title: Is MELD score failing patients with liver disease and hepatorenal syndrome?
abstract: There is a need to reassess the application of MELD and the impact of renal insufficiency with consideration for developing an algorithm with exception points that would lead to timely allocation of livers to patients with hepatorenal syndrome prior to occurrence of permanent renal damage without jeopardizing post-transplant survival.
authors.affiliation: Lena Sibulesky, Amir A Rahnemai-Azar, Jorge Reyes, Department of Surgery, Division of Transplant Surgery, University of Washington, Seattle, WA 98195, United States.
authors.forename: Lena
authors.initials: L
authors.lastname: Sibulesky
authors.affiliation: Lena Sibulesky, Amir A Rahnemai-Azar, Jorge Reyes, Department of Surgery, Division of Transplant Surgery, University of Washington, Seattle, WA 98195, United States.
authors.forename: Nicolae
authors.initials: N
authors.lastname: Leca
authors.affiliation: Lena Sibulesky, Amir A Rahnemai-Azar, Jorge Reyes, Department of Surgery, Division of Transplant Surgery, University of Washington, Seattle, WA 98195, United States.
authors.forename: Christopher
authors.initials: C
authors.lastname: Blosser
authors.affiliation: Lena Sibulesky, Amir A Rahnemai-Azar, Jorge Reyes, Department of Surgery, Division of Transplant Surgery, University of Washington, Seattle, WA 98195, United States.
authors.forename: Amir A
authors.initials: AA
authors.lastname: Rahnemai-Azar
authors.affiliation: Lena Sibulesky, Amir A Rahnemai-Azar, Jorge Reyes, Department of Surgery, Division of Transplant Surgery, University of Washington, Seattle, WA 98195, United States.
authors.forename: Renuka
authors.initials: R
authors.lastname: Bhattacharya
authors.affiliation: Lena Sibulesky, Amir A Rahnemai-Azar, Jorge Reyes, Department of Surgery, Division of Transplant Surgery, University of Washington, Seattle, WA 98195, United States.
authors.forename: Jorge
authors.initials: J
authors.lastname: Reyes
keywords: Cirrhosis; Graft survival; Hepatorenal syndrome; Liver allocation; MELD