National Liver Allocation Policy-Consensus Document by the Liver Transplantation Society of India for a Nationally Uniform System of Allocation of Deceased Donor Liver Grafts.
J Clin Exp Hepatol
; 13(2): 303-318, 2023.
Article
en En
| MEDLINE
| ID: mdl-36950486
ABSTRACT
Background:
Deceased donor liver transplantation (DDLT) is increasing in India and now constitutes nearly one-third of all liver transplantation procedures performed in the country. There is currently no uniform national system of allocation of deceased donor livers.Methods:
A national task force consisting of 19 clinicians involved in liver transplantation from across the country was constituted under the aegis of the Liver Transplantation Society of India to develop a consensus document addressing the above issues using a modified Delphi process of consensus development.Results:
The National Liver Allocation Policy consensus document includes 46 statements covering all aspects of DDLT, including minimum listing criteria, listing for acute liver failure, DDLT wait-list management, system of prioritisation based on clinical urgency for adults and children, guidelines for allocation of paediatric organs and allocation priorities for liver grafts recovered from public sector hospitals.Conclusion:
This document is the first step in the setting up of a nationally consistent policy of deceased donor liver allocation.
ACLF, acute on chronic liver failure; ALF, acute liver failure; CLD, chronic liver disease; CSS, Clinical Severity Score; CSS-P, Clinical Severity Score for Paediatric Recipients; DD, deceased donation; DDLG, deceased donor liver grafts; DDLT, deceased donor liver transplantation; Delphi process; HCC, hepatocellular carcinoma; LDLT, living donor liver transplantation; LT, liver transplantation; MELD, Model for End-Stage Liver Disease; N-LAP, National Liver Allocation Policy; NABL, National Accreditation Board for Testing & Calibration Laboratories; PELD, Paediatric Model for End-Stage Liver Disease; PuSH, Public Sector Hospital; WL, waiting list; acute liver failure; paediatric; public sector hospital; variant syndrome
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Banco de datos:
MEDLINE
Tipo de estudio:
Guideline
/
Prognostic_studies
Idioma:
En
Año:
2023
Tipo del documento:
Article