The impact of Model for End-Stage Liver Disease score on deceased donor liver transplant outcomes in low volume liver transplantation center: a retrospective and singlecenter study
DC Field | Value | Language |
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dc.contributor.author | Doo-Ho Lee | - |
dc.contributor.author | Yeon Ho Park | - |
dc.contributor.author | Seok Won Choi | - |
dc.contributor.author | Kug Hyun Nam | - |
dc.contributor.author | Sang Tae Choi | - |
dc.contributor.author | Doojin Kim | - |
dc.date.accessioned | 2021-12-22T00:40:28Z | - |
dc.date.available | 2021-12-22T00:40:28Z | - |
dc.date.created | 2021-12-01 | - |
dc.date.issued | 2021-12 | - |
dc.identifier.issn | 2288-6575 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/82973 | - |
dc.description.abstract | Purpose: In June 2016, the Model for End-Stage Liver Disease (MELD) score was employed in South Korea instead of the Child-Turcotte-Pugh (CTP) score. This study compared the outcomes of deceased donor liver transplantation (DDLT) before and after the MELD system application. Methods: This retrospective study reviewed 48 patients who underwent DDLT for end-stage liver disease at a single tertiary referral center between January 2014 and December 2018. The patients were categorized into the pre-MELD (22 patients) and post-MELD (26 patients) groups. The demographics, postoperative outcomes, and overall survival time were evaluated between the 2 groups. Results: The 2 groups had no differences in age, sex, ABO type, etiology for liver transplantation, CTP-score, operation time, cold ischemic time, and amount of red blood cell transfusion, although their MELD score differed significantly (post- MELD group, 36.2 ± 4.9; pre-MELD group, 27.7 ± 11.8; P < 0.001). The post-MELD group has longer intensive care unit stay (11.2 ± 9.5 days vs. 5.7 ± 4.5 days, P = 0.018) and hospital stay than the pre-MELD group (36.8 ± 26 days vs. 22.8 ± 9.3 days, P = 0.016). The 1-year survival rate was lower in the post-MELD group (61.5% vs. 86.4%, P = 0.029). Conclusion: After MELD allocation, patients with high MELD scores had increased DDLT and consequently required a longer recovery time, which could negatively affect survival. According to the experience of a small-volume center, these problems were related to both severe organ shortages in South Korea and MELD allocation. | - |
dc.language | 영어 | - |
dc.language.iso | en | - |
dc.publisher | 대한외과학회 | - |
dc.relation.isPartOf | Annals of Surgical Treatment and Research | - |
dc.title | The impact of Model for End-Stage Liver Disease score on deceased donor liver transplant outcomes in low volume liver transplantation center: a retrospective and singlecenter study | - |
dc.type | Article | - |
dc.type.rims | ART | - |
dc.description.journalClass | 1 | - |
dc.identifier.wosid | 000729748400006 | - |
dc.identifier.doi | 10.4174/astr.2021.101.6.360 | - |
dc.identifier.bibliographicCitation | Annals of Surgical Treatment and Research, v.101, no.6, pp.360 - 367 | - |
dc.identifier.kciid | ART002780987 | - |
dc.description.isOpenAccess | N | - |
dc.identifier.scopusid | 2-s2.0-85121316459 | - |
dc.citation.endPage | 367 | - |
dc.citation.startPage | 360 | - |
dc.citation.title | Annals of Surgical Treatment and Research | - |
dc.citation.volume | 101 | - |
dc.citation.number | 6 | - |
dc.contributor.affiliatedAuthor | Doo-Ho Lee | - |
dc.contributor.affiliatedAuthor | Yeon Ho Park | - |
dc.contributor.affiliatedAuthor | Seok Won Choi | - |
dc.contributor.affiliatedAuthor | Kug Hyun Nam | - |
dc.contributor.affiliatedAuthor | Sang Tae Choi | - |
dc.contributor.affiliatedAuthor | Doojin Kim | - |
dc.subject.keywordAuthor | Alcoholic fatty liver | - |
dc.subject.keywordAuthor | Liver cirrhosis | - |
dc.subject.keywordAuthor | Liver transplantation | - |
dc.subject.keywordAuthor | Model for End-Stage Liver Disease | - |
dc.subject.keywordAuthor | Morbidity | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.description.journalRegisteredClass | kci | - |
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