Impact of Acuity Circles on Outcomes for Pediatric Liver Transplant Candidates.

ABSTRACT:

Background

In December 2018, United Network for Organ Sharing approved an allocation scheme based on recipients' geographic distance from a deceased donor (acuity circles [ACs]). Previous analyses suggested that ACs would reduce waitlist mortality overall, but their impact on pediatric subgroups was not considered.

Methods

We applied Scientific Registry of Transplant Recipients data from 2011 to 2016 toward the Liver Simulated Allocation Model to compare outcomes by age and illness severity for the United Network for Organ Sharing-approved AC and the existing donor service area-/region-based allocation schemes. Means from each allocation scheme were compared using matched-pairs t tests.

Results

During a 3-year period, AC allocation is projected to decrease waitlist de

SUBMITTER: Mogul DB 

PROVIDER: S-EPMC7319877 | biostudies-literature | 2020 Aug

REPOSITORIES: biostudies-literature