The supply of donor livers and kidneys does not meet the demand and is one of the greatest concerns for transplantation candidates, as well as a challenge for clinicians who treat them. According to the Organ Procurement and Transplant Network (OPTN), there were more than 16,000 Americans on the waiting list to receive a liver and 92,000 on the waiting list to receive a kidney in 2011. Experts have been meeting for the past two years to develop a modified liver allocation system that aims to reduce wait-list mortality. In addition, the UNOS has proposed certain kidney allocation policy changes that will help people who have better survival chances to get healthy kidneys.
This presentation will describe the proposed algorithm for liver distribution that, it is anticipated, would reduce the number of wait-list deaths with minimized travel distances for organs and would mitigate the crisscrossing of livers within a region. The proposed policy for kidneys, which will work on a kidney scoring system wherein a donor kidney will be allocated a certain score based on its viability and how long it is likely to function when transplanted, will also be discussed.

Learning Objectives
At the end of this educational activity, participants should be able to

1. Evaluate the proposed modified allocation systems for liver and kidney transplantation
2. Relate the process and rationale by which these proposed changes were reached and the ethical considerations involved in this process

Method of Participation
There are no fees for participating in or receiving credit for this activity.
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• Completing the entire activity
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Method for Calculating CE Credit
CE credit was calculated by the complexity of content.

Faculty Listing
Dorry Segev, MD, PhD
Associate Professor of Surgery, Biostatistics, and Epidemiology
Director of Clinical Research, Division of Transplantation
Johns Hopkins Medicine
Baltimore, Maryland

Disclosures
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Provided By
This activity is provided by OptumHealth Education.

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