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World J Hepatol. 2016 Sep 28;8(27):1155-1156.

Is MELD score failing patients with liver disease and hepatorenal syndrome?

Author information

Lena Sibulesky, Amir A Rahnemai-Azar, Jorge Reyes, Department of Surgery, Division of Transplant Surgery, University of Washington, Seattle, WA 98195, United States.


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.


Cirrhosis; Graft survival; Hepatorenal syndrome; Liver allocation; MELD

Conflict of interest statement

Conflict-of-interest statement: The authors declare no conflicts of interest. No funding was received for this research.

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