Perioperative mortality in liver transplantation before and after the implementation of the organ allocation policy Share 35

Introduction In 2013, a new liver transplant allocation policy (Share 35) aimed to reduce waitlist‐mortality was introduced in the United States. Regional organ sharing for recipients with a MELD score of ≥35 was prioritized over local allocation to those with lower MELD scores. Our aim was to asses...

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Bibliographic Details
Published in:Clinical transplantation 2023-01, Vol.37 (1), p.e14854-n/a
Main Authors: Holm, Zacharias D., Kolodzie, Kerstin, Galli, Alessandro M., Meyhoff, Christian S., Niemann, Claus U., Adelmann, Dieter
Format: Article
Language:English
Subjects:
clinical decision‐making
End Stage Liver Disease - surgery
Humans
Liver Transplantation
Model for Endstage Liver Disease (MELD)
organ allocation
patient survival
Policy
recipient selection
Retrospective Studies
Severity of Illness Index
Tissue and Organ Procurement
United States - epidemiology
Waiting Lists
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Summary:Introduction In 2013, a new liver transplant allocation policy (Share 35) aimed to reduce waitlist‐mortality was introduced in the United States. Regional organ sharing for recipients with a MELD score of ≥35 was prioritized over local allocation to those with lower MELD scores. Our aim was to assess the changes in perioperative mortality following the introduction of Share 35 as well as changes in patients’ short‐term 7‐day survival, patients discharged alive and 1‐year survival. Analyses were also carried out for the subgroups of patients with MELD scores ≥ and 
ISSN:0902-0063
1399-0012
DOI:10.1111/ctr.14854