Multiplication product of Model for End-stage Liver Disease and Donor Risk Index as predictive models of survival after liver transplantation

Abed Khalaileh, Tawfik Khoury, Subhi Harkrosh, Yakob Nowotny, Mohamad Massarwa, Rifaat Safadi, Eytan Mor, Richard Nakache, Samir Abu Gazala, Hadar Merhav

Research output: Contribution to journalArticlepeer-review

4 Scopus citations


Background Liver transplantation (LT) is the treatment of choice for most end-stage liver diseases. This treatment increases survival rates and improves quality of life. Because of the shortage of organ donors, as opposed to waiting patients, the need to optimize the matching of donors to recipients for maximum utility is crucial. Aim The aim of this study was to examine a predictive model based on the combination of donor and recipient risk factors using the liver Donor Risk Index (DRI) and recipient Model of End-stage Liver Disease (MELD) to predict patients’ survival following LT. Patients and methods The charts of 289 adult primary LT patients, who had undergone transplantation in Israel between 2010 and 2015, were studied retrospectively using prospectively gathered data. Results Two variables, DRI and MELD, were found to significantly affect post-transplant patient survival. DRI negatively affected survival in a continuous fashion, whereas MELD had a significantly negative effect only at MELD more than 30. Both female sex and the presence of hepatocellular carcinoma were associated with increased patient survival. Conclusion According to our findings, the model described here is a novel prediction tool for the success of orthotopic LT and can thus be considered in liver allocation.

Original languageEnglish
Pages (from-to)1116-1120
Number of pages5
JournalEuropean Journal of Gastroenterology and Hepatology
Issue number9
StatePublished - 1 Sep 2019
Externally publishedYes

Bibliographical note

Funding Information:
A.K. and H.M. contributed to the conception and design of the study. All authors contributed to data acquisition, analysis, and drafting of the manuscript. All authors approved the final version to be published.

Publisher Copyright:
Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.


  • Donor risk
  • Liver transplantation
  • Model of End-stage Liver Disease
  • Survival


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