Why some people are turned down for a liver transplant

It may seem unjust or arbitrary when a loved one is rejected for a liver transplant. Everyone who requires a transplant deserves the chance to be assessed, but not everyone can be put on the waiting list, even when you are in the best liver hospital in India.

In the United States, more than 6,000 liver transplants are carried out annually. There are around 12,000 people on the waiting list, and due to a severe organ shortage, over 2,000 people pass away each year while they are on the list. A committee of liver transplant specialists meets frequently to discuss potential candidates for each of the 143 transplant programmes in the United States. This committee’s mission is to make sure that patients who are capable of handling the challenges of life following a liver transplant are fairly provided with life-saving organs.

If a patient has problems from end-stage liver disease, some types of liver cancer, or acute (sudden) liver failure, then they may be a candidate for a liver transplant. By calculating the MELD score—which stands for Model for End-stage Liver Disease—b specialists can also determine whether a patient needs a liver transplant. The bilirubin, and creatinine levels from three widely used blood tests that assess liver and kidney function are used by the MELD score to objectively quantify the severity of someone’s liver illness. While low scores (often fewer than 15) suggest that a person may not benefit from a transplant, higher scores indicate a more urgent need for liver transplantation.

It is not sufficient to have end-stage liver disease complications or a high MELD score to qualify for a liver transplant in India. Additionally, patients must be in good enough health to endure a difficult and dangerous surgery. Morbid obesity, past abdominal surgery, substantial blood clots, or overall physical weakness are some conditions that might make transplant surgery very difficult and may disqualify a patient from being listed. Patients need to show they are ready and able to follow a complicated medical regimen that involves regular doctor appointments, taking a number of drugs, and having blood work and scans done often. Candidates for transplantation must be free from any social or financial obstacles and have access to sufficient carer assistance both before and after transplantation.

Patients with untreated psychological problems, alcoholism, or other substance misuse disorders are not eligible for transplantation. Even if they match all of these standards, some patients are not put on the waiting list because they are either too healthy or too ill for a liver transplant.

An adverse decision from the transplant committee is difficult for a family member or loved one to accept, but the decision to deny someone a liver transplant is never made arbitrarily. The choice of suitable transplant candidates is made after a thorough evaluation process and consideration of numerous objective parameters by numerous experts.
After addressing the committee’s concerns, it is possible to reassess patients in some cases. Patients who are finally turned away by one transplant facility are allowed to visit another canter for a second opinion, which occasionally results in the patient being added to the waiting list.

 

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