When you choose to come to UPMC for a liver transplant, the evaluation process will begin before you even travel to Pittsburgh. At UPMC, you'll have a team of experts working with you. We’ll guide you through each step of the liver transplant process, from pre-liver transplant evaluation to recovery and lifestyle planning.
To determine your candidacy for liver transplant evaluation, the transplant team will:
If you clear these steps, we’ll schedule your pre-liver transplant assessment. This may take up to one month.
Your liver transplant team at UPMC will help you with all aspects of liver transplant, including the:
Your pre-liver transplant assessment will last one week. You will need to bring a caregiver or support person with you to each appointment.
During your weeklong visit, the transplant team will conduct diagnostic tests, blood work, and multiple consultations to decide if a liver transplant is right for you.
If you don't live near Pittsburgh, Family House offers affordable lodging for transplant patients and their caregivers. Family House is not a medical facility.
Your liver transplant team will mail you a binder packet letting you know where your scheduled appointments and tests will take place. This packet will also provide you with details about the liver transplant evaluation process.
Along with your liver transplant coordinator, your care liver transplant team includes:
The outpatient transplant evaluation can take up to a week to complete. You are required to bring a caregiver with you to each appointment. This person must meet with the transplant team and understand his or her role before, during, and after your liver transplant.
During your pre-liver transplant assessment, you might have these clinical tests:
To prepare for certain tests, we may ask you to not eat or take some medicines before coming to the hospital. Any of those additional requirements for your pre-liver transplant evaluation will be on your schedule in the binder mailed to you.
Your care team will give you instructions before each test and consultation.
Liver transplant tests include:
These tests will provide comprehensive data for the transplant team to assess the function of your liver and other body systems to determine if you are a candidate for transplant.
Whenever possible, the transplant team will look for other ways to treat your liver disease and void performing a liver transplant too early.
You may also need to go to counseling or rehab for alcohol, depending on the cause of your liver failure.
If you're a candidate for liver transplant, we will place you on the UNOS (United Network for Organ Sharing) waiting list. Prior to being placed on the waiting list, your insurance company has to provide approval. You will be notified regarding the outcome by phone and mail.
If it is determined you are not a candidate for transplant at this time, you may be asked to return for additional testing to be cleared medically to be placed on the waiting list.
Your blood type and your MELD (Model for End-Stage Liver Disease) score decide your position on the liver transplant wait list.
The MELD score is a series of blood tests that measure how your liver works. The higher your score, the higher you will be on the list.
Your UPMC liver transplant team will continue to manage your liver disease while you wait for an organ with your local medical team.
While on the liver transplant wait list, you need to live within 4 to 6 hour travel radius of UPMC so you can get to the hospital when we find a liver donor match.
You will need to get blood tests periodically to recertify your MELD score and be seen in the clinic at least every 6 months so the team can assess your readiness for transplant.
Most patients continue to see their primary hepatologist for follow-up care during this waiting time. Your doctor will remain in contact with the transplant team at UPMC during this time in addition to your regularly scheduled visits at UPMC.
If you don't live near Pittsburgh, please find a way to move closer. Family House an affordable "home away from home" for liver transplant patients and their families. This is not a medical facility.