The Liver Meeting 2019-Allocation for Optimizing Long-term Outcomes in Adults

Video Transcription

Video Summary

The speaker starts by thanking the organizers for the opportunity to speak on organ allocation. They address the challenge of optimizing long-term outcomes in adult organ allocation, acknowledging the complexity of the topic and the need for creative solutions. The speaker presents financial disclosures and discusses the mandate for equitable allocation of organs based on medical criteria. They introduce a framework for medical and transplant decision-making, focusing on patient vulnerabilities to adverse outcomes that may not be responsive to transplantation. The speaker highlights the concept of frailty as a measure of non-responsive factors and its association with post-transplant outcomes. They emphasize the importance of assessing frailty longitudinally and suggest using performance-based metrics for allocation. The speaker also considers the challenges of implementing and measuring frailty in clinical practice, as well as potential future research directions. The panel discussion touches on issues such as pediatric organ allocation, splitting organs, and ethical considerations in transplanting patients with cognitive impairments or psychiatric issues. The importance of measuring surgeon skill and optimizing operation lengths for better outcomes is also emphasized. Overall, the speaker's focus on optimizing organ allocation for long-term outcomes, particularly in the context of frailty and non-responsive factors, is central to the discussion.

Asset Caption

Presenter: Jennifer C. Lai

Keywords

organ allocation

long-term outcomes

adult organ allocation

equitable allocation

medical criteria

frailty

post-transplant outcomes

performance-based metrics

surgeon skill