From Child-Pugh to Model for End-Stage Liver Disease: Deciding Who Needs a Liver Transplant

Abstract

This article reviews the historical evolution of the liver transplant organ allocation policy and the indications/contraindications for liver transplant, and provides an overview of the liver transplant evaluation process. The article is intended to help internists determine whether and when referral to a liver transplant center is indicated, and to help internists to counsel patients whose initial evaluation at a transplant center is pending.

Keywords: Cirrhosis; Hepatocellular carcinoma; Liver transplantation; MELD score; Organ allocation.