MELD is MELD is MELD? Transplant center‐level variation in waitlist mortality for candidates with the same biological MELD
نویسندگان
چکیده
منابع مشابه
MELD-based liver allocation: who is underserved?
Deceased-donor livers are a scarce, lifesaving resource. For patients whose lives depend upon liver transplantation, policies for prioritizing allograft allocation are of ultimate importance. In the current paradigm, donor livers are allocated on the basis of medical urgency. Thus, the onus is on the transplant community to refine the allocation system continuously so that livers are targeted t...
متن کاملAddition of serum sodium into the MELD score predicts waiting list mortality better than MELD alone.
In this study, we investigated the prognostic value of serum sodium and hyponatremia (< or =130 mEq/L) in 262 cirrhotic patients consecutively listed, 19 of which died (7%), 175 survived (67%), and 68 underwent liver transplantation (26%) during 3 months of follow-up. Hyponatremia was present in 63% of patients who died, compared to 13% of those who survived (P < .001), whereas the proportion w...
متن کاملPairing Heaps with Costless Meld
Improving the structure and analysis in [1], we give a variation of the pairing heaps that has amortized zero cost per meld (compared to an O(log log n) in [1]) and the same amortized bounds for all other operations. More precisely, the new pairing heap requires: no cost per meld, O(1) per find-min and insert, O(log n) per delete-min, and O(log log n) per decrease-key. These bounds are the best...
متن کاملLiver Transplantation in Patients with Portal Vein Thrombosis: Comparing Pre-MELD and MELD era
BACKGROUND Portal vein thrombosis (PVT) used to be a relative contraindication for liver transplantation (LT). This obstacle has been dealt with following the improvement of LT-related techniques. OBJECTIVE To compare the outcome of adult patients with PVT who underwent LT before and after adopting MELD. METHODS We retrospectively searched our database for deceased donor LT recipients who h...
متن کاملAdoption of Meld Score Increases the Number of Liver Transplant
BACKGROUND Liver transplantation is performed at large transplant centers worldwide as a therapeutic intervention for patients with end-stage liver diseases. AIM To analyze the outcomes and incidence of liver transplantation performed at the University of São Paulo and to compare those with the State of São Paulo before and after adoption of the Model for End-Stage Liver Disease (MELD) score....
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ژورنال
عنوان ژورنال: American Journal of Transplantation
سال: 2021
ISSN: 1600-6135,1600-6143
DOI: 10.1111/ajt.16603