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 |