Increasing Survival Results in High MELD Recipients, What We Learn

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorDAVID, Andre I.
dc.contributor.authorTREVIZOL, Allison
dc.contributor.authorPECORA, Rafael A. A.
dc.contributor.authorYAMASHITA, Eduardo T.
dc.contributor.authorPINHEIRO, Rafael S. N.
dc.contributor.authorCRUZ JUNIOR, Ruy J.
dc.contributor.authorD'ALBUQUERQUE, Luiz Augusta C.
dc.date.accessioned2013-10-11T21:19:48Z
dc.date.available2013-10-11T21:19:48Z
dc.date.issued2013
dc.description.abstractHigh MELD recipients are very usual cases in development countries, like Brazil, because of donor shortage and few transplant centers, most in Sao Paulo State and few or none in other States. Despite high MELD recipients, extended criteria donors are commonly used in a dangerous combination. Attitudes to improve survival are necessary to keep satisfactory survival results. Casuistic: Were analized 72 cases done in the last 14 months, after some providences to improve results. The most important were: donor selection, multi-professional training at international transplant centers (most in US and Europe), investment in hospital infra-structure and research at LIM 37 (Laboratory of Investigative Medicine). Patients with high MELD where considered when MELD Score was more or equal to 30. Results: The improve in survival curve detached of the Sao Paulo State curve (Figure 1), in a development country with the largest Public Transplant Program of the world, Sao Paulo has the largest Liver Program. Conclusion Providences like high investment in human resources and infra-structure and improve the experience of the transplant (donor/recipient) team as in basic research are keys to keep good results in development countries.
dc.description.conferencedateJUN 12-15, 2013
dc.description.conferencelocalSydney, AUSTRALIA
dc.description.conferencename19th Annual International Congress of the International-Liver-Transplantation-Society (ILTS)
dc.description.indexMEDLINE
dc.identifier.citationLIVER TRANSPLANTATION, v.19, suppl.1, p.S292-S293, 2013
dc.identifier.doi10.1002/lt.23661
dc.identifier.issn1527-6465
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/2887
dc.language.isoeng
dc.publisherWILEY-BLACKWELL
dc.relation.ispartofLiver Transplantation
dc.rightsrestrictedAccess
dc.rights.holderCopyright WILEY-BLACKWELL
dc.subject.wosGastroenterology & Hepatology
dc.subject.wosSurgery
dc.subject.wosTransplantation
dc.titleIncreasing Survival Results in High MELD Recipients, What We Learn
dc.typeconferenceObject
dc.type.categorymeeting abstract
dc.type.versionpublishedVersion
dspace.entity.typePublication
hcfmusp.author.externalTREVIZOL, Allison:Santa Casa Med Sch, Sao Paulo, Brazil
hcfmusp.author.externalYAMASHITA, Eduardo T.:Santa Casa Med Sch, Sao Paulo, Brazil
hcfmusp.contributor.author-fmusphcANDRE IBRAHIM DAVID
hcfmusp.contributor.author-fmusphcRAFAEL ANTONIO ARRUDA PECORA
hcfmusp.contributor.author-fmusphcRAFAEL SOARES NUNES PINHEIRO
hcfmusp.contributor.author-fmusphcRUY JORGE CRUZ JUNIOR
hcfmusp.contributor.author-fmusphcLUIZ AUGUSTO CARNEIRO D ALBUQUERQUE
hcfmusp.description.beginpageS292
hcfmusp.description.endpageS293
hcfmusp.description.issuesuppl 1
hcfmusp.description.volume19
hcfmusp.origemWOS
hcfmusp.origem.wosWOS:000319522500702
hcfmusp.publisher.cityHOBOKEN
hcfmusp.publisher.countryUSA
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relation.isAuthorOfPublication.latestForDiscovery9e52f637-416d-4df5-b535-aded67768b57
Arquivos
Coleções
Comunicações em Eventos - FM/MGT
Comunicações em Eventos - HC/ICHC
Comunicações em Eventos - HC/InCor
Comunicações em Eventos - LIM/37