The MELD score in patients awaiting liver transplant: Strengths and weaknesses
نویسندگان
چکیده
منابع مشابه
Adoption 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....
متن کاملLimitations of the MELD score in predicting mortality or need for removal from waiting list in patients awaiting liver transplantation
BACKGROUND Decompensated cirrhosis is associated with a poor prognosis and liver transplantation provides the only curative treatment option with excellent long-term results. The relative shortage of organ donors renders the allocation algorithms of organs essential. The optimal strategy based on scoring systems and/or waiting time is still under debate. METHODS Data sets of 268 consecutive p...
متن کاملResponse to "MELD score and serum sodium in the prediction of survival of patients with cirrhosis awaiting liver transplantation".
BACKGROUND/AIMS Serum sodium predicts prognosis in cirrhosis and may improve the prognostic accuracy of the model for end-stage liver disease (MELD) score, but the available information is limited. The aim of the present study was to assess the prognostic value of serum sodium in the prediction of survival at 3 and 12 months after listing in patients with cirrhosis awaiting liver transplantatio...
متن کاملReduced priority MELD score for hepatocellular carcinoma does not adversely impact candidate survival awaiting liver transplantation.
The liver organ allocation policy of the United Network for Organ Sharing (UNOS) is based on the model for end-stage liver disease (MELD). The policy provides additional priority for candidates with hepatocellular carcinoma (HCC) who are awaiting deceased donor liver transplantation (DDLT). However, this priority was reduced on February 27, 2003 to a MELD of 20 for stage T1 and of 24 for stage ...
متن کاملThe Impact of the Meld Score on Liver Transplant Allocation and Results: an Integrative Review
Introduction: Liver transplantation is intended to increase the survival of patients with chronic liver disease in terminal phase, as well as improved quality of life. Since the first transplant until today many changes have occurred in the organ allocation system. Objective: To review the literature on the Model for End-stage Liver Disease (MELD) and analyze its correlation with survival aft...
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ژورنال
عنوان ژورنال: Journal of Hepatology
سال: 2011
ISSN: 0168-8278
DOI: 10.1016/j.jhep.2010.11.008