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Since 2013, the regional network of transplantation centers "LAZIO TRANSPLANT" have adopted a new, mixed system for the allocation of liver grafts. The organs from donors aged65 are assigned to patients with higher Model for End-stage Liver Disease (MELD) scores on a common regional waiting list, whereas those from donors aged 65 are allocated to patients with higher MELD scores on a specific local waiting list (LWL) at each center, on a rotational basis. The new mixed allocation model grants a more rational allocation of the "stand