ArticleCanadian journal of surgery. Journal canadien de chirurgie
Outcomes of liver transplant recipients with high MELD scores: an experience from a Canadian centre.
Article in Canadian journal of surgery. Journal canadien de chirurgie. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 11 citations in OpenAlex.
- Factors associated with major complications defined by Clavien-Dindo classification 3-5 after liver transplantation: a prospective multicenter cohort study.Frontiers in surgery · 2025Trial
- Outcomes of a Modified Portal Venovenous Bypass Technique During Liver Transplantation in High-MELD Recipients.Clinical transplantation · 2026Article
- The SOFT Cluster Score as a Multifaceted Predictive Model for Postoperative Outcomes.Transplantation direct · 2026Article
- Hepatic Artery Thrombosis After Orthotopic Liver Transplant: A 20-Year Monocentric Series.Journal of clinical medicine · 2025Article
- Exceptional Liver Transplant Indications: Unveiling the Uncommon Landscape.Diagnostics (Basel, Switzerland) · 2024Review
- Changing landscape of liver transplant in the United States-Frontiers in transplantation · 2024Review
Corrections and comments
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Authors and funding
13 authors at 1 institution in 1 country.
Funding
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Abstract
backgroundThe frequency with which patients with high Model for End-Stage Liver Disease (MELD) scores undergo liver transplantation has been increasing. Canadian literature regarding the outcomes of liver transplantation in recipients with high MELD scores is limited. The primary objective of this study was to assess patient and graft survival among recipients with high (> 35) and low (≤ 35) MELD scores. Secondary objectives were to potentially identify independent predictors of graft failure and patient mortality.
methodsWe conducted a retrospective chart review of patients undergoing liver transplantation at a single Canadian centre from 2012 to 2017.
resultsA total of 332 patients were included in the study: 280 patients had a MELD score of 35 or lower, and 52 had a MELD score above 35. Patients with high MELD scores had higher rates of pretransplant acute kidney injury and dialysis (
conclusionNo difference in patient mortality was found between MELD groups. Graft survival was significantly lower in recipients with MELD scores above 35. D-MELD may potentially be used as an adjunct in determining risk of graft failure in recipients with high MELD scores.
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