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Cited by 441

The DOI matches its Crossref record; 11 of the 11 references it cites were found in a registry or an index.

Wilson's disease in children: 37-Year experience and revised King's score for liver transplantation

Open access
Dhawan, Anil, Taylor, Rachel M., Cheeseman, Paul, De Silva, Pamela, Katsiyiannakis, Leah, Mieli-Vergani, Giorgina·2005·Liver Transplantation

Abstract

Wilson's disease (WD) is a rare liver-based disorder of copper metabolism. Prognostic criteria described by our group in 1986 to predict death without transplantation have not been universally validated. The clinical features of 88 children were reviewed, retrospectively in 74 and prospectively in 14. Data from the retrospectively recruited patients that died or survived on long-term chelation were used to evaluate the validity of our old scoring system and to devise a new prognostic index, then assessed in the 14 prospectively recruited patients. Using the old scoring system, 5 children scoring ≥ 7, the cutoff value for death without transplantation, survived, whereas 4 scoring ≤ 7 died (sensitivity 87% and specificity 90%). A new index based on serum bilirubin, international normalized ratio, aspartate aminotransferase (AST), and white cell count (WCC) at presentation identified a cutoff score of 11 for death and proved to be 93% sensitive and 98% specific, with a positive predictive value of 88%. When the new index was evaluated prospectively in 14 patients, it predicted the need for transplantation in only the 4 who required it, although 1 child with a score of 11 survived on medical treatment. In conclusion, the new Wilson Index is more sensitive and specific in predicting mortality without transplantation than the old scoring system, but needs to be validated in a larger number of patients. (Liver Transpl 2005;11:441–448.)

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Metadata

Authors
Dhawan, A., Taylor, R. M., Cheeseman, P., De Silva, P., Katsiyiannakis, L., & Mieli-Vergani, G.
Venue
Liver Transplantation
Published
2005-04
Volume
11
Issue
4
Pages
441-448
ISSN
1527-6465 (ISSN-L)
OpenAlex
W2045623736
Cited by
441
References
11
FWCI
11.17
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Wilson's disease in children: 37-Year experience and revised King's score for liver transplantation. https://app.cochat.ai/papers/10.1002/lt.20352
The paper
Dhawan, A., Taylor, R. M., Cheeseman, P., De Silva, P., Katsiyiannakis, L., & Mieli-Vergani, G. (2005). Wilson's disease in children: 37-Year experience and revised King's score for liver transplantation. Liver Transplantation. https://doi.org/10.1002/lt.20352

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