Recommendations for Donor and Recipient Selection and Risk Prediction: Working Group Report From the ILTS Consensus...

Area of Science:

• Hepatology
• Transplantation Surgery
• Organ Donation

Background:

• Donation after circulatory death donors (DCDs) are increasingly used for liver transplantation (LT).
• Current clinical practice lacks universally accepted criteria for DCD donor and recipient risk factors and prediction models.
• This highlights a need for standardized guidelines in DCD liver transplantation (DCD-LT).

Framework:

• A consensus conference by the International Liver Transplantation Society convened experts on January 31, 2020, in Venice, Italy.
• The conference utilized a grade system to review global DCD-LT practices.
• International experts formed 6 working groups to develop evidence-based recommendations.

Implementation:

• Working groups addressed specific questions on donor and recipient risk factors and prediction models in DCD-LT.
• Recommendations were based on a thorough review of existing scientific literature.
• Conference attendees and working group members acted as a jury to finalize these recommendations.

Implications:

• The report presents consensus-based statements and guidelines for DCD-LT.
• These recommendations aim to standardize the use of DCD donors in liver transplantation.
• The findings will guide clinical practice regarding donor and recipient selection and risk assessment in DCD-LT.