Table 1.
United States Adult Deceased Donor Liver Distribution Policy
| Share 15 | Share 15 National | Share 15 National with Share 35 Regional |
|---|---|---|
| Local status 1A | Local status 1A | Local status 1A |
| Regional status 1A | Regional status 1A | Regional status 1A |
| Regional status 1B | Regional status 1B | Regional status 1B |
| Local MELD score ≥15 | Local MELD score ≥15 | Candidates with MELD/PELD scores ≥35 in descending order of MELD score, with local candidates ranked above regional candidates at each level of MELD score |
| Regional MELD score ≥15 | Regional MELD score ≥15 | Local MELD score ≥15 |
| Local MELD score <15 | National status 1A | Regional MELD score ≥15 |
| Regional MELD score <15 | National status 1B | National status 1A |
| National status 1A | National MELD score ≥15 | National status 1B |
| National status 1B | Local MELD score <15 | National MELD score ≥15 |
| National MELD | Regional MELD score <15 | Local MELD score <15 |
| National MELD score <15 | Regional MELD score <15 | |
| National MELD score <15 |
Offers for livers are prioritized from top to bottom and are only offered to a lower priority candidate if there are no accepting candidates in previous rows. Share 15 was the distribution strategy until recently. Share 15 National and Share 35 Regional were implemented in Spring 2013.