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).