Changing Dynamics in Liver Allocation: Donor and Recipient Traits Pre- and Post Acuity Circle Implementation Article Swipe
Yongchen Fang
,
Jahnavi Nadella
,
Mark P. Yeager
,
Daniel Sculley
,
David M. Bagley
,
Noor Alyasiry
,
Raymond I Okeke
,
John Rehder
,
Mustafa Nazzal
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.7759/cureus.94206
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.7759/cureus.94206
Data from the National Standard Transplant Analysis and Research (STAR) file were analyzed for liver transplants performed between February 4, 2017, and February 3, 2023. Donor and recipient variables were assessed using chi-squared and t-tests. Geographic trends and changes in transplant volumes were analyzed. Results: Following the AC implementation, transplant volume rose by 10%, with a 558% national allocation increase and a 34% local allocation decrease (p<0.001), with an increase in average distance from the donor hospital to the transplant center. Cold ischemic time increased from 5.74 to six hours (p<0.001), while the average waitlist time decreased from 232 to 182 days (p<0.001). High-severity patients received more transplants, with MELD scores rising from 23.1 to 24.7 (p<0.001). Conclusions: The AC policy was associated with altered transplant allocation patterns, improved matching based on medical urgency, and reduced waitlist times. However, increased cold ischemic times and travel distances highlighted logistic challenges. While early trends show progress toward equity, further research is needed to address long-term effects and persistent geographic disparities.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.7759/cureus.94206
- https://www.cureus.com/articles/364493-changing-dynamics-in-liver-allocation-donor-and-recipient-traits-pre--and-post-acuity-circle-implementation.pdf
- OA Status
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- References
- 12
- OpenAlex ID
- https://openalex.org/W4414992919
All OpenAlex metadata
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https://doi.org/10.7759/cureus.94206Digital Object Identifier
- Title
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Changing Dynamics in Liver Allocation: Donor and Recipient Traits Pre- and Post Acuity Circle ImplementationWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2025Year of publication
- Publication date
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2025-10-09Full publication date if available
- Authors
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Yongchen Fang, Jahnavi Nadella, Mark P. Yeager, Daniel Sculley, David M. Bagley, Noor Alyasiry, Raymond I Okeke, John Rehder, Mustafa NazzalList of authors in order
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https://doi.org/10.7759/cureus.94206Publisher landing page
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https://www.cureus.com/articles/364493-changing-dynamics-in-liver-allocation-donor-and-recipient-traits-pre--and-post-acuity-circle-implementation.pdfDirect link to full text PDF
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YesWhether a free full text is available
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diamondOpen access status per OpenAlex
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https://www.cureus.com/articles/364493-changing-dynamics-in-liver-allocation-donor-and-recipient-traits-pre--and-post-acuity-circle-implementation.pdfDirect OA link when available
- Cited by
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0Total citation count in OpenAlex
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| primary_location.raw_source_name | Cureus |
| primary_location.landing_page_url | https://doi.org/10.7759/cureus.94206 |
| publication_date | 2025-10-09 |
| publication_year | 2025 |
| referenced_works | https://openalex.org/W4205618660, https://openalex.org/W3197129141, https://openalex.org/W3194793556, https://openalex.org/W3111655260, https://openalex.org/W4312185600, https://openalex.org/W4388689090, https://openalex.org/W3195711439, https://openalex.org/W4292229870, https://openalex.org/W4378347562, https://openalex.org/W4319460374, https://openalex.org/W2106645902, https://openalex.org/W4319656293 |
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