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Liver and Intestinal Organ Transplantation Committee

Liver and Intestinal Organ Transplantation Committee. Fall 2012 Public Comment Cycle. Recent Board Action. Share 15 and Share 35 Approved – June 2012. Policy Implementation. Share 15 and Share 35 National Share for Combined Liver-Intestine Candidate: TBD (post-Chrysalis)

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Liver and Intestinal Organ Transplantation Committee

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  1. Liver and Intestinal Organ Transplantation Committee Fall 2012 Public Comment Cycle

  2. Recent Board Action Share 15 and Share 35 Approved – June 2012

  3. Policy Implementation • Share 15 and Share 35 • National Share for Combined Liver-Intestine Candidate: TBD (post-Chrysalis) • HCC Imaging Criteria: TBD (post-Chrysalis)

  4. Recent Public Comment • HCC Hold Proposal • Public Comment - Spring 2012 • Committee reviewed comments – Sept 5 • To be submitted to the Board – November 2012 • No changes post-public comment

  5. Ongoing Committee Initiatives • Reducing discards • Facilitated Placement • HCC Allocation Issues - SRTR modeling • MELD Refit (with or without Na) • Review of MELD/PELD exceptions and RRB practices

  6. Adult Non-Status 1 Deceased Donor Liver TxsJanuary 1, 2009 - June 30, 2012

  7. New Committee Initiatives • Standard MELD Exception for recipients of DCDs • Revisiting the PELD allocation score • Exploring alternative options for liver distribution with regard to geographic disparity

  8. Adult Non-Status 1 Deceased Donor Liver TxsJanuary 1, 2009 - June 30, 2012

  9. Liver Biopsy Resources • Donor liver biopsy form • Photo documentation resource guide • Steatosis guide On OPTN Website: http://optn.transplant.hrsa.gov/resources/professionalResources.asp

  10. Liver Committee Contacts: • Chair: Kim Olthoff, MD kim.olthoff@uphs.upenn.edu • Vice Chair: David Mulligan, MD mulligan.david@mayo.edu • Policy Analyst/Committee Liaison: Ann Harper ann.harper@unos.org

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