (2015).
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Competing interests
The author declares no competing financial interests.
PowerPoint slides
Rights and permissions
About this article
Cite this article
Roberts, J. Allocation of liver transplants—a road to consensus. Nat Rev Gastroenterol Hepatol 12, 615–616 (2015). https://doi.org/10.1038/nrgastro.2015.181
Published:
Issue Date:
DOI: https://doi.org/10.1038/nrgastro.2015.181
This article is cited by
-
Liver transplantation as a lifesaving procedure for posthepatectomy liver failure and iatrogenic liver injuries
Langenbeck's Archives of Surgery (2019)
-
Liver transplantation for hepatocellular carcinoma: outcomes and novel surgical approaches
Nature Reviews Gastroenterology & Hepatology (2017)