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Journal article
Report of a National conference on Liver Allocation in Patients with Hepatocellular Carcinoma in the United States
Liver transplantation, v 16(3), pp 262-278
01 Mar 2010
PMID: 20209641
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
A national conference was held to better characterize the long-term outcomes of liver transplantation (LT) for patients with hepatocellular carcinoma (HCC) and to assess whether it is justified to continue the policy of assigning increased priority for candidates with early-stage HCC on the transplant waiting list in the United States The objectives of the conference were to address specific HCC issues as they relate to liver allocation, develop a standardized pathology report form for the assessment of the explanted liver, develop more specific imaging criteria for HCC designed to qualify LT candidates for automatic Model for End-Stage Liver Disease (MELD) exception points without the need for biopsy, and develop a standardized pretransplant imaging report form for the assessment of patients with liver lesions At the completion of the meeting, there was agreement that the allocation policy should result in similar risks of removal from the waiting list and similar transplant rates for HCC and non-HCC candidates In addition, the allocation policy should select HCC candidates so that there are similar posttransplant outcomes for HCC and non-HCC recipients There was a general consensus for the development of a calculated continuous HCC priority score for ranking HCC candidates on the list that would incorporate the calculated MELD score, alpha-fetoprotein, tumor size, and rate of tumor growth Only candidates with at least stage T2 tumors would receive additional HCC priority points Liver Transpl 16:262-278, 2010. (C) 2009 AASLD.
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Details
- Title
- Report of a National conference on Liver Allocation in Patients with Hepatocellular Carcinoma in the United States
- Creators
- Elizabeth A. Pomfret - Lahey Medical CenterKenneth Washburn - The University of Texas Health Science Center at San AntonioChristoph Wald - Lahey Medical CenterMichael A. Nalesnik - University of PittsburghDavid Douglas - Mayo Clinic, Scottsdale AZ.Mark Russo - Carolinas Medical CenterJohn Roberts - University of California, San FranciscoDavid J. Reich - Drexel UniversityMyron E. Schwartz - Icahn School of Medicine at Mount SinaiLuis Mieles - Memorial Hermann–Texas Medical CenterFred T. Lee - University of WisconsinSander Florman - Tulane UniversityFrancis Yao - University of California, San FranciscoAnn Harper - Virginia Commonwealth UniversityErick Edwards - Virginia Commonwealth UniversityRichard Freeman - Tufts UniversityJohn Lake - University of Minnesota
- Publication Details
- Liver transplantation, v 16(3), pp 262-278
- Publisher
- Wiley
- Number of pages
- 17
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Surgery
- Web of Science ID
- WOS:000275710000005
- Scopus ID
- 2-s2.0-77749320254
- Other Identifier
- 991019168323304721
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InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Gastroenterology & Hepatology
- Surgery
- Transplantation