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A donor is found: Once a suitable deceased donor liver has been found, the patient is called to the hospital.It is best that the patient carry a beeper or cell phone as he or she rises on the transplant list, so that they can be contacted and get to the hospital.These scoring methods were set up so that donor livers could be distributed to those who need them most urgently.The transplantation team: If a liver transplant is considered an option by a primary doctor, the person must also be evaluated by a transplantation team to determine their candidacy.Determining whose need is most critical: The United Network for Organ Sharing uses measurements of clinical and laboratory tests to divide patients into groups that determine who is in most critical need of a liver transplant.In early 2002, UNOS enacted a major modification to the way in which people were assigned the need for a liver transplant.The transplantation team usually consists of a number of people, including a transplant coordinator, a social worker, a hepatologist (liver specialist), and a transplant surgeon.

After the transplantation, the patient is admitted to the intensive care unit.

Previously, patients awaiting livers were ranked as status 1, 2A, 2B, and 3, according to the severity of their current disease.

Although the status 1 listing has remained, all other patients are now classified using the Model for End-Stage Liver Disease (MELD) scoring system if they are aged 18 years or older, or the Pediatric End-Stage Liver Disease (PELD) scoring system if they are younger than 18 years.

In adults, cirrhosis from alcoholism, hepatitis C, biliary disease, or other causes are the most common diseases requiring transplantation.

In children, and in adolescents younger than 18 years, the most common reason for liver transplantation is biliary atresia, which is an incomplete development of the bile ducts.

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