Organ Donation & Transplant Matters Resources
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Organ Donation & Transplant Matters Resources
Combining reports, research findings and topic reviews
Curated by Deborah Verran
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Who deserves a liver? Officials try to make organ transplants fairer

Who deserves a liver? Officials try to make organ transplants fairer | Organ Donation & Transplant Matters Resources | Scoop.it

Ongoing concerns over whether deceased donor livers are being allocated equitably across the United States have led to ongoing efforts to alter the current allocation scheme.


This has involved modelling of several options all of which require that an increased number of donor livers would be diverted to the patient's with the highest MELD scores. However this has to be done in a way that does not compromise the quality of the donor organ by adding too much in the way of additional transport time.


A new plan would alter how precious organs are distributed and could shift hundreds of them across state and regional borders.


For more on where the current deliberations have got to in the United States click on the banner headline to this story.

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New antiviral treatment could significantly reduce global burden of hepatitis C - University of Bristol

New antiviral treatment could significantly reduce global burden of hepatitis C - University of Bristol | Organ Donation & Transplant Matters Resources | Scoop.it

New antiviral treatment could significantly reduce global burden of hepatitis C University of Bristol Findings, published in Hepatology, reveal the impact of a new antiviral treatment that could potentially reduce HCV rates in some cities affected around the world (including in the United Kingdom and Australia)...

 

The challenge is to lift the rates of treatment of chronic hepatitis C such that the rates of chronic liver disease requiring ongoing medical treatment are then subsequently reduced

 

Deborah Verran's insight:

With chronic hepatitis C being the current leading underlying disease indication for liver transplantation, implementing effective strategies to treat hepatitis C will become increasingly important.

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Transplant 'fairness' at issue for panel, Georgians

Transplant 'fairness' at issue for panel, Georgians | Organ Donation & Transplant Matters Resources | Scoop.it

A committee on liver transplants in the United States has indicated this last weeks that reducing the nation's number of transplant regions — from the current 11 to four (for the purposes of donor liver allocation) — could potentially save hundreds of lives.

 

However as outlined in detail in this article published online, the potential to save lives has to be balanced with utility of donor liver allocation as not all donor livers are of the same quality. This difference in the quality of donor livers currently places constraints on the time period in which they can be transplanted following removal from the donor.

 

The article focuses on the concerns held by surgeons at a transplant programme in Atlanta, Georgia as to how the new scheme would work. To read more on this story click on the banner headline.

Deborah Verran's insight:

In countries with large geographic regions the allocation of donor livers requires a balancing of equity with utility taking into account all of the factors which impact on donor liver utilization.

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