Expanding Access to Liver Transplant: Why Barnes-Jewish Hospital and WashU Medicine Launched an Adult Living Donor Program - Summary - MDSpire
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Expanding Access to Liver Transplant: Why Barnes-Jewish Hospital and WashU Medicine Launched an Adult Living Donor Program
For hepatologists and other physicians who treat patients with advanced liver disease, the gap between the number of patients who need transplant and the number of available organs is a familiar challenge.
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.