TY - JOUR
T1 - Updates on the Model for End-Stage Liver Disease Score and Impact on the Liver Transplant Waiting List
T2 - A Narrative Review
AU - Bayona Molano, Maria del Pilar
AU - Barrera Gutierrez, Juan Carlos
AU - Landinez, Gina
AU - Mejia, Alejandro
AU - Haskal, Ziv J.
N1 - Publisher Copyright:
© 2022
PY - 2023/3
Y1 - 2023/3
N2 - The model for end-stage liver disease (MELD) score is an established indicator of cirrhosis severity and a predictor of morbidity and mortality in patients undergoing transjugular intrahepatic portosystemic shunt (TIPS) creation and for allocation in liver transplantation. Since the adoption of the score, its use has been expanded to multiple new indications requiring model modifications, including relevant clinical and demographic variables, to increase predictive accuracy. The purpose of this report is to provide an update on the modifications made to the MELD score, comparing their performance with C statistics, advantages and disadvantages, and impact on mortality at 3 months after placing a TIPS or awaiting liver transplantation.
AB - The model for end-stage liver disease (MELD) score is an established indicator of cirrhosis severity and a predictor of morbidity and mortality in patients undergoing transjugular intrahepatic portosystemic shunt (TIPS) creation and for allocation in liver transplantation. Since the adoption of the score, its use has been expanded to multiple new indications requiring model modifications, including relevant clinical and demographic variables, to increase predictive accuracy. The purpose of this report is to provide an update on the modifications made to the MELD score, comparing their performance with C statistics, advantages and disadvantages, and impact on mortality at 3 months after placing a TIPS or awaiting liver transplantation.
UR - http://www.scopus.com/inward/record.url?scp=85146462572&partnerID=8YFLogxK
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U2 - 10.1016/j.jvir.2022.12.029
DO - 10.1016/j.jvir.2022.12.029
M3 - Review article
C2 - 36539154
AN - SCOPUS:85146462572
SN - 1051-0443
VL - 34
SP - 337
EP - 343
JO - Journal of Vascular and Interventional Radiology
JF - Journal of Vascular and Interventional Radiology
IS - 3
ER -