Recipient and Donor Selection and Transplant Logistics: The European Perspective
The intermediate and long-term outcomes following orthotopic liver transplantation (OLT) have improved significantly over the years, with 1- and 5-year patient survival rates of 90% and 75%, respectively. This success resulted in growing numbers of potential transplant recipients on waiting lists. The number of transplantable organs remained stable over the last decades and the increased demand could not be met. In recent years this discrepancy between patients listed for liver transplantation and available organs decreased as less candidates were entered on the waiting lists due to changes in listing policies (Fig. 8.1). Nevertheless wait list mortality remains a major problem regardless of various organ allocation policies adopted by transplant programs. This chapter will describe the current situation in Europe with special emphasis on efforts to increase the availability of liver grafts.
KeywordsMELD score Child score Organ allocation Graft procurement Donor selection Donation after cardiac death
- 8.Scandiatransplant. http://www.scandiatransplant.org. Accessed June 2016.
- 9.NHS Blood and Transplant. http://www.organdonation.nhs.uk. Accessed June 2016.
- 10.Eurotransplant International Foundation. http://www.eurotransplant.org. Accessed June 2016.
- 12.Organ procurement and transplantation network. http://optn.transplant.hrsa.gov. Accessed June 2016.
- 13.European liver transplant registry. http://www.eltr.org. Accessed June 2016.
- 14.Dawwas MF, David C, Barber KM, et al. Developing a liver transplantation donor risk index in a national registry. Hepatology. 2007;46:235A.Google Scholar
- 20.Silberhumer GR, de Vries E, Adam R, et al. Are there new definitions of extended liver donor criteria at the beginning of the 3rd millennium? Experiences from 6133 donors. Liver Transpl. 2010;16:S102.Google Scholar
© Springer International Publishing AG, part of Springer Nature 2018