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Re: Favor to ask

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I wrote a MELD score calculator for my web page... I haven't looked at

it for quite a while, but I think it's still there. I'll check on it

and if it's there and in working order I'll give you the link so you can

use it if you want.

athan

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,

I only received 13 points on your calculator as opposed to the 18

that UNOS has calculated. Is there an advantage to having your own?

Perhaps a link to the UNOS calculator with an explanation of the

values, etc. would be easier to maintain? Just curious.

HTH,

Deb in VA

PSC 1998, UC 1999, Listed Ltx 2001, HE 1/2005, MELD 18

>

> Dear All;

>

>> Does this page give the same MELD score as other calculators you

> have used?

>

> You will need Javascript enabled on your browser to be able to use

> this calculator.

>

> If it works O.K. then I'll add some further expalanatory notes.

>

> Thank you,

>

> Best regards,

>

> Dave

> (father of (19); PSC 07/03; UC 08/03)

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Sorry I didn't realize that the link you gave was the page you made! I

checked both mine and yours, and they both seem to give basically the

same answers when I put in low numbers but they get off from each other

as the numbers get larger.... still close but as they started getting up

toward a MELD score of 20 the numbers were far enough off that they'd

round to a different number. It looked like there was a difference in

how they handled the INR number, but I didn't look far enough to figure

out what it was or which was right. I do know that the Excel

spreadsheet that I have to calculate my MELD score agrees exactly with

my web calculator, but I wrote that too so I may have made the same

mistake in both of them!

The only other possible problem I noticed was that if I entered a number

lower than 1 in yours (and in mine too actually), it dropped the MELD

score down and if I remember correctly UNOS rounds any number below 1 up

to one.

So for instance my creatinine is .7, my bilirubin runs around 1.2, and

my INR around 1.1. That gives a MELD score of 4.7 if I use the .7 for

creatinine, but gives 8.2 if I use 1, which corresponds to what the

transplant center calculates. You could probably just add a note to

round numbers lower than 1 up to one, or you could make the program

round them up automatically. I thought I'd fixed mine so it rounded up

but I guess not!

athan

BTW, if you'd like to look at mine it's at:

http://www.mindspring.com/~thegeorges/meld.html

It has a couple old features (stuff about what type of liver disease

etc.) because it was written before the MELD score was actually adopted

by UNOS. Feel free to use it in any way you want (if you find that it

has anything you could use!)

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I used Ken’s

numbers from 5/13/04 using

your calculator I came up with 7.475

Using the UNOS

calculator I came up with 12

I tried again using

numbers from 9/18/03 your calculator – 9.3218

Using UNOS calculator –

14

The UNOS calculator I

use can be found at:

http://www.unos.org/resources/MeldPeldCalculator.asp?index=98

HTH Barb

in Texas

-----Original Message-----

From:

I'm trying

to create a MELD score calculator for our companion web

site. I

wondered whether I could ask a favor of those who compute

their MELD

scores regularly. Could you please try checking whether

the formula

is correct at the follwing page?

http://www.psc-literature.org/meldcalc.htm

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Between athan,

& UNOS now I’m wondering if all the hospitals use the same calculator? I

guess before, I just assumed everyone was using the UNOS one since it’s

their MELD score that counts, but what if everyone is using a different one?

Things that make me go

Hmmmm….

Barb

in Texas - Son Ken

(30) UC 91 & PSC 99

-----Original Message-----

From: Barb Henshaw

The

UNOS calculator I use can be found at:

http://www.unos.org/resources/MeldPeldCalculator.asp?index=98

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Barb Henshaw wrote:

> Between athan, & UNOS now I’m wondering if all the hospitals

> use the same calculator? I guess before, I just assumed everyone was

> using the UNOS one since it’s their MELD score that counts, but what if

> everyone is using a different one?

They *should* all give the same answer... I think the reason that you

got different numbers was because of the rounding of numbers lower than

1 up to 1 like I mentioned in my previous email.

I just checked 's updated calculation, and it now gives exactly the

same answer as UNOS (and mine if do my rounding manually), so I think

it's good to go!

athan

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Barb,

If you are listed, then UNOS's computer program automatically

calculates the MELD score when the person at the center inputs it to

send to data to UNOS electronically. Once the file is saved, it

cannot be modified. (All of the rules having to do with how old labs

can be, etc., require this kind of computer coding.) The reason I

know this is because my MELD was recently input incorrectly by one of

my centers (they typed my DIRECT bilirubin which was 6 instead of my

total bilirubin which was 10). When they went to correct the error,

they had to work directly with someone at UNOS to correct the entry.

If someone isn't listed at a center, I'm not sure what method the

center might choose to use to calculate MELD. I just know that for

those of us who are listed, it automatically goes through the UNOS

channels/calculations as part of keeping us listed.

HTH,

Deb in VA

PSC 1998, UC 1999, Listed Ltx 2001, HE 1/2005, MELD 18

but what if

> everyone is using a different one?

> Things that make me go Hmmmm..

>

> Barb in Texas - Son Ken (30) UC 91 & PSC 99

>

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Sorry, for some reason I've had a hard bounce from Yahoo

Re: Favor to ask

>

>

> >

> >

> > Barb,

> > If you are listed, then UNOS's computer program automatically

> > calculates the MELD score when the person at the center inputs it to

> > send to data to UNOS electronically. Once the file is saved, it

> > cannot be modified. (All of the rules having to do with how old labs

> > can be, etc., require this kind of computer coding.) The reason I

> > know this is because my MELD was recently input incorrectly by one of

> > my centers (they typed my DIRECT bilirubin which was 6 instead of my

> > total bilirubin which was 10). When they went to correct the error,

> > they had to work directly with someone at UNOS to correct the entry.

> >

> >

> > HTH,

> > Deb in VA

> > PSC 1998, UC 1999, Listed Ltx 2001, HE 1/2005, MELD 18

>

>

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> Sorry, for some reason I've had a hard bounce from Yahoo

> Re: Favor to ask

> >

> >

> > >

> > >

> > > Barb,

> > > If you are listed, then UNOS's computer program automatically

> > > calculates the MELD score when the person at the center inputs it to

> > > send to data to UNOS electronically. Once the file is saved, it

> > > cannot be modified. (All of the rules having to do with how old labs

> > > can be, etc., require this kind of computer coding.) The reason I

> > > know this is because my MELD was recently input incorrectly by one of

> > > my centers (they typed my DIRECT bilirubin which was 6 instead of my

> > > total bilirubin which was 10). When they went to correct the error,

> > > they had to work directly with someone at UNOS to correct the entry.

> > >

> > >

> > > HTH,

> > > Deb in VA

> > > PSC 1998, UC 1999, Listed Ltx 2001, HE 1/2005, MELD 18

> >

> >

>

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