National Liver Allocation Policy-Consensus Document by the Liver Transplantation Society of India for a Nationally Uniform System of Allocation of Deceased Donor Liver Grafts

被引:7
作者
Reddy, Mettu S. [1 ]
Mathur, Surendra K. [2 ,17 ]
Sudhindran, Surendran [3 ]
Gupta, Subhash [4 ]
Rela, Mohamed [5 ]
Soin, Arvinder S. [6 ]
Mirza, Darius [7 ]
Asthana, Sonal [8 ]
Chinthakindi, Madhusudhan [9 ]
Jacob, Mathew [10 ]
Kumaran, Vinay [11 ]
Modi, Pranjal [12 ]
Mohanka, Ravi [13 ]
Narasimhan, Gomathy [5 ]
Pal, Sujoy [14 ]
Pamecha, Viniyendra [15 ]
Rastogi, Amit [6 ]
Saigal, Sanjiv [4 ]
Wadhawan, Manav [16 ]
机构
[1] Gleneagles Global Hlth City, Chennai, India
[2] Zonal Transplant Coordinat Ctr, Mumbai, India
[3] Amritha Hosp, Kochi, India
[4] Max Superspecialty Hosp, New Delhi, India
[5] Dr Rela Inst & Med Ctr, Chennai, India
[6] Medanta Medicity, Gurgaon, India
[7] Queen Elizabeth Hosp, Birmingham, England
[8] Aster CMI Hosp, Benguluru, India
[9] Osmania Med Coll & Gen Hosp, Hyderabad, India
[10] Aster Med, Kochi, India
[11] Virginia Commonwealth Univ, Richmond, VA USA
[12] Dr HL Trivedi Inst Transplantat Sci, Ahmadabad, India
[13] Sir HN Reliance Fdn Hosp & Res Ctr, Mumbai, India
[14] All India Inst Med Sci, New Delhi, India
[15] Inst Liver & Biliary Sci, New Delhi, India
[16] BL Kapoor MAX Super Specialty Hosp, New Delhi, India
[17] LTMG Hosp, Zonal Transplantat Coordinat Ctr, 2nd Floor,Sion West, Mumbai 400022, India
关键词
variant syndrome; acute liver failure; paediatric; public sector hospital; Delphi process; FAILURE;
D O I
10.1016/j.jceh.2022.12.001
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Background: Deceased donor liver transplantation (DDLT) is increasing in India and now constitutes nearly one-third of all liver transplantation procedures performed in the country. There is currently no uniform national system of allocation of deceased donor livers. Methods: A national task force consisting of 19 clinicians involved in liver transplantation from across the country was constituted under the aegis of the Liver Transplantation So-ciety of India to develop a consensus document addressing the above issues using a modified Delphi process of consensus development. Results: The National Liver Allocation Policy consensus document includes 46 state-ments covering all aspects of DDLT, including minimum listing criteria, listing for acute liver failure, DDLT wait-list management, system of prioritisation based on clinical urgency for adults and children, guidelines for allocation of paediatric organs and allocation priorities for liver grafts recovered from public sector hospi-tals. Conclusion: This document is the first step in the setting up of a nationally consistent policy of deceased donor liver allocation. ( J CLIN EXP HEPATOL 2023;13:303-318)
引用
收藏
页码:303 / 318
页数:16
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