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OPTN/UNOS Liver and Intestinal Organ Transplantation Committee. Spring 2013 Update . Policy Implementation. Share 15/Share 35/National Share for Combined Liver-Intestine Candidates - 2 nd or 3 rd quarter 2013 HCC Imaging Criteria: 3 rd Quarter 2013. Reminder: Share 15/35/LI-IN Algorithm.
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OPTN/UNOS Liver and Intestinal Organ Transplantation Committee Spring 2013 Update
Policy Implementation • Share 15/Share 35/National Share for Combined Liver-Intestine Candidates - 2nd or 3rd quarter 2013 • HCC Imaging Criteria: 3rd Quarter 2013
Reminder: Share 15/35/LI-IN Algorithm • Combined local and regional status 1A candidates • Combined local and regional status 1B candidates • Local and regional candidates with M/P Scores >=35 by descending M/P score, local candidates ranked above regional candidates at each score • Local candidates with MELD/PELD scores 29-34 • National Liver-Intestine Candidates • Local candidates with MELD/PELD scores 15-28 • Regional candidates with MELD/PELD scores 15-34
Algorithm (cont.) • National Status 1A candidates • National Status 1B candidates • National Candidates with MELD/PELD scores >=15 • Local candidates with MELD/PELD scores < 15 • Regional candidates with MELD/PELD scores < 15
Ongoing Committee Initiatives • Alternative options for liver distribution with regard to geographic disparity • HCC allocation issues – SRTR modeling • Reducing discards/Facilitated placement
Ongoing Committee Initiatives (cont.) • Review of MELD/PELD exceptions and RRB practices • Working on guidelines for: • Small for size syndrome • Polycystic liver disease • Recurrent choangitis • Gastrointestinal bleeding • Hepatic Hydrothorax
New Committee Initiatives • Revisiting the PELD allocation score