More pediatric patients will receive transplants as a result of the new OPTN liver distribution policy.
For pediatric liver donors (younger than age 18), the liver distribution policy passed by the OPTN/UNOS Board of Directors in December 2018 generally increases priority for pediatric candidates before adult candidates other than Status 1A. Livers from pediatric donors will be offered initially to compatible pediatric candidates listed at any transplant hospital within a 500 nautical-mile radius of the donor hospital.
Modeling shows that under the new system:
- More children will receive a transplant
- Fewer people will die waiting
- There will be greater consistency in the geographic areas used to match liver transplant candidates with available organs
New policies were predicted to increase equity through broader sharing.
Data show transplants for four major ethnic groups rebounded after initial decline, Hispanics had steepest decline and smallest rebound.
Data shows that the proportion of en bloc transplants to low EPTS patients more than doubled after implementation.