Comment on "Prognostic Performance of Model for End-Stage Liver Disease (MELD) 3.0 for Transjugular Intrahepatic Portosystemic Shunt (TIPS) Creation"
- PMID: 40859003
- DOI: 10.1007/s00270-025-04148-x
Comment on "Prognostic Performance of Model for End-Stage Liver Disease (MELD) 3.0 for Transjugular Intrahepatic Portosystemic Shunt (TIPS) Creation"
Abstract
Michimoto et al. demonstrated superior prognostic performance of MELD 3.0 for elective TIPS. While findings support improved risk stratification, lack of data on patients not undergoing TIPS and exclusion of key clinical outcomes limit immediate applicability. Broader validation and inclusion of post-TIPS complications are needed to guide patient selection and treatment decisions effectively.
Keywords: Hepatic decompensation; Liver cirrhosis; Portal hypertension; Risk stratification; Transjugular intrahepatic portosystemic shunt.
© 2025. Springer Science+Business Media, LLC, part of Springer Nature and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE).
Conflict of interest statement
Declarations. Conflict of interest: The authors declare no financial interest relevant to this study. The authors declare no non-financial interests relevant to this study. Clinical Trial Registration Details/Number: Not applicable, as this study did not report a clinical trial. Ethical Approval: Not required. Generative AI Use Statement: Generative AI tools, including Paperpal and ChatGPT-4o, were utilized solely for language refinement, grammar enhancement, and stylistic refinement. These tools had no role in the conceptualization, data analysis, interpretation of the results, or substantive content development of this manuscript. All intellectual contributions, data analyses, and scientific interpretations were the sole work of the authors. The final content was critically reviewed and edited to ensure its accuracy and originality. The authors take full responsibility for the accuracy, originality, and integrity of the work. Human Ethics and Consent to Participate: Not applicable as no patient data were collected or analyzed in this commentary. Research Registry Number: Not applicable.
References
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