Abstract:
:The United Network for Organ Sharing is poised to resolve geographic disparity in liver transplantation and promote allocation based on medical urgency. At the time of writing, United Network for Organ Sharing is considering redistricting the organ procurement and transplantation network so that patient model for end-stage liver disease scores at transplant is more uniform across regions.We review the proposal with a systems-engineering focus and find that although the proposal is promising, it currently lacks evidence that it would perform effectively under realistic departures from its underlying data and assumptions. Moreover, we caution against prematurely focusing on redistricting as the only method to mitigate disparity. We describe system modeling principles which, if followed, will ensure that the redesigned allocation system is effective and efficient in achieving the intended goals.
journal_name
Transplantationjournal_title
Transplantationauthors
Mehrotra S,Kilambi V,Gilroy R,Ladner DP,Klintmalm GB,Kaplan Bdoi
10.1097/TP.0000000000000656subject
Has Abstractpub_date
2015-02-01 00:00:00pages
278-81issue
2eissn
0041-1337issn
1534-6080pii
00007890-201502150-00014journal_volume
99pub_type
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