What is Acceptable; More Deaths Pre Transplant or More Deaths Post-Transplant. Share 35 Liver Allocation System

On June 18, 2013, the organ procurement and transplant network (OPTN) implemented the, “Share-35” scheme; a change to deceased donor liver allocation. Under Share-35, all candidates in a region with a MELD (Model for End Stage Liver Disease) ≥ 35 have priority over local candidates with MELD < 35. This policy entails prioritization of liver transplant candidate; the sickest first. The main purpose of this allocation policy is to reduce waitlist mortality.