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Global lessons in graft type and pediatric liver allocation: A path toward improving outcomes and eliminating wait‐list mortality
Author(s) -
Hsu Evelyn K.,
Mazariegos George V.
Publication year - 2017
Publication title -
liver transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.814
H-Index - 150
eISSN - 1527-6473
pISSN - 1527-6465
DOI - 10.1002/lt.24646
Subject(s) - medicine , liver transplantation , organ procurement , context (archaeology) , procurement , narrative review , narrative , intensive care medicine , transplantation , surgery , marketing , business , paleontology , linguistics , philosophy , biology
Current literature and policy in pediatric liver allocation and organ procurement are reviewed here in narrative fashion, highlighting historical context, ethical framework, technical/procurement considerations, and support for a logical way forward to an equitable pediatric liver allocation system that will improve pediatric wait‐list and posttransplant outcomes without adversely affecting adults. Where available, varying examples of successful international pediatric liver allocation and split‐liver policy will be compared to current US policy to highlight potential strategies that can be considered globally. Liver Transplantation 23:86–95 2017 AASLD .