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
Liver disease is an independent predictor of poor 30-day outcomes following surgery for degenerative disease of the cervical spine
Nicholas J. Goel,Prateek Agarwal,Arka N. Mallela,Kalil G. Abdullah,Zarina S. Ali,Ali K. Ozturk,Neil R. Malhotra,James M. Schuster,H. Isaac Chen +8 more
TL;DR: Liver disease independently predicts poor perioperative outcome following surgery for degenerative disease of the cervical spine, and careful consideration of a patient's underlying liver function before surgery may prove valuable in surgical decision-making, preoperative patient counseling, and postoperative patient care.
Journal ArticleDOI
Risk Prediction Models for Postoperative Decompensation and Infection in Patients With Cirrhosis: A Veterans Affairs Cohort Study
TL;DR: In this article , the authors used multivariable logistic regression to evaluate prediction models in derivation and validation sets using variables from the recently published Veterans Outcomes and Costs Associated with Liver Disease (VOCAL)-Penn cirrhosis surgical risk scores for postoperative mortality.
Journal ArticleDOI
A Potential Role for Robotic Cholecystectomy in Patients with Advanced Liver Disease: Analysis of the NSQIP Database.
Hassan Aziz,Muhammad Zeeshan,Navpreet Kaur,Juliet Emamaullee,Aaron Ahearn,Sujit Kulkarni,Yuri Genyk,Robert R. Selby,Mohd Raashid Sheikh +8 more
TL;DR: A retrospective analysis of the NSQIP database showed that RC was equivalent to laparoscopic cholecystectomy in terms of perioperative mortality for higher MELD score patients but was associated with lower conversion rates and overall LOS, suggesting that RC should be considered in patients with advanced liver disease needing choleCystectomy.
Journal ArticleDOI
Determinants of survival following hepatocellular carcinoma in Egyptian patients with untreated chronic HCV infection in the pre-DAA era.
TL;DR: Survival following HCV-HCC in Egyptian patients undergoing HCC management in a specialised clinic setting is poor, although similar to high income country settings.
Journal ArticleDOI
Ascites: A marker for increased surgical risk unaccounted for by the model for end-stage liver disease (MELD) score for general surgical procedures.
TL;DR: Model for End‐Stage Liver Disease may underestimate surgical risk in patients with ascites, and predictive models inclusive of ascites may more accurately predict the perioperative risk of these complex patients.
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.
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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.