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Stanford Health Care

Predicting survival after liver transplant: A noble pursuit or a fool's errand? Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society Kwong, A. J., Kim, W. R. 2021

Abstract

Organ shortage continues to limit our ability to provide transplant to all in need of liver transplantation. The current urgency-based system is based on the laboratory MELD-Na score, which efficiently and effectively rank orders patients by their estimated risk for 90-day waitlist mortality, with a c-statistic of 0.88.1 MELD-Na is agnostic to factors such as age, etiology of liver disease, and co-morbidity, as well as one's expected post-transplant survival. Transplant centers are entrusted, according to the Final Rule, to ensure that candidates meet a minimal threshold of utility where liver transplant would benefit the patient.

View details for DOI 10.1002/lt.26057

View details for PubMedID 33773023