Organisational structure of liver transplantation in the UK

Langenbeck's Archives of Surgery
J Neuberger

Abstract

This review aims to outline the delivery of liver transplant services in the UK. Liver transplantation in the UK is based on seven designated transplant units serving a population of just over 60 million people. Nearly 900 liver transplants were done in 2013/2014. Potential deceased donors are identified and referred to centrally employed specialist nurses for obtaining family consent and for donor characterisation. Organs are retrieved by a National Organ Retrieval Service, based on seven abdominal and six cardiothoracic retrieval teams providing a 24/7 service which has shown to be capable of retrieving organs from up to ten donors a day. Donated organs are allocated first nationally to those who qualify for super-urgent listing. The next priority is for splitting livers, and if there is no suitable recipient or the liver is not suitable for splitting, then livers are offered first to the local centre; each centre has a designated donor zone, adjusted annually to ensure equity between the number of patients listed and the number of donors. The allocation scheme is being reviewed, and national schemes based on need, utility and benefit are being assessed. Outcomes are monitored by National Health Service Blood and Transplant (...Continue Reading

References

Jan 24, 2006·Lancet·Andrew K BurroughsUNKNOWN European Liver Transplant Association
Apr 28, 2009·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·M M AbecassisUNKNOWN American Society of Transplant Surgeons
Sep 30, 2010·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·James NeubergerDavid Collett
Jul 22, 2011·Transplantation·Kerri BarberUNKNOWN United Kingdom Liver Transplant Selection and Allocation Working Party
Jul 6, 2012·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Christopher W MacomberShimul A Shah
Aug 21, 2012·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·John Paul Roberts
Oct 23, 2012·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Jeffrey B HalldorsonJohn Paul Roberts
Dec 21, 2013·Transplantation·Rachel J JohnsonUNKNOWN UK Transplant Registry
Feb 12, 2014·Transplantation Research·Annemarie NijboerAndreas A Schnitzbauer
Feb 12, 2014·Transplantation Research·Markus Guba
Nov 6, 2014·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Reza F SaidiDicken S C Ko

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