In February of 2020,the Organ Procurement and Transplantation Network(OPTN)implemented a new allocation policy for liver and intestinal transplants known as the acuity circles policy.The most significant change in liv...In February of 2020,the Organ Procurement and Transplantation Network(OPTN)implemented a new allocation policy for liver and intestinal transplants known as the acuity circles policy.The most significant change in liver transplant(LT)involved replacing the donor service areas with concentric circles,measured in nautical miles from the donor hospital.These changes in allocation were made to better identify suitable candidates within a specific region with the goal to prioritize liver distribution based on the medical urgency rather than geographical proximity(1,2).While the policy aimed to improve equity,concerns were raised regarding its impact on cost and logistics,particularly the anticipated rise in travel distances between donor hospitals and transplant centers(3-5).展开更多
文摘In February of 2020,the Organ Procurement and Transplantation Network(OPTN)implemented a new allocation policy for liver and intestinal transplants known as the acuity circles policy.The most significant change in liver transplant(LT)involved replacing the donor service areas with concentric circles,measured in nautical miles from the donor hospital.These changes in allocation were made to better identify suitable candidates within a specific region with the goal to prioritize liver distribution based on the medical urgency rather than geographical proximity(1,2).While the policy aimed to improve equity,concerns were raised regarding its impact on cost and logistics,particularly the anticipated rise in travel distances between donor hospitals and transplant centers(3-5).
