{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T11:37:28Z","timestamp":1788349048495,"version":"build-2803163510"},"reference-count":19,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"7","license":[{"start":{"date-parts":[[2015,9,1]],"date-time":"2015-09-01T00:00:00Z","timestamp":1441065600000},"content-version":"tdm","delay-in-days":427,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2014,7]]},"abstract":"<jats:sec>\n            <jats:title\/>\n            <jats:p>The liver donor risk index (LDRI), originally developed in 2006 by Feng et al. and since modified, is a method of evaluating liver grafts from deceased donors through the determination of the relative risk of graft failure after transplantation. Online and paper surveys about attitudes and practices regarding decision making in liver transplantation and the role of the LDRI were sent to liver transplant physicians. One hundred forty-seven of 401 eligible respondents (37%) returned partial or complete surveys. The majority of the respondents were male (116\/134 or 87%) and practiced in academic medical centers (128\/138 or 93%). Transplant coordinators initially contacted the candidate with an offer in 81% of the programs. Eighty-eight of 143 respondents (62%) reported that they were very familiar with the LDRI, but the vast majority (114\/137 or 83%) rarely or never discussed the concept of the LDRI with their patients. A majority of the respondents (96\/132 or 73%) believed that the LDRI does not adequately describe a liver's relative risk of graft failure and that there are factors making the LDRI potentially misleading (122\/138 or 88%). Nevertheless, 60 of 130 respondents (46%) believed that the LDRI would increase\/improve shared decision making. The LDRI has not been widely adopted because of concerns that (1) it does not accurately reflect posttransplant survival, (2) it excludes relevant donor and recipient factors, and (3) it is too complicated for candidates to grasp. There is a need to improve it or to develop other decision-making tools to help promote shared decision making. There is also great diversity in how liver offers are made to ambulatory candidates and in how transplant programs address a candidate's refusal. Research is needed to determine evidence-based best practice. <jats:italic toggle=\"yes\">Liver Transpl 20:831-837, 2014<\/jats:italic>. \u00a9 2014 AASLD.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1002\/lt.23879","type":"journal-article","created":{"date-parts":[[2014,4,2]],"date-time":"2014-04-02T03:56:38Z","timestamp":1396410998000},"page":"831-837","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":22,"title":["Decision making in liver transplantation\u2014Limited application of the liver donor risk index"],"prefix":"10.1097","volume":"20","author":[{"given":"Leslie","family":"Mataya","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Aronsohn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard J.","family":"Thistlethwaite","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lainie Friedman","family":"Ross","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-12-20250124","doi-asserted-by":"crossref","first-page":"783790","DOI":"10.1111\/j.1600-6143.2006.01242.x","article-title":"Characteristics associated with liver graft failure: the concept of a donor risk index.","volume":"6","author":"Feng","year":"2006","journal-title":"Am J Transplant"},{"key":"R2-12-20250124","doi-asserted-by":"crossref","first-page":"395404","DOI":"10.1002\/lt.23398","article-title":"Development of organspecific donor risk indices.","volume":"18","author":"Akkina","year":"2012","journal-title":"Liver Transpl"},{"key":"R3-12-20250124","first-page":"41134115","article-title":"Liver recipient survival rate before and after Model for EndStage Liver Disease implementation and use of donor risk index.","volume":"42","author":"Palmiero","year":"2010","journal-title":"Transplant Proc"},{"key":"R4-12-20250124","doi-asserted-by":"crossref","first-page":"23412347","DOI":"10.1053\/j.gastro.2010.02.008","article-title":"Donor race does not predict graft failure after liver transplantation.","volume":"138","author":"Asrani","year":"2010","journal-title":"Gastroenterology"},{"key":"R5-12-20250124","doi-asserted-by":"crossref","first-page":"499505","DOI":"10.1002\/lt.500040606","article-title":"Race: a critical factor in organ donation, patient referral and selection, and orthotopic liver transplantation?","volume":"4","author":"Eckhoff","year":"1998","journal-title":"Liver Transpl Surg"},{"key":"R6-12-20250124","doi-asserted-by":"crossref","first-page":"540546","DOI":"10.1111\/j.1440-1746.2011.06844.x","article-title":"Grade of deceased donor liver macrovesicular steatosis impacts graft and recipient outcomes more than the donor