Table 1 Minimum listing criteria for LT113,114,115,116,117

From: Addressing global variation and systemic inequities in access to liver transplantation

Minimum Listing Criteria for LT

UK

USA

India

• Decompensated cirrhosis: UKELD > 49

• Variant syndromes where UKELD > 49 criteria may not be met

• HCC: Adapted Milan criteria

• Super-urgent listing: comprises several categories, including paracetamol, non-paracetamol, including acute on chronic presentations of Wilson’s/autoimmune hepatitis/hepatitis B/Budd Chiari, primary graft non-function, hepatic artery thrombosis (HAT) within 21 days of transplant

• ACLF: at least ACLF grade 2. Chronic Liver Failure (CLiF)-C Organ failure score often used

• Decompensated cirrhosis: Model for End-stage Liver Disease (MELD) 3.0 used to guide prioritisation

• “Exception points” for other aetiologies and complications of decompensation with typically lower MELD scores (application for standardised exception or case reviewed by the National Liver Review Board)

• HCC: various criteria used eg Milan, University of California San Francisco—application for a standardised exception

• 1a listing: ALF (paracetamol/non-paracetamol), primary graft non-function or HAT

• Decompensated cirrhosis: MELD > 15

• HCC: meets UCSF criteria

• ALF: Kings College criteria

• Other aetiologies which do not fit MELD criteria are not currently considered on the deceased donor program