Cited 0 times in
간장 응급도 기준 개선방안 연구: 한국형 멜드시스템의 학술적 배경
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 김명수 | - |
dc.date.accessioned | 2017-10-26T08:08:02Z | - |
dc.date.available | 2017-10-26T08:08:02Z | - |
dc.date.issued | 2016 | - |
dc.identifier.issn | 1298-1711 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/153007 | - |
dc.description.abstract | For a more useful and objective allocation system, we considered the Model for End-stage Liver Disease (MELD) system as an alternative to the Child-Turcotte-Pugh (CTP) score and status system in Korea. Development of basic assessment measures based on the Korean health service environment is the objective of this study. The data collected from a series of liver transplant candidates (n=2,702, 2009∼2012) were used as raw data for statistical analysis for this study. Using MELD score cut-points at 20, 30, 38 points, we observed significant survival difference by step-wise survival analysis. Emergency status 2 (38∼40 points) and status 3 (31∼37 points) were classified as urgent status for liver allocation. In such classes, early national-based allocation is possible. Patients with hepatocellular carcinoma (HCC) with low MELD scores (<20 point) are given an additional MELD score (+4 or +5 MELD score). This study helps advance the development of basic systematic rules for liver allocation. The rules for management of registration and re-registration of status, registration interval, validity and treatment rule of non-registered cases are defined. Through analysis of Korean retrospective records, this study proposed basic rules of liver allocation and a systematic proposal for the MELD system, which has been in use since June 2016. | - |
dc.description.statementOfResponsibility | open | - |
dc.language | Journal of the Korean Society for Transplantation | - |
dc.publisher | Journal of the Korean Society for Transplantation | - |
dc.relation.isPartOf | Journal of the Korean Society for Transplantation | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.title | 간장 응급도 기준 개선방안 연구: 한국형 멜드시스템의 학술적 배경 | - |
dc.title.alternative | Modification of Emergency Status in Deceased Donor Liver Allocation: Evidence for Korean Model of End-stage Liver Disease (MELD) System | - |
dc.type | Article | - |
dc.publisher.location | Korea | - |
dc.contributor.college | College of Medicine | - |
dc.contributor.department | Dept. of Surgery | - |
dc.contributor.googleauthor | 김명수 | - |
dc.identifier.doi | 10.4285/jkstn.2016.30.2.51 | - |
dc.contributor.localId | A00424 | - |
dc.relation.journalcode | J01858 | - |
dc.identifier.eissn | 2508-2604 | - |
dc.contributor.alternativeName | Kim, Myoung Soo | - |
dc.contributor.affiliatedAuthor | Kim, Myoung Soo | - |
dc.citation.volume | 30 | - |
dc.citation.number | 2 | - |
dc.citation.startPage | 51 | - |
dc.citation.endPage | 58 | - |
dc.identifier.bibliographicCitation | Journal of the Korean Society for Transplantation, Vol.30(2) : 51-58, 2016 | - |
dc.date.modified | 2017-10-24 | - |
dc.identifier.rimsid | 41015 | - |
dc.type.rims | ART | - |
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.