Model for End Stage Liver Disease score does not predict graft survival after living donor liver transplantation.

摘要

BACKGROUND/AIMS: Although the Model End-Stage Liver Disease (MELD) score has been effective in the prediction of mortality in patients awaiting liver transplantation, its predictive value of survival after living donor liver transplantation (LDLT) needs further study. METHODOLOGY: We report our experience with 142 cases of LDLT, analyzing the impact of the MELD score on the graft survival after LDLT. RESULTS: Of 142 grafts, 18 failed during the observation period. One-, 3- and 5-year survival rates were 92%, 87% and 82%, respectively. Cox proportional hazard model revealed that MELD score did not predict graft survival (p=0.43, relative risk = 1.0). CONCLUSIONS: The present results may indicate that the preoperative MELD score was of little help for determining the indication of LDLT.