Transplant Waitlist

The Waiting Period

Patients accepted as liver transplant candidates are placed on the national organ transplant waitlist.  The Organ Procurement and Transplant Network (OPTN) supervises organ recovery and allocation throughout the nation.  It may take a few weeks to several months for a suitable liver to become available. To match a patient with a liver donor, the donor must be:

• Approximately the same weight and body size as the patient
• Free from disease, infection, or injury that affects the liver
• Usually of the same or a compatible blood type

Your Transplant Coordinator will explain this process in more detail during your education session. The OPTN also provides additional information through their website, https://optn.transplant.hrsa.gov/.

Patient Status

Another very important factor that determines when patients receive a liver is their status. These criteria, overseen by the OPTN, measure medical urgency and ensure that the sickest patients have priority when a donor liver becomes available.

While waiting for a donor organ, patients continue medical therapy as supervised by their family physician, with periodic visits to see the transplant team. If patients travel outside of this area, which is not recommended, they must provide the nurse coordinator with a telephone number where they can be reached.

If patients must be hospitalized before the transplant, they may be admitted either into a hospital close to their home or University Hospital. The transplant coordinator must be notified when a liver transplant candidate is hospitalized, whatever the reason.

Transplant candidates must be prepared to travel to University Hospital the moment a liver becomes available. While that notification often brings hope for the patients, there are times when the donor liver is not appropriate for the candidate or is not in transplantable condition. If this happens, the patient is sent home until the next opportunity arises.