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Articles Published Processes
10/24/2014 5:02:00 PM | Browse: 973 | Download: 1104
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Received |
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2014-01-09 11:23 |
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Peer-Review Started |
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2014-01-09 22:03 |
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To Make the First Decision |
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2014-03-12 16:47 |
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Return for Revision |
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2014-03-20 20:25 |
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Revised |
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2014-07-08 00:00 |
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Second Decision |
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2014-07-18 13:47 |
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Accepted by Journal Editor-in-Chief |
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Accepted by Executive Editor-in-Chief |
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2014-07-18 13:57 |
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Articles in Press |
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2014-07-18 13:57 |
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Publication Fee Transferred |
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Edit the Manuscript by Language Editor |
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Typeset the Manuscript |
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2014-10-22 17:10 |
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Publish the Manuscript Online |
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2014-10-24 17:01 |
Category |
Transplantation |
Manuscript Type |
Retrospective Study |
Article Title |
D-MELD risk capping improves post-transplant and overall mortality under markov microsimulation
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Manuscript Source |
Unsolicited Manuscript |
All Author List |
Jeffrey B Halldorson, Robert L Carithers Jr, Renuka Bhattacharya, Ramasamy Bakthavatsalam, Iris W Liou, Andre A Dick, Jorge D Reyes and James D Perkins |
Funding Agency and Grant Number |
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Corresponding Author |
Jeffrey B Halldorson, MD, Division of Transplant Surgery, Department of Surgery, University of California, Suite 2-286, 200 West Arbor Drive, #8401, San Diego, CA 92103-8401, United States. jhalldorson@ucsd.edu
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Key Words |
Liver transplantation; The product of calculated Model for End-Stage Liver Disease score excluding exception points and donor age; Donor/recipient matching; Markov microsimulation; Model for End-Stage Liver Disease; Donor age |
Core Tip |
Optimal matching between donor livers and recipients balances recipient need with optimal utility. The product of calculated Model for End-Stage Liver Disease score excluding exception points and donor age (D-MELD) risk cap uniquely utilizes ethically neutral donor/recipient factors while maintaining predictive power, making it useful for donor/recipient matching paradigms aimed at improving utility. Described is a novel utilization of the D-MELD risk cap as an aid for donor/recipient matching. Markov modeling suggests that this paradigm improves outcomes both by decreasing futile transplantations but also by focusing the majority of transplantation on moderate Model for End-Stage Liver Disease (MELD) recipients while continuing to provide younger donor livers for the fewer number of patients transplanted at high MELD.
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Publish Date |
2014-10-24 17:01 |
Citation |
Halldorson JB, Carithers Jr RL, Bhattacharya R, Bakthavatsalam R, Liou IW, Dick AA, Reyes JD, Perkins JD. D-MELD risk capping improves post-transplant and overall mortality under markov microsimulation. World J Transplant 2014; 4(3): 206-215 |
URL |
http://www.wjgnet.com/2220-3230/full/v4/i3/206.htm |
DOI |
http://dx.doi.org/10.5500/wjt.v4.i3.206 |
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