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Douglas J. Norman, MD
United Network for Organ Sharing Portland, Ore

JAMA. 1994;272(11):848.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.

—The article by Dr Bronsther and colleagues¹ contained serious inaccuracies and misleading statements.

The first national liver allocation protocol adopted by the United Network for Organ Sharing (UNOS) was based on a system recommended by one of the authors of the article by Bronsther et al. A preexisting, voluntary organ sharing sys

tem called UNOS STAT was continued on a voluntary basis for the sickest patients. It permitted organ procurement organizations to override the national allocation system and distribute livers to UNOS STAT patients from the national pool of waiting patients before considering patients listed on local, regional, and national waiting lists who ranked higher than the UNOS STAT patients for receipt of these organs.

Bronsther et al incorrectly assert that allocation tended to be autoregulatory when the UNOS STAT classification was in place. To the contrary, by October 1989 the transplant community began to question . . . [Full Text PDF of this Article]

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