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Too often, the current system for allocating livers for transplantation benefits patients who are less severely ill at the expense of patients whose need of transplantation is more urgent, according to a panel of experts who published their findings in a report released last month by the Institute of Medicine (IOM).
The group found that the current system is generally fair across the nation for the most critically ill patients: Those with a life expectancy of less than 7 day have comparable waiting times for a liver transplant in different parts of the country.
Stephenson J. Broader Organ Sharing. JAMA. 1999;282(7):625. doi:10.1001/jama.282.7.625-JHA90006-3-1