For patients with very high MELD scores, findings indicate a 90-day probability of waitlist death ranging widely from 14% in some DSAs to 82% in others. Patients who are forced to wait longer to receive a transplant also have a higher chance of dying after the procedure, as pre-transplant MELD score have been demonstrated to correlate inversely with posttransplant survival. These staggering statistics demonstrate that the costs of waiting for candidates in some areas have indeed been high, lowering their chances of survival both before and after transplant.
Every candidate for a life-saving liver transplant should have an equal shot at getting one. OPTN and UNOS must continue to move forward with well-developed, thoughtful concepts that will save lives. As the well-documented disparities in liver distribution linger, our shared values of equality in access to organ transplant cannot be achieved. Many patients must continue to wait a long time, get too sick, or die before they can receive a transplant. It’s time to #ActNowUNOS!