Transplantation in Germany

Long‐term follow‐up after full‐split liver transplantation and its applicability in the recent transplant era

“…20,21 Interestingly, we found an outstanding outcome following pediatric full-split LTX, with a significantly better patient survival in pediatric recipients compared to adult recipient. In contrast to the strict recipient selection in adults, due to the difficult size matching especially in older children (8)(9)(10)(11)(12)(13)(14) years, 20-40 kg), full-split organs were used even for children with higher calculated MELD scores (range up to 40 points) or for liver retransplantation (n = 5) with good outcome.…”

“…By 2006, more than 80% of the patients on this list had T2 status, indicating a further overhaul of the system to avoid subjective classifications like ascites and encephalopathy. In December 2006, a national waiting list was established, and the allocation changed to an urgency‐based system using the MELD score . In the system, patients are ranked by their calculated MELD score (laboratory MELD); additionally children and patients with special indications not well stratified by the laboratory MELD receive an assigned MELD score.…”

Surgical Aspects of Liver Transplantation and Domino Liver Transplantation in Maple Syrup Urine Disease: Analysis of 15 Donor‐Recipient Pairs

“…In the Eurotransplant area, liver allocation is based on urgency using Model for End‐Stage Liver Disease (MELD) scoring . The patients are ranked by their calculated MELD score.…”

Outcome following right‐extended split liver transplantation in the recent transplant era: Single‐center analysis of a German transplant center

“…In December 2006, a national liver transplant waiting list was established in Germany, and the allocation method was changed to an urgency‐based system in which patients are ranked by a MELD score calculated using laboratory values . Children and patients with special indications not well stratified by laboratory values receive an assigned MELD score.…”