Expanding Access to Liver Transplant: Why Barnes-Jewish Hospital and WashU Medicine Launched an Adult Living Donor Program - Summary - MDSpire

Expanding Access to Liver Transplant: Why Barnes-Jewish Hospital and WashU Medicine Launched an Adult Living Donor Program

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  • June 17, 2026

  • 5 min

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Objective:

To address the growing gap between liver transplant demand and available organs, particularly due to increasing wait times and disease progression, by establishing an adult living donor liver transplant program.

Approach:
    Key Findings:
    • The number of patients on the liver transplant waiting list is increasing, partly due to metabolic dysfunction-associated steatohepatitis (MASH), which has seen a significant rise in registrations.
    • MASH accounted for 20.4% of liver transplant wait list registrations in 2023, highlighting the urgent need for expanded transplant options.
    • Living donor transplantation can benefit patients with significant disease burden despite low MELD scores, offering a critical alternative for timely intervention.
    Interpretation:

    The establishment of the adult living donor program aims to provide timely transplants for patients at risk of disease progression, addressing the urgent need created by increasing wait times.

    Limitations:
    • Adult-to-adult living donor transplantation requires additional infrastructure and planning compared to pediatric settings, which may limit immediate scalability.
    • The program is limited to specific conditions and patient populations identified for living donation, potentially restricting access for some patients.
    Conclusion:

    The program expands treatment options for patients with advanced liver disease in the Midwest, addressing a critical need in the region.

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