On February 27, 2002 the United Network for Organ Sharing OPTN implemented a revised system for the allocation of deceased donor livers. When compared to an earlier era, preliminary results for pediatric patients indicate that transplant rates increased for the sickest patients at listing (Status 1) and that death rates decreased for the sickest patients at listing. The PELD score was initially validated with the same data with which it was created and had an AUC ROC of 0.821. Using the UNOS database, with a similar cohort of patients, concordance with 3-month mortality was 0.78. The PELD allocation system is believed to be better than the previous system where elements of medical severity were more objective than subjective. However as more data is collected, further analyses will need to be performed in order to assess the efficacy of PELD allocation and to assess the impact of PELD on post transplant outcomes.
Download full-text PDF |
Source |
|---|
Publication Analysis
Top Keywords
Similar Publications
Objectives: Lumbar disc herniation (LDH) is a common degenerative spinal disease in clinical practice. This study aims to investigate the impact of Modic changes (MCs) on postoperative recovery and disease recurrence following percutaneous endoscopic lumbar disc discectomy (PELD), providing important insights for improving the management of chronic low back pain. This study investigates the 1-year progression rate of MCs after PELD and their impact on surgical outcomes and recurrence.
View Article and Find Full Text PDFOutcomes of Liver Transplantation in Infants: A Retrospective Cohort Study.
Transplant Proc
December 2024
Department of General Surgery and Transplantation, Medical Park Hospital, Antalya, Turkey.
Background: Liver transplantation (LT) is a crucial treatment for infants with end-stage liver disease, yet specific data on LT outcomes in infants under 12 months old remain limited. This study aims to present the clinical course and outcomes of infants who underwent LT, assessing the impact of demographic and etiological differences on mortality and survival.
Methods: A retrospective analysis was conducted on 64 infants (< 12 months) who underwent LT between January 2019 and March 2024.
The end of an entire biome? World's largest wetland, the Pantanal, is menaced by the Hidrovia project which is uncertain to sustainably support large-scale navigation.
Sci Total Environ
October 2023
Embrapa Pantanal, Corumbá, MS, Brazil. Electronic address:
The resurgent navigation project known as the Hidrovia Paraguay-Paraná threatens the integrity of the Pantanal, the world's largest wetland, which is considered a biome of its own. Intensive barge navigation is intended to transport crops (soybean, sugar, corn) and cement, iron and manganese from areas of production in Brazil, Paraguay and Bolivia to the oceanic ports of the Plata River. This short communication assembles the information available on the potential impacts of the planned deepening of the natural channel of the Paraguay River in its ~700 km-long upper section.
View Article and Find Full Text PDFDural tears with cauda equina herniation following percutaneous endoscopic lumbar discectomy: a case report and literature review.
Front Surg
October 2024
Department of Orthopaedics, Panzhihua Central Hospital, Panzhihua, Sichuan, China.
Lumbar disc herniation (LDH) is a prevalent condition that severely impacts patients' quality of life and work capacity. Traditional surgical treatments like laminectomy, while effective, involve significant invasiveness and potential complications, including long-term spinal instability and recurrent symptoms. With the advancement of minimally invasive techniques, percutaneous endoscopic lumbar discectomy (PELD) has become a popular option due to its reduced trauma and faster recovery.
View Article and Find Full Text PDFImpact of computed tomography/magnetic resonance imaging registration on rehabilitation after percutaneous endoscopic decompression for lumbar stenosis: Retrospective study.
World J Orthop
October 2024
Department of Orthopedics, Jincheng General Hospital, Jincheng 048006, Shanxi Province, China.
Background: Percutaneous endoscopic lumbar decompression (PELD) shows promise for lumbar spinal stenosis (LSS) treatment, but its use is limited by the disease's complexity and procedural challenges.
Aim: In this study, the effects of preoperative planning and intraoperative guidance with computed tomography (CT)/magnetic resonance imaging (MRI) registration techniques on PELD for LSS and postoperative rehabilitation outcomes were evaluated.
Methods: This retrospective study was conducted with data from patients who underwent PELD for LSS between January 2021 and December 2023.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!