Pros and Cons of the Safety Net Rule for Prioritization of Liver Transplant Recipients Who Receive Liver Alone Transplant but Develop End-Stage Renal Disease.

Clin Liver Dis

Transplant Surgery, Atrium Health Wake Forest Baptist, Atrium Health-Carolinas Medical Center, 6th Floor MMP 1025 Morehead Medical Drive, Charlotte, NC 28204, USA.

Published: May 2022

The number of patients presenting with cirrhosis with kidney injury and the potential need for SLKT is increasing. In 2017, standardized criteria were implemented to identify candidates for SLKT as well as criteria for prioritizing LTA recipients for kidney transplant if they developed kidney failure, which is referred to as the 'safety net rule.' Goal of the safety net rule is to provide a pathway that provides increased priority to LTA recipients with renal failure who may have previously undergone SLKT. This article reviews the pros and cons of the safety net rule for liver transplant recipients who develop ESRD.

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http://dx.doi.org/10.1016/j.cld.2022.01.005DOI Listing

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