A Tale Full of Sound and Fury
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In the current issue of Liver Transplantation, Chyou et al present an analysis of the new Acuity Circle (AC) distribution model for liver transplantation in the United States. 1 The authors analyzed Organ Procurement and Transplantation Network (OPTN) data from the six month period prior to the adoption of the policy (8/8/2019-2/3/2020), compared to the six months after the policy began (3/5/2020-8/31/2020), excluding status 1A, pediatric, living donor transplants, and transplants performed within the month of February to allow for a one-month "adjustment period."
[1] D. Goldberg,et al. A 6‐Month Report on the Impact of the Organ Procurement and Transplantation Network/United Network for Organ Sharing Acuity Circles Policy Change , 2021 .
[2] M. Abouljoud,et al. Effects of Allocating Livers for Transplantation Based on Model for End-Stage Liver Disease-Sodium Scores on Patient Outcomes. , 2018, Gastroenterology.
[3] R. Wiesner,et al. Liver transplantation for hepatocellular cancer: the impact of the MELD allocation policy. , 2004, Gastroenterology.