From Child-Pugh to Model for End-Stage Liver Disease: Deciding Who Needs a Liver Transplant.
This article reviews the historical evolution of the liver transplant organ allocation policy and the indications/contraindications for liver transplant, and provides an overview of the liver transplant evaluation process. The article is intended to help internists determine whether and when referral to a liver transplant center is indicated, and to help internists to counsel patients whose initial evaluation at a transplant center is pending.
Division of Gastroenterology & Hepatology, Department of Medicine, Thomas Jefferson University, Suite 480 Main Building, 132 South 10th Street, Philadelphia, PA 19107, USA.
Sheela S
SS
Reddy
Division of Gastroenterology & Hepatology, Department of Medicine, Thomas Jefferson University, Suite 480 Main Building, 132 South 10th Street, Philadelphia, PA 19107, USA. Electronic address: Jesse.Civan@jefferson.edu.
Jesse M
JM
Civan
D006528:Carcinoma, Hepatocellular / Q000145:classification / Q000175:diagnosis / Q000601:surgery; D058625:End Stage Liver Disease / Q000145:classification / Q000175:diagnosis / Q000601:surgery*; D006501:Hepatic Encephalopathy / Q000145:classification / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D008103:Liver Cirrhosis / Q000145:classification / Q000175:diagnosis / Q000601:surgery*; D017114:Liver Failure, Acute / Q000145:classification / Q000175:diagnosis* / Q000601:surgery*; D008111:Liver Function Tests; D008113:Liver Neoplasms / Q000145:classification / Q000175:diagnosis / Q000601:surgery; D016031:Liver Transplantation / Q000706:statistics & numerical data; D063305:Organ Dysfunction Scores; D010360:Patient Transfer; D011379:Prognosis; D012042:Registries; D014600:Utilization Review
Cirrhosis; Hepatocellular carcinoma; Liver transplantation; MELD score; Organ allocation