Currently, allocation and distribution of organs are the most controversial aspects of liver transplantation. The scarcity of deceased donor organs has forced transplant centers and patients listed for transplant to compete with other local programs and locally listed patients, respectively, for liver grafts. The requirements for an optimal organ allocation system are (1) evidence-based outcome measures,(2)justice and equity,(3)maximal utility and (4) transparency.Balancing justice and equity for all candidates and individual vs.
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Brown et al. (2005) studied this question.
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