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The Impact of the Introduction of MELD on the Dynamics of the Liver Transplantation Waiting List in São Paulo, Brazil
Joint Authors
D'Albuquerque, Luiz Augusto Carneiro
Galvao, Flavio H. F.
Chaib, Eleazar
Varone, Bruno Butturi
Bordini, Andre Leopoldino
Crescenzi, Alessandra
Filho, Arnaldo Bernal
Massad, Eduardo
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-11-27
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Until July 15, 2006, the time on the waiting list was the main criterion for allocating deceased donor livers in the state of São Paulo, Brazil.
After this date, MELD has been the basis for the allocation of deceased donor livers for adult transplantation.
Our aim was to compare the waitlist dynamics before MELD (1997–2005) and after MELD (2006–2012) in our state.
A retrospective study was conducted including the data from all the liver transplant candidate waiting lists from July 1997 to December 2012.
The data were related to the actual number of liver transplantations (Tr), the incidence of new patients on the list (I), and the number of patients who died while being on the waitlist (D) from 1997 to 2005 (the pre-MELD era) and from 2006 to 2012 (the post-MELD era).
The number of transplantations from 1997 to 2005 and from 2006 to 2012 increased nonlinearly, with a clear trend to levelling to equilibrium at approximately 350 and 500 cases per year, respectively.
The implementation of the MELD score resulted in a shorter waiting time until liver transplantation.
Additionally, there was a significant effect on the waitlist dynamics in the first 4 years; however, the curves diverge from there, implying a null long-range effect on the waitlist by the MELD scores.
American Psychological Association (APA)
Chaib, Eleazar& Massad, Eduardo& Varone, Bruno Butturi& Bordini, Andre Leopoldino& Galvao, Flavio H. F.& Crescenzi, Alessandra…[et al.]. 2014. The Impact of the Introduction of MELD on the Dynamics of the Liver Transplantation Waiting List in São Paulo, Brazil. Journal of Transplantation،Vol. 2014, no. 2014, pp.1-4.
https://search.emarefa.net/detail/BIM-1043282
Modern Language Association (MLA)
Chaib, Eleazar…[et al.]. The Impact of the Introduction of MELD on the Dynamics of the Liver Transplantation Waiting List in São Paulo, Brazil. Journal of Transplantation No. 2014 (2014), pp.1-4.
https://search.emarefa.net/detail/BIM-1043282
American Medical Association (AMA)
Chaib, Eleazar& Massad, Eduardo& Varone, Bruno Butturi& Bordini, Andre Leopoldino& Galvao, Flavio H. F.& Crescenzi, Alessandra…[et al.]. The Impact of the Introduction of MELD on the Dynamics of the Liver Transplantation Waiting List in São Paulo, Brazil. Journal of Transplantation. 2014. Vol. 2014, no. 2014, pp.1-4.
https://search.emarefa.net/detail/BIM-1043282
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1043282