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Waiting list outcome of Peld/Meld exceptions: A single-center experience in Argentina.
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- معلومة اضافية
- المصدر:
Publisher: Munksgaard Country of Publication: Denmark NLM ID: 9802574 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1399-3046 (Electronic) Linking ISSN: 13973142 NLM ISO Abbreviation: Pediatr Transplant Subsets: MEDLINE
- بيانات النشر:
Original Publication: Copenhagen ; Malden, MA : Munksgaard, c1997-
- الموضوع:
- نبذة مختصرة :
As PELD/MELD-based allocation policy was adopted in Argentina in 2005, a system of exception points has been in place in order to award increased waitlist priority to those patients whose severity of illness is not captured by the PELD/MELD score. We aimed to investigate the WL outcome of patients with granted PELD/MELD exceptions. A retrospective cohort study was conducted in children under 18 years old. WL outcomes were evaluated using univariable analysis. From 07/2005 to 01/2014, 408 children were listed for LT. There were 304 classified by calculated PELD/MELD. During this time, 85 (30%) PELD/MELD exceptions were granted. In this cohort, 89.4% (76 of 85) were transplanted and 7.1% (6 of 85) died while on the WL. The remaining 3 pts (3.5%) were removed from the WL due to other causes. We compared the impact of PELD/MELD exceptions in those 85 patients to outcomes in 87 non-exception patients with PELD/MELD ≥19 points. Patients with the exception had significantly better access to WL and lower WL mortality. Our data suggest that children listed by PELD/MELD exceptions had an advantage compared to children with CLD with equivalent PELD/MELD listing priorities.
(© 2018 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.)
- Contributed Indexing:
Keywords: exception scores; liver transplantation; pediatric liver allocation
- الموضوع:
Date Created: 20180104 Date Completed: 20180905 Latest Revision: 20180905
- الموضوع:
20231215
- الرقم المعرف:
10.1111/petr.13107
- الرقم المعرف:
29297966
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