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Cited by 410

The DOI matches its Crossref record; 1 of the 1 references it cites were found in a registry or an index.

Assessment of Prognosis of Cirrhosis

Durand, François, Valla, Dominique·2008·Seminars in Liver Disease

Abstract

Once patients with cirrhosis experience decompensation, early mortality risk increases sharply. Liver transplantation has transformed the prognosis of decompensated cirrhosis. Child-Pugh score has been the reference for many years for assessing the prognosis of cirrhosis. However, Child-Pugh score has important limitations among which is subjective interpretation of some of its variables, making it difficult to categorize patients according to their own disease severity. The model for end-stage liver disease (MELD) score, which was originally designed for assessing the prognosis of cirrhotic patients undergoing transjugular intrahepatic portosystemic shunt (TIPS), is a continuous score relying on three objective variables. Along with TIPS, MELD score proved to be a robust marker of early mortality across a wide spectrum of causes of cirrhosis, even though 10 to 20% of patients are still misclassified. MELD is especially useful for prioritizing candidates for transplantation according to a "sickest first" policy. However, MELD is not a universal prognostic marker of cirrhosis and several MELD exceptions require more specific approaches.

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Metadata

Authors
Durand, F., & Valla, D.
Venue
Seminars in Liver Disease
Published
2008-02
Volume
28
Issue
1
Pages
110-122
ISSN
  • 0272-8087 (ISSN-L)
  • 1098-8971
OpenAlex
W2041820052
Cited by
410
References
1
FWCI
10.59
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Assessment of Prognosis of Cirrhosis. https://app.cochat.ai/papers/10.1055/s-2008-1040325
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Durand, F., & Valla, D. (2008). Assessment of Prognosis of Cirrhosis. Seminars in Liver Disease. https://doi.org/10.1055/s-2008-1040325

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