The UK DCD Risk Score: Still no consensus on futility in DCD liver transplantation.

Abstract

The UK DCD Risk Score, recently published in March 2018, stratifies controlled donation after circulatory death (cDCD) liver recipients according to 7 variables and aims to predict 1-year graft survival. Donor age >60 years, cold ischemia >6 hours, and recipient lab Model for End-stage Liver Disease score >25 are assigned 2 points each; donor body mass index >25, functional warm ischemia >20-30minutes, and recipient age >60 years 3 points; functional warm ischemia >30 minutes 6 point and retransplantation 9 points. Scores of 0–5 are ‘‘lowrisk” (estimated 1-year graft survival >95%), 6–10 ‘‘high-risk” (1-year graft survival >85%), and >10 ‘‘futile” (1-year graft survival <40%).