Publication Name	World Journal of Transplantation
Manuscript ID	119505
DOI	10.5500/wjt.119505
Country	United States

Category	Transplantation
Manuscript Type	Retrospective Cohort Study
Article Title	Higher model for end-stage liver disease excluding international normalized ratio scores predict worse kidney graft outcomes in simultaneous heart-kidney transplantation
Manuscript Source	Invited Manuscript
All Author List	Marco E Diaz-Cordova, Matthew Rega, Ishani Sharma, Ryosuke Misawa, Abhay Dhand, Seigo Nishida and Kenji Okumura
Funding Agency and Grant Number
Corresponding Author	Kenji Okumura, Associate Faculty, MD, Department of Surgery, Westchester Medical Center and New York Medical College, 100 Woods Road, Valhalla, NY 10595, United States. kenji.okumura@wmchealth.org
Key Words	Simultaneous heart-kidney transplant; Model for end-stage liver disease excluding international normalized ratio; Heart transplant; Kidney transplant; Predictor; Transplant outcomes; Delayed graft dysfunction
Core Tip	The incidence of simultaneous heart-kidney transplantation (SHKT) has increased substantially in recent years. Early studies suggested benefit, but recent data are conflicting. No reliable prognostic marker exists for this population. The model for end-stage liver disease excluding international normalized ratio (MELD-XI) was previously validated in heart transplantation and cardiac surgery and may serve as a risk-stratification tool. In this study, higher MELD-XI scores were linked to early mortality and kidney graft failure. This supports its potential role in guiding selection between SHKT and kidney-after-heart transplantation under current allocation policies.
Citation	Diaz-Cordova ME, Rega M, Sharma I, Misawa R, Dhand A, Nishida S, Okumura K. Higher model for end-stage liver disease excluding international normalized ratio scores predict worse kidney graft outcomes in simultaneous heart-kidney transplantation. World J Transplant 2026; In press DOI: https://doi.org/10.5500/wjt.119505
PDF	119505-in-press.pdf

Received	2026-02-06 00:37
Peer-Review Started	2026-02-06 00:44
First Decision by Editorial Office Director	2026-02-25 08:06
Return for Revision	2026-02-25 08:06
Revised	2026-04-01 15:34
Publication Fee Transferred
Second Decision by Editor	2026-06-05 03:10
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-06-05 06:39
Articles in Press	2026-06-05 06:39
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	2220-3230 (online)
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Copyright	©Author(s) (or their employer(s)) 2026. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
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