Journal article
Are MELD and MELDNa Still Reliable Tools to Predict Mortality on the Liver Transplant Waiting List?
Transplantation, Vol.106(11), pp.2122-2136
11/01/2022
DOI: 10.1097/TP.0000000000004163
PMID: 35594480
Abstract
Liver transplantation is the only curative treatment for end-stage liver disease. Unfortunately, the scarcity of donor organs and the increasing pool of potential recipients limit access to this life-saving procedure. Allocation should account for medical and ethical factors, ensuring equal access to transplantation regardless of recipient's gender, race, religion, or income. Based on their short-term prognosis prediction, model for end-stage liver disease (MELD) and MELD sodium (MELDNa) have been widely used to prioritize patients on the waiting list for liver transplantation resulting in a significant decrease in waiting list mortality/removal. Recent concern has been raised regarding the prognostic accuracy of MELD and MELDNa due, in part, to changes in recipients' profile such as body mass index, comorbidities, and general condition, including nutritional status and cause of liver disease, among others. This review aims to provide a comprehensive view of the current state of MELD and MELDNa advantages and limitations and promising alternatives. Finally, it will explore future options to increase the donor pool and improve donor-recipient matching.
Details
- Title: Subtitle
- Are MELD and MELDNa Still Reliable Tools to Predict Mortality on the Liver Transplant Waiting List?
- Creators
- Marta Tejedor - Hospital Universitario Infanta LeonorNazia Selzner - University of TorontoMarina Berenguer - Instituto de Investigación Sanitaria La Fe
- Resource Type
- Journal article
- Publication Details
- Transplantation, Vol.106(11), pp.2122-2136
- DOI
- 10.1097/TP.0000000000004163
- PMID
- 35594480
- NLM abbreviation
- Transplantation
- ISSN
- 0041-1337
- eISSN
- 1534-6080
- Publisher
- Lippincott Williams & Wilkins
- Number of pages
- 15
- Grant note
- PI19/01360; INT20/00061; CB06/04/0065 / Instituto de Salud Carlos III - European Union
- Language
- English
- Date published
- 11/01/2022
- Academic Unit
- Internal Medicine
- Record Identifier
- 9984695827602771
Metrics
16 Record Views