D-MELD as Expression of Donor-Recipient Match

A Multi-Center Study

… in summary

- as a new therapeutic strategy our approach based on D-MELD and covariates reduces extreme donor‐recipient matches, allows avoidance of futile matches leads to a better use of the insufficient donor pool thanks to the optimization of the allocation system.

- although the algorithm for the best match has not yet been defined, efforts should be made to prevent the fatal allocation of high risk organs to high risk patients

- the allocation of organs from young donors to recipients with a low biochemical MELD should not be encouraged in absence of poor prognostic factors (HCV, portal thrombosis, old age).

  • HOME
  • BACKGROUND match or mis-match & D-MELD
  • BACKGROUND D-MELD
  • BACKGROUND futile transplant & futile match
  • STUDY POPULATION
  • D-MELD stratification in deciles and classes
  • RESULTS logistic regressions
  • RESULTS Cox regressions
  • D-MELD CALCULATOR
  • D-MELD prediction of FUTILE MATCH
  • IN SUMMARY...
  • Coordination and registration of website by dr. Alfonso Avolio Dept of Surgery – Transplant Center, Rome Catholic Univeristy - alfonso.avolio@rm.unicatt.it