Livers will not be offered to patients with a status of 7. Livers will be allocated in the following sequence:

Local

  1. Status 1 patients in descending point order

  2. Status 2A patients in descending point order

  3. Status 2B patients in descending point order

  4. Status 3 patients in descending point order

Regional

  1. Status 1 patients in descending point order

  2. Status 2A patients in descending point order

  3. Status 2B patients in descending point order

  4. Status 3 patients in descending point order

National

  1. Status 1 patients in descending point order

  2. Status 2A patients in descending point order

  3. Status 2B patients in descending point order

  4. Status 3 patients in descending point order

The liver must be transplanted into the original designee or be released back to the donor center or to the UNOS Organ Center for distribution. The final decision whether to use the organ will remain the prerogative of the transplant surgeon and/or physician responsible for the care of that patient. This will allow physicians and surgeons to exercise judgment about the suitability of the organ being offered for their specific patients; to be faithful to their personal and programmatic philosophy about such controversial matters as the importance of cold ischemia and anatomic anomalies; and to give their best assessment of the prospective recipient's medical condition at the moment. If an organ is declined for a patient, a notation of the reason for the decision not to accept the liver for that patient must be made on the appropriate UNOS form and promptly submitted to UNOS.



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