A novel waitlist dropout score for hepatocellular carcinoma – identifying a threshold that predicts worse post-transplant survival
This study identified a score combining size and numbers of tumors, AFP, the increase of MELD-Na and Child-Pugh scores that predicts drop out on the waiting list for transplantation for HCC in a cohort of 2092 patients. This score was validated in two cohorts of 1735 and 2894 patients. A score < 7 was associated with a one-year drop out of 7.1% and a score > 23 to a one-year drop out of 39.5%. This score was also predictive of death after transplantation.
(Mehta, Neil et al. European Association for the Study of the Liver, 11 November 2020)