The impact of MELD allocation on simultaneous liver-kidney transplantation

被引：1
|
作者：
Thompson J.A. [1 ]
Lake J.R. [1 ]
机构：
[1] Division of Gastroenterology and Hepatology, Minneapolis, MN 55455
来源：
Current Gastroenterology Reports | 2009年 / 11卷 / 1期
关键词：
Acute Kidney Injury; Hepatorenal Syndrome; Liver Transplant Candidate; Simultaneous Liver; Liver Transplant Wait List;
D O I：
10.1007/s11894-009-0012-8
中图分类号：
学科分类号：
摘要：
Model for End-Stage Liver Disease (MELD) allocation has improved the process for ranking patients on the liver transplant list. One unintended consequence has been an increase in the number of simultaneous liver-kidney (SLK) transplants. Some have argued that the system unfairly advantages patients with kidney disease and that some kidneys are being prematurely placed in SLK transplantation. This review summarizes the MELD score, assessment of kidney function in cirrhosis, the impact of kidney function in liver disease, and changes in kidney function status in liver transplant recipients in the MELD era. Finally, recommendations regarding who should receive SLK transplants are reviewed. © Springer Science+Business Media, LLC 2009.
引用
收藏
页码：76 / 82
页数：6
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