MELD score at LT increased from 23.4 (MELD era) compared to 20.3. The transplant team will discuss all these options with patients during transplant education. Organ allocation for liver transplantation (LT) in the United States is based on. In some cases, an expanded criteria donor liver may be a perfectly acceptable and a potentially preferable way to obtain a timely transplant. Donors who may have increased risk of poorer graft function or disease transmission have expanded criteria organs. Third, a patient can receive an expanded criteria deceased donor. Second, a patient can seek a living donor who is suitable to give a portion of the liver. The multiple centers must be located in different regions-a patient can only be registered at one center in each region. First, patients can register as a recipient at more than one center. There are three ways to move up the donor list. Patients with blood type O tend to have longer waiting times compared with patients with other blood types, because type O is the most common blood type in the United States. Waiting times will vary according to severity of illness as well as blood type. Those with higher MELD scores have more severe illness and are higher on the waiting list. The MELD score is calculated from blood tests, which need to be updated at least every three months and more often in sicker patients. Patients waiting for liver transplantation receive a Model for End-Stage Liver Disease (MELD) score that determines their place on the waiting list. If the patient does not have a primary care provider, the Liver Program will assist the patient in obtaining one to help with general health issues. The Liver Program's financial counselor is available to discuss financial concerns or changes in insurance status. Patients receive guidance about nutrition and where to go in case of emergency. We communicate with our patients' primary doctors to maintain general health, especially when there are other chronic conditions such as diabetes. More frequent visits may be required, depending on severity of illness. During the waiting time, patients on the liver transplant list are followed by the Liver Program at least every three months until transplantation.
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