7 doctors weighed in:
What's the extended criteria donor category for liver transplants?
7 doctors weighed in

Dr. Amy Friedman
Surgery - Transplant
1 doctor agrees
In brief: Riskier criteria
Too few organs to save the lives of all who need a liver forces us to offer organs that we might not consider acceptable.
The "extension" of the criteria range may be based on age (a donor > 70 years?), social risk (did the donor use drugs recently?) or other issue. If we don't use an organ that would have been reasonable, another person dies. Informed consent is the key. Speak with your team.

In brief: Riskier criteria
Too few organs to save the lives of all who need a liver forces us to offer organs that we might not consider acceptable.
The "extension" of the criteria range may be based on age (a donor > 70 years?), social risk (did the donor use drugs recently?) or other issue. If we don't use an organ that would have been reasonable, another person dies. Informed consent is the key. Speak with your team.
Dr. Amy Friedman
Dr. Amy Friedman
Thank
Dr. Richard Mangus
Surgery - Transplant
1 doctor agrees
In brief: May be higher risk
Use of extended criteria donor livers has expanded dramatically in recent years as the need for transplant organs increases.
There are two types: high risk from donor social history or high risk from donor physiology. High medical history risk includes donor history of drug use, prostitution, incarceration, previous cancer, alcoholism. Physiology includes fatty liver, injury at death, older age.

In brief: May be higher risk
Use of extended criteria donor livers has expanded dramatically in recent years as the need for transplant organs increases.
There are two types: high risk from donor social history or high risk from donor physiology. High medical history risk includes donor history of drug use, prostitution, incarceration, previous cancer, alcoholism. Physiology includes fatty liver, injury at death, older age.
Dr. Richard Mangus
Dr. Richard Mangus
Thank
1 doctor agrees
In brief: Out regular criteria
Liver transplantation is done on the basis of who needs first, using 'model for end stage liver disease' (meld) not who is first in the line as in the kidney transplantation, when living doner available ( like relative ) then it is extended criteria for l t even though with less meld score , and no waiting time.

In brief: Out regular criteria
Liver transplantation is done on the basis of who needs first, using 'model for end stage liver disease' (meld) not who is first in the line as in the kidney transplantation, when living doner available ( like relative ) then it is extended criteria for l t even though with less meld score , and no waiting time.
Dr. Addagada Rao
Dr. Addagada Rao
Thank
Dr. Ralph Layman
Surgery - Transplant
In brief: Non-standard donor
The use of expanded criteria liver donors is not as well established as in kidney donation.
They include livers from donors with hepatitis c, inactive hepatitis b, steatosis (fatty liver), donation after cardiac death, older (>70) donors, split liver transplants. Not every organ is usable or appropriate for every patient. Ecd livers carry a higher rate of complications.

In brief: Non-standard donor
The use of expanded criteria liver donors is not as well established as in kidney donation.
They include livers from donors with hepatitis c, inactive hepatitis b, steatosis (fatty liver), donation after cardiac death, older (>70) donors, split liver transplants. Not every organ is usable or appropriate for every patient. Ecd livers carry a higher rate of complications.
Dr. Ralph Layman
Dr. Ralph Layman
Thank
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