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Invited Commentary
September 8, 2021

Acuity Circles—Higher Cost for Fewer Transplants?

Author Affiliations
  • 1Section of Surgical Sciences, Vanderbilt University Medical Center, Nashville, Tennessee
JAMA Surg. Published online September 8, 2021. doi:10.1001/jamasurg.2021.4407

In JAMA Surgery, Wall and colleagues1 examine the financial impact of the new acuity circles policy for liver allocation enacted in early February 2020.1 Their data from 2 liver transplant centers show an increase in cost of $7200 per accepted and $5600 per declined liver donor. Extrapolation over the 9700 liver donors across the United States in 20202 yields an increase of nearly $70 million to the US transplant system.

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