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Correspondence
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Volume 340:963-965 March 25, 1999 Number 12
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Geographic Favoritism in Liver Transplantation

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 by Ubel, P. A.
To the Editor: In their Sounding Board article, Ubel and Caplan (Oct. 29 issue)1 identified many important ethical issues with respect to organ allocation. Unfortunately, they included some factual errors and erroneous assumptions.

The adoption of a single national list for liver transplantation is not feasible. The statement that livers can be "stored for . . . 20 hours without serious damage" is scientifically incorrect. With every hour of storage, the rate of dysfunction of transplanted livers increases. Fortunately, virtually all programs have adopted a policy of prompt transplantation to avoid the loss of livers, reduce morbidity and mortality among . . . [Full Text of this Article]

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