Proposal and validation of a liver graft discard score for liver transplantation from deceased donors: a multicenter Italian study - Takeaways - MDSpire

Proposal and validation of a liver graft discard score for liver transplantation from deceased donors: a multicenter Italian study

  • By

  • Quirino Lai

  • Davide Ghinolfi

  • Alfonso W. Avolio

  • Tommaso M. Manzia

  • Gianluca Mennini

  • Fabio Melandro

  • Francesco Frongillo

  • Marco Pellicciaro

  • Zoe Larghi Laureiro

  • Rebecca Aglietti

  • Antonio Franco

  • Claudia Quaranta

  • Giuseppe Tisone

  • Salvatore Agnes

  • Massimo Rossi

  • Paolo de Simone

  • March 11, 2022

  • 0 min

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  • 1

    This study developed a liver graft discard score to predict the risk of liver-related graft discard from deceased donors after brain death.

  • 2

    A total of 4,207 deceased donor liver grafts were analyzed, with 2,642 (62.8%) deemed eligible for transplantation and 1,565 (37.2%) discarded.

  • 3

    Liver-related issues accounted for 1,254 graft discards (29.8%), with poor histology being the most common reason at 15.7%.

  • 4

    The study utilized a training set of 3,156 candidates and a validation set of 1,051 candidates to assess the score's predictive accuracy.

  • 5

    Statistical analysis included competing-risk models and c-statistic evaluations, demonstrating the score's effectiveness compared to existing indices.

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