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I was wondering how to find the meaning of the meld score I just found

out that mine is 10? I have PBC stage 4 and AIH I don't know what stage

and IBS with is a big pain in the you know what. Is the meaning of the meld score the same in all Countries?

Thanks

in Montreal

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,

Try this link:

http://www.unos.org/resources/meldpeldcalculator.asp

I haven't even read it yet myself, but that is high on my agenda. Others here I am sure will know more about MELD.

Ray

nancy godin <nancygodin19562003@...> wrote:

I was wondering how to find the meaning of the meld score I just found

out that mine is 10? I have PBC stage 4 and AIH I don't know what stage

and IBS with is a big pain in the you know what. Is the meaning of the meld score the same in all Countries?

Thanks

in Montreal

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> I was wondering how to find the meaning of the meld score I just found

> out that mine is 10? I have PBC stage 4 and AIH I don't know what stage

> and IBS with is a big pain in the you know what. Is the meaning of the meld

>score the same in all Countries?

The technical answer to your question is that the MELD score is used to

predict the probability of three-month mortality. It is a statistical model that

describes the relationship between an outcome (in this case, 3-month

mortality) and other variables (risk factors) theorized to predict the outcome.

Like all statistical models, the outcome is predicted with some error/

uncertainty. But the medical literature has shown that the MELD score is a

" better " predictor of three-month mortality then other models (such as Child-

Pugh Model) . As your MELD score increases towards 40, the statistical

probability of death three months hence increases. Most of this increase

happens at MELD scores higher than 20. That is, each additional MELD point

does not equal the same increase in probability. At a relatively low MELD

score like 10, the probability of death is very low.

Because the model is simple to use (three lab values), is objective and has

been shown to be a good predictor, it is used in the US to allocate livers for

transplant. It is not used in Canada for this purpose. So while the statistical

meaning of your MELD score is the same in every country, its practical

meaning in terms of determining if and when you will get a transplant varies.

I should add that I am not aware of any studies that show if the MELD score is

a good predictor of your present quality of life or of your risk of developing

certain complications.

If you are familiar with statistics, a good technical summary article is at:

http://www.optn.org/AR2003/Chapter_X_AR_CD.htm

Best Wishes,

Shauna (29, AIH'86, Crohns'95, PSC'99, listed @ Duke, MELD =17)

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  • 2 years later...

Here you can have your Meld score figured out:

www.mayoclinic.org/gi-rst/mayomodel7.html

www.thedrugmonitor.com/meld.html

You may get 2 scores that vary 1-2 points, the using them both gives

you a pretty acurate picture. Also, your Doc should know. If they

don't, I'd look around for another specialist!

Good luck, Rick

>

> hi all, how do you know what's your meld score if you were on the

transplant list?

> thanks

>

> jc

>

>

> ---------------------------------

> Get your own web address.

> Have a HUGE year through Small Business.

>

>

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Here you can have your Meld score figured out:

www.mayoclinic.org/gi-rst/mayomodel7.html

www.thedrugmonitor.com/meld.html

You may get 2 scores that vary 1-2 points, the using them both gives

you a pretty acurate picture. Also, your Doc should know. If they

don't, I'd look around for another specialist!

Good luck, Rick

>

> hi all, how do you know what's your meld score if you were on the

transplant list?

> thanks

>

> jc

>

>

> ---------------------------------

> Get your own web address.

> Have a HUGE year through Small Business.

>

>

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