Semin Liver Dis 2009; 29(1): 040-052
DOI: 10.1055/s-0029-1192054
© Thieme Medical Publishers

Candidate Selection and Organ Allocation in Liver Transplantation

Muhammad F. Dawwas1 , Alexander E. Gimson1
  • 1Liver Transplant Unit, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom
Further Information

Publication History

Publication Date:
23 February 2009 (online)


Optimal candidate selection and organ allocation should offer liver transplantation to those who are sufficiently sick to justify the procedure but not too sick to benefit from it, in an order determined by patients' projected survival benefit, matching organs of sufficiently good quality to the appropriate recipients. Significant steps have been made in recent years toward devising selection and allocation criteria based on more objective and evidence-based definitions of candidate disease severity, transplant futility, organ quality, and appropriate donor-recipient matching. However, much work remains to be done in the future.


Alexander E Gimson, M.D. 

Liver Transplant Unit, Box 210, Addenbrooke's Hospital, Hills Road

Cambridge CB2 2QQ, United Kingdom