Table 4.
Reasons for exception point applications
| Reason for exception application | Number of applications, N (%) | Applications approved, N (%)* | Asked for points to allow patient to receive organ under Share 15 policy † | Number individual applicants | Applicants transplanted, N (%)‡ |
|---|---|---|---|---|---|
| Encephalopathy | 72 (15.9) | 58 (80.6) | 29 (40.3) | 43 (14.3) | 26 (61.9) |
| Hepatocellular carcinoma | 70 (15.5) | 56 (80.0) | 19 (27.1) | 63 (20.9) | 52 (82.5) |
| Refractory ascites | 50 (11.1) | 37 (74.0) | 19 (38.0) | 39 (13.0) | 21 (55.3) |
| Recurrent cholangitis | 43 (9.5) | 34 (79.1) | 8 (18.6) | 25 (8.3) | 16 (64.0) |
| Pruritus | 36 (8.0) | 30 (83.3) | 18 (50.0) | 16 (5.3) | 8 (57.1) |
| Symptomatic polycystic liver disease | 35 (7.7) | 32 (91.4) | 1 (2.9) | 19 (6.3) | 14 (77.8) |
| Other liver tumors | 26 (5.8) | 23 (88.5) | 10 (38.5) | 21 (7.0) | 12 (57.1) |
| Other | 29 (6.4) | 21 (72.4) | 11 (37.9) | 17 (5.7) | 13 (76.5) |
| Refractory hydrothorax | 21 (4.7) | 18 (85.7) | 7 (33.3) | 12 (4.0) | 7 (58.3) |
| Recurrent variceal bleed | 23 (5.1) | 17 (73.9) | 6 (26.1) | 17 (5.7) | 12 (70.6) |
| Other non-variceal GI bleeding | 22 (4.9) | 19 (86.4) | 3 (13.6) | 13 (4.3) | 7 (53.9) |
| PV or SMV thrombosis | 15 (3.3) | 11 (73.3) | 7 (46.7) | 8 (2.7) | 3 (37.5) |
| Spontaneous bacterial peritonitis | 6 (1.3) | 6 (100.0) | 1 (16.7) | 5 (1.7) | 3 (60.0) |
| Portopulmonary HTN or HPS | 4 (0.9) | 4 (100.0) | 1 (25.0) | 3 (1.0) | 3 (100.0) |
*
P=0.61
†
Either asked for 15 points to specifically be eligible, to be able to get local, regional, or donation after cardiac deathor extended-criteria donor organs. P=0.001; overall 148 (31.0%) of applications made specific mention of asking for 15 points to receive a score high enough to receive anorgan. 85.7% vs. 78.9% (P=0.09) applications accepted when made specific mention (or not) of wanting exception points to receive organ
‡
P=0.11