This report summarizes a recent meeting cosponsored by the American Society of Transplant Physicians and the American Association for the Study of @entity409 to formulate minimal criteria by which @entity1 with severe @entity409 will be placed on the waiting list for liver transplantation. The @entity1 agreed that only @entity1 in immediate need of liver transplantation should be placed on the waiting list. @entity1 should not be placed in anticipation of some future need for such therapy. It was agreed that minimal criteria could assist but not replace the clinical judgment of the transplant professionals at individual centers. The criteria will be summarized below for adult @entity1 with @entity4432 . The most important non-disease-specific criterion for placement on the transplant waiting list was an estimated 90% chance of surviving 1 year. This translated into a @entity1 -Pugh score of > or = 7 for @entity1 with @entity82 which places the @entity1 in @entity1 -Pugh class B or C. Cirrhotic @entity1 who have experienced @entity360 caused by portal @entity101 or a single episode of spontaneous @entity298 would meet the minimal criteria irrespective of their @entity1 -Pugh score. There were disease-specific criteria also. These include a sole minimal criterion for @entity1 with @entity879 regardless of etiology of the onset of stage 2 hepatic @entity75 . A requirement for 6 months abstinence from @entity167 before placement on the transplant waiting list was considered appropriate for most @entity1 with @entity5881 . Exceptional cases could get access to the waiting list through a regional review process. Chronic @entity1448 present difficulties because of a different natural history than that of chronic hepatocellular diseases. The use of specific risk scores for primary @entity2835 and @entity991 will likely replace Childs-Pugh classification as the scoring systems become refined. Minimal criteria for any @entity1 with a primary @entity96 would admit any @entity1 with a @entity5 confined to the liver irrespective of size or number of @entity5 , after careful investigation had failed to show spread to lymph nodes, the portal vein, or distant organs. Unusual or rare indications for liver transplantation, including @entity3181 , @entity2360 , and other @entity74 , were also discussed. Finally, it was agreed that there should be no absolute contraindications to placement of @entity1 on the liver transplant waiting list. These criteria should be open to regular review to accommodate advances in the field.

Minimal criteria for placement of adults on the liver transplant waiting list: a report of a national conference organized by the American Society of Transplant Physicians and the American Association for the Study of XXXX .

@entity1 :: ('9606', 'Species') :: ['Child', 'patient', 'Patients', 'participants', 'patients'] @entity2835 :: ('MESH:D008105', 'Disease') :: ['biliary cirrhosis'] @entity82 :: ('MESH:D005355', 'Disease') :: ['cirrhosis'] @entity5881 :: ('MESH:D008108', 'Disease') :: ['alcoholic liver disease'] @entity101 :: ('MESH:D006973', 'Disease') :: ['hypertension'] @entity96 :: ('MESH:D008113', 'Disease') :: ['hepatocellular cancer'] @entity75 :: ('MESH:D001927', 'Disease') :: ['encephalopathy'] @entity879 :: ('MESH:D017114', 'Disease') :: ['fulminant hepatic failure'] @entity167 :: ('CHEBI:16236', 'Chemical') :: ['alcohol'] @entity409 :: ('MESH:D008107', 'Disease') :: ['Liver Diseases', 'liver disease'] @entity991 :: ('MESH:D015209', 'Disease') :: ['primary sclerosing cholangitis'] @entity5 :: ('MESH:D009369', 'Disease') :: ['tumor', 'tumors'] @entity1448 :: ('MESH:D002779', 'Disease') :: ['cholestatic diseases'] @entity4432 :: ('MESH:D065290', 'Disease') :: ['acute or chronic liver disease'] @entity2360 :: ('MESH:D006527', 'Disease') :: ["Wilson's disease"] @entity74 :: ('MESH:D030342', 'Disease') :: ['hereditary disorders'] @entity3181 :: ('MESH:D006502', 'Disease') :: ['Budd-Chiari syndrome'] @entity360 :: ('MESH:D006471', 'Disease') :: ['gastrointestinal bleeding'] @entity298 :: ('MESH:D010538', 'Disease') :: ['bacterial peritonitis']
@entity409 :: (MESH:D008107,Disease) :: ['Liver Diseases']
