Journal ArticleDOI
Risk factors for mortality after surgery in patients with cirrhosis.
Swee H. Teh,David M. Nagorney,Susanna R. Stevens,Kenneth P. Offord,Terry M. Therneau,David J. Plevak,Jayant A. Talwalkar,W. Ray Kim,Patrick S. Kamath +8 more
TLDR
MELD score, age, and American Society of Anesthesiologists class can quantify the risk of mortality postoperatively in patients with cirrhosis, independently of the procedure performed and can be used in determining operative mortality risk and whether elective surgical procedures can be delayed until after liver transplantation.About:
This article is published in Gastroenterology.The article was published on 2007-04-01. It has received 438 citations till now. The article focuses on the topics: Risk of mortality & Model for End-Stage Liver Disease.read more
Citations
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Journal ArticleDOI
Model for end-stage liver disease: end of the first decade.
Sumeet K. Asrani,W. Ray Kim +1 more
TL;DR: The authors believe that the MELD score is, by design, continually evolving and lends itself to continued refinement and improvement to serve as a metric to optimize organ allocation in the future.
Journal ArticleDOI
The prognostic role of hepatic venous pressure gradient in cirrhotic patients undergoing elective extrahepatic surgery.
Enric Reverter,Isabel Cirera,Agustín Albillos,W. Debernardi-Venon,Juan G. Abraldes,Elba Llop,Alexandra Flores,Graciela Martínez-Pallí,Annabel Blasi,Javier Martínez,Fanny Turon,Juan Carlos García-Valdecasas,Annalisa Berzigotti,Antoni M. de Lacy,Josep Fuster,Virginia Hernández-Gea,Jaume Bosch,Joan Carles García-Pagán +17 more
TL;DR: The hepatic venous pressure gradient is associated with outcomes in patients with cirrhosis undergoing elective extra-hepatic surgery and sets the frame for potential interventions to improve post-surgical outcomes.
Journal ArticleDOI
Model for end-stage liver disease score and MELD exceptions: 15 years later.
TL;DR: Implementation of the MELD score led to a reduction in waiting-list registration and waiting- list mortality and an increase in the number of deceased-donor transplants without adversely affecting long-term outcomes after liver transplantation (LT).
Journal ArticleDOI
Scoring systems for 6‐month mortality in critically ill cirrhotic patients: a prospective analysis of chronic liver failure – sequential organ failure assessment score (CLIF‐SOFA)
H.-C. Pan,Chang-Chyi Jenq,Chang-Chyi Jenq,M.-H. Tsai,M.-H. Tsai,P.-C. Fan,Chih-Hsiang Chang,M.-Y. Chang,M.-Y. Chang,Y.-C. Tian,Y.-C. Tian,C.-C. Hung,C.-C. Hung,J.-T. Fang,J.-T. Fang,C.-W. Yang,C.-W. Yang,Y. C. Chen,Y. C. Chen +18 more
TL;DR: TheCLIF‐SOFA score, a modified Sequential Organ Failure Assessment (SOFA) score, is a newly developed scoring system exclusively for patients with end‐stage liver disease.
Journal ArticleDOI
Hepatitis C virus and nonliver solid organ transplantation.
TL;DR: The extent of the problem associated with HCV infection in donors and kidney, heart, and lung transplant candidates and recipients is discussed, and tests that quantify HCV core antigen may become more cost-effective for the screening of potential organ donors.
References
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Journal ArticleDOI
A new method of classifying prognostic comorbidity in longitudinal studies: Development and validation☆
TL;DR: The method of classifying comorbidity provides a simple, readily applicable and valid method of estimating risk of death fromComorbid disease for use in longitudinal studies and further work in larger populations is still required to refine the approach.
Book
Modeling Survival Data: Extending the Cox Model
TL;DR: A Cox Model-based approach was used to estimate the Survival and Hazard Functions and the results confirmed the need for further investigation into the role of natural disasters in shaping survival rates.
Journal ArticleDOI
A model to predict survival in patients with end‐stage liver disease
Patrick S. Kamath,Russell H. Wiesner,Michael Malinchoc,Walter K. Kremers,Terry M. Therneau,Catherine L. Kosberg,Gennaro D'Amico,E. Rolland Dickson,M.B.A. W. Ray Kim M.D. +8 more
TL;DR: The MELD scale is a reliable measure of mortality risk in patients with end‐stage liver disease and suitable for use as a disease severity index to determine organ allocation priorities in patient groups with a broader range of disease severity and etiology.
Journal ArticleDOI
A model to predict poor survival in patients undergoing transjugular intrahepatic portosystemic shunts.
Michael Malinchoc,Patrick S. Kamath,Fredric D. Gordon,Craig J. Peine,Jeffrey M. Rank,Pieter C.J. ter Borg +5 more
TL;DR: This Mayo TIPS model may predict early death following elective TIPS for either prevention of variceal rebleeding or for treatment of refractory ascites, superior to both the Child‐Pugh classification and the Child-Pugh score in predicting survival.
Journal ArticleDOI
Natural history and prognostic indicators of survival in cirrhosis: a systematic review of 118 studies.
TL;DR: The natural history of cirrhosis is outlined, the model for end stage liver disease (MELD) has replaced the Child–Pugh score in the United States for prioritizing liver donor allocation and a systematic review of the literature regarding predictors of mortality in cirrhotic patients is reported on.