title: Global lessons in graft type and pediatric liver allocation: A path toward improving outcomes and eliminating wait-list mortality.
abstract: 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.
authors.affiliation: University of Washington School of Medicine, Seattle Children's Hospital, Seattle, WA.
authors.forename: Evelyn K
authors.initials: EK
authors.lastname: Hsu
authors.affiliation: Pediatric Transplant Surgery, Hillman Center for Pediatric Transplantation, Children's Hospital of Pittsburgh of UPMC, Pittsburgh, PA.
authors.forename: George V
authors.initials: GV
authors.lastname: Mazariegos
mesh_terms: D000328:Adult; D064591:Allografts / Q000592:standards; D001938:Brazil; D002170:Canada; D002648:Child; D058625:End Stage Liver Disease / Q000401:mortality / Q000601:surgery*; D005060:Europe; D006085:Graft Survival; D006291:Health Policy; D006801:Humans; D007391:International Cooperation / Q000331:legislation & jurisprudence; D016031:Liver Transplantation / Q000941:ethics / Q000331:legislation & jurisprudence* / Q000639:trends; D018579:Patient Selection / Q000941:ethics*; D012720:Severity of Illness Index; D020858:Tissue and Organ Harvesting / Q000941:ethics / Q000331:legislation & jurisprudence* / Q000379:methods / Q000639:trends; D009927:Tissue and Organ Procurement / Q000941:ethics / Q000331:legislation & jurisprudence* / Q000379:methods / Q000639:trends; D014481:United States; D014850:Waiting Lists / Q000401:mortality*