Updates on the Model for End-Stage Liver Disease Score and Impact on the Liver Transplant Waiting List: A Narrative Review

Maria del Pilar Bayona Molano, Juan Carlos Barrera Gutierrez, Gina Landinez, Alejandro Mejia, Ziv J. Haskal

Research output: Contribution to journalReview articlepeer-review

1 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)337-343
Number of pages7
JournalJournal of Vascular and Interventional Radiology
Volume34
Issue number3
DOIs
StatePublished - Mar 2023

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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