In this example, pediatric transplant candidates listed at transplant hospitals A, B or C would all be within the initial level of distribution for compatible donor offers.
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
Learn how the system will prioritize all liver transplant candidates
In focus

OUT tool now allows OPOs to see movement of organs across the country
Enhancements to OUT (Organ Utilization Tool) give insight into organ movement, timing of responses and use of provisional yes at each program.

Collaborative improvement project helped OPOs increase DCD transplant in 2021
Project participants experienced more DCD recoveries and transplants than the rest of the nation.

Kidney transplants set new record in 2021 following policy change
The new policy helped increase the number of kidney’s transplanted, but the system is still changing to help more people.

Heart transplant sets all-time record in 2021
31,238 lifesaving heart transplants have been performed at hospitals across the country over the past decade.