Basic principles of liver allocation and development over the years

Research output: Contribution to journalReview articlepeer-review

3 Scopus citations


PURPOSE OF REVIEW: Prior to the enactment of the National Organ Transplant Act in 1984, there was no organized system to allocate donor organs in the United States. The process of liver allocation has come a long way since then, including the development and implementation of the Model for End-stage Liver Disease, which is an objective estimate of risk of mortality among candidates awaiting liver transplantation.

RECENT FINDINGS: The Liver Transplant Community is constantly working to optimize the distribution and allocation of scare organs, which is essential to promote equitable access to a life-saving procedure in the setting of clinical advances in the treatment of liver disease. Over the past 17 years, many changes have been made. Most recently, liver distribution changed such that deceased donor livers will be distributed based on units established by geographic circles around a donor hospital rather than the current policy, which uses donor service areas as the unit of distribution. In addition, a National Liver Review Board was created to standardize the process of determining liver transplant priority for candidates with exceptional medical conditions. The aim of these changes is to allocate and distribute organs in an efficient and equitable fashion.

SUMMARY: The current review provides a historical perspective of liver allocation and the changing landscape in the United States.

Original languageEnglish (US)
Pages (from-to)99-103
Number of pages5
JournalCurrent Opinion in Organ Transplantation
Issue number2
StatePublished - Apr 1 2020

Bibliographical note

Publisher Copyright:
© 2020 Wolters Kluwer Health, Inc. All rights reserved.


  • allocation policy
  • liver transplantation
  • organ distribution

PubMed: MeSH publication types

  • Journal Article
  • Review


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