Allocation of liver transplants—a road to consensus

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.

Access options

Rent or Buy article

Get time limited or full article access on ReadCube.


All prices are NET prices.

Figure 1: Ideogram of donor resource distribution among the main liver allocation principles in Italy.


  1. 1

    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).

    Google Scholar 

  2. 2

    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).

    CAS  Article  Google Scholar 

  3. 3

    US Department of Health and Human Services. Organ Procurement and Transplantation Network: National Data [online], (2015).

  4. 4

    Schaubel, D. E. et al. Survival benefit-based deceased-donor liver allocation. Am. J. Transplant. 9, 970–981 (2009).

    CAS  Article  Google Scholar 

  5. 5

    Wiesner, R. et al. United Network for Organ Sharing Liver Disease Severity Score Committee. Gastroenterology 124, 91–96 (2003).

    Article  Google Scholar 

  6. 6

    Kim, W. R. et al. Hyponatremia and mortality among patients on the liver-transplant waiting list. N. Engl. J. Med. 359, 1018–1026 (2008).

    CAS  Article  Google Scholar 

  7. 7

    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).

    Article  Google Scholar 

Download references

Author information



Corresponding author

Correspondence to John P. Roberts.

Ethics declarations

Competing interests

The author declares no competing financial interests.

PowerPoint slides

Rights and permissions

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

Roberts, J. Allocation of liver transplants—a road to consensus. Nat Rev Gastroenterol Hepatol 12, 615–616 (2015).

Download citation

Further reading