Scoring system for assessing the severity of chronic liver disease
The Model for End-Stage Liver Disease , or MELD , is a scoring system for assessing the severity of chronic liver disease . It was initially developed to predict mortality within three months of surgery in patients who had undergone a transjugular intrahepatic portosystemic shunt (TIPS) procedure,[ 1] and was subsequently found to be useful in determining prognosis and prioritizing for receipt of a liver transplant .[ 2] [ 3] This score is now used by the United Network for Organ Sharing (UNOS) and Eurotransplant for prioritizing allocation of liver transplants instead of the older Child-Pugh score .[ 3] [ 4]
^ Malinchoc, Michael; Kamath, Patrick S; Gordon, Fredric D; Peine, Craig J; Rank, Jeffrey; Ter Borg, Pieter C.J (2000). "A model to predict poor survival in patients undergoing transjugular intrahepatic portosystemic shunts" . Hepatology . 31 (4): 864–71. doi :10.1053/he.2000.5852 . PMID 10733541 .
^ Kamath, P; Wiesner, R. H; Malinchoc, M; Kremers, W; Therneau, T. M; Kosberg, C. L; d'Amico, G; Dickson, E. R; Kim, W. R (2001). "A model to predict survival in patients with end-stage liver disease". Hepatology . 33 (2): 464–70. doi :10.1053/jhep.2001.22172 . PMID 11172350 . S2CID 72518575 .
^ a b Kamath, Patrick S; Kim, W. Ray (2007). "The model for end-stage liver disease (MELD)" . Hepatology . 45 (3): 797–805. doi :10.1002/hep.21563 . PMID 17326206 .
^ Jung, G.E; Encke, J; Schmidt, J; Rahmel, A (2008). "Model for end-stage liver disease". Der Chirurg . 79 (2): 157–63. doi :10.1007/s00104-008-1463-4 . PMID 18214398 . S2CID 25562795 .