How will patients be selected for transplantation in the future?
1. The model for end-stage liver disease has become a selection tool for recipients for liver transplantation. 2. The present selection / allocation system does not recognize distinctions in "donor organ quality." 3. Many studies have shown that donor factors such as age, gender, fat content, and heart beating versus non-heart beating status influence outcome of the liver transplantation. 4. Efforts to increase organ donation are likely to provide more "expanded-criteria donors." 5. Future selection practices may attempt to match specific recipients to specific donors.
Lucey
Michael R
MR
Section of Gastroenterology and Hepatology, University of Wisconsin-Madison, Madison, WI, USA. mrl@medicine.wisc.edu
D000328:Adult; D002648:Child; D003661:Decision Support Techniques; D005762:Gastroenterology / Q000639:trends*; D015276:Health Care Rationing; D006801:Humans; D017093:Liver Failure / Q000503:physiopathology / Q000601:surgery*; D016031:Liver Transplantation; D018579:Patient Selection; D011379:Prognosis; D014019:Tissue Donors