risk index.","volume":"27","author":"de Graaf","year":"2012","journal-title":"J Gastroenterol Hepatol"},{"key":"R7-12-20250124","doi-asserted-by":"crossref","first-page":"745753","DOI":"10.1097\/SLA.0b013e3182365081","article-title":"Are there better guidelines for allocation in liver transplantation? A novel score targeting justice and utility in the Model for EndStage Liver Disease era.","volume":"254","author":"Dutkowski","year":"2011","journal-title":"Ann Surg"},{"key":"R8-12-20250124","doi-asserted-by":"crossref","first-page":"15941606","DOI":"10.1002\/lt.20764","article-title":"Development and validation of a model predicting graft survival after liver transplantation.","volume":"12","author":"Ioannou","year":"2006","journal-title":"Liver Transpl"},{"key":"R9-12-20250124","doi-asserted-by":"crossref","first-page":"13931399","DOI":"10.1002\/lt.22176","article-title":"Identification of new donor variables associated with graft survival in a singlecenter liver transplant cohort.","volume":"16","author":"Nafidi","year":"2010","journal-title":"Liver Transpl"},{"key":"R10-12-20250124","doi-asserted-by":"crossref","first-page":"18991902","DOI":"10.1016\/j.transproceed.2008.05.070","article-title":"Donor risk index and organ patient index as predictors of graft survival after liver transplantation.","volume":"40","author":"Avolio","year":"2008","journal-title":"Transplant Proc"},{"key":"R11-12-20250124","doi-asserted-by":"crossref","first-page":"13781384","DOI":"10.1097\/TP.0b013e318236cd2f","article-title":"Joint impact of donor and recipient parameters on the outcome of liver transplantation in Germany.","volume":"92","author":"Fruhauf","year":"2011","journal-title":"Transplantation"},{"key":"R12-12-20250124","doi-asserted-by":"crossref","first-page":"15281534","DOI":"10.1097\/TP.0b013e318292827f","article-title":"Who fares worse after liver transplantation? Impact of donor and recipient variables on outcome: data from a prospective study.","volume":"95","author":"Gambato","year":"2013","journal-title":"Transplantation"},{"key":"R13-12-20250124","doi-asserted-by":"crossref","first-page":"19841988","DOI":"10.1111\/j.1600-6143.2007.01887.x","article-title":"Donor factors predicting recipient survival after liver retransplantation: the retransplant donor risk index.","volume":"7","author":"Northup","year":"2007","journal-title":"Am J Transplant"},{"key":"R14-12-20250124","doi-asserted-by":"crossref","first-page":"233242","DOI":"10.1002\/lt.22230","article-title":"The interaction among donor characteristics, severity of liver disease, and the cost of liver transplantation.","volume":"17","author":"Salvalaggio","year":"2011","journal-title":"Liver Transpl"},{"key":"R15-12-20250124","first-page":"513","article-title":"The donorriskindex, ECDscore and DMELDscore all fail to predict shortterm outcome after liver transplantation with acceptable sensitivity and specificity.","volume":"17","author":"Schrem","year":"2012","journal-title":"Ann Transplant"},{"key":"R16-12-20250124","first-page":"243247","article-title":"Waiting time, not donorriskindex, is a major determinant for beneficial outcome after liver transplantation in highMELD patients.","volume":"18","author":"Rauchfuss","year":"2013","journal-title":"Ann Transplant"},{"key":"R17-12-20250124","doi-asserted-by":"crossref","first-page":"10961098","DOI":"10.1016\/j.transproceed.2009.03.097","article-title":"Prognostic evaluation of the donor risk index among a prospective cohort of Italian patients undergoing liver transplantation.","volume":"41","author":"Vitale","year":"2009","journal-title":"Transplant Proc"},{"key":"R18-12-20250124","doi-asserted-by":"crossref","first-page":"6167","DOI":"10.1016\/S0749-3797(00)00258-0","article-title":"Physician response to surveys. A review of the literature.","volume":"20","author":"Kellerman","year":"2001","journal-title":"Am J Prev Med"},{"key":"R19-12-20250124","first-page":"6568","article-title":"How to obtain excellent response rates when surveying physicians.","volume":"26","author":"Thorpe","year":"2009","journal-title":"Fam Pract"}],"container-title":["Liver Transplantation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Flt.23879","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/01445473-201407000-00012","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,1,24]],"date-time":"2025-01-24T17:32:30Z","timestamp":1737739950000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/01445473-201407000-00012"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,7]]},"references-count":19,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2014]]}},"URL":"https:\/\/doi.org\/10.1002\/lt.23879","relation":{},"ISSN":["1527-6465"],"issn-type":[{"value":"1527-6465","type":"print"}],"subject":[],"published":{"date-parts":[[2014,7]]}}}