Reassessing Geographic, Logistical, and Cold Ischemia Cutoffs in Liver Transplantation.

Liver acceptance patterns vary significantly between transplant centers. Data pertaining to outcomes of livers declined by local and regional centers and allocated nationally remains limited. The objective was to compare post-liver transplant outcomes between liver allografts transplanted as a result of national and local-regional allocation. This was a retrospective evaluation of 109 nationally allocated liver allografts used for transplant by a single center. Outcomes of nationally allocated grafts were compared to standard allocation grafts (N  =  505) during the same period. Recipients of nationally allocated grafts had lower model for end stage liver disease scores (17 vs 22, Despite longer cold ischemia times, patient and graft survival outcomes remain excellent and comparable to those seen from standard allocation grafts.