000000940 001__ 940
000000940 005__ 20251209085345.0
000000940 0247_ $$2DOI$$a10.6083/M4513W7R
000000940 037__ $$aETD
000000940 245__ $$aWaitlist time predicts survival after liver transplantation for hepatocellular carcinoma: a cohort study in the United Network for Organ Sharing registry
000000940 260__ $$bOregon Health and Science University
000000940 269__ $$a2013
000000940 336__ $$aThesis
000000940 502__ $$bM.P.H.
000000940 520__ $$aHepatocellular carcinoma (HCC) is the third most common malignancy worldwide and often occurs in cirrhotic patients in the U.S. Liver transplantation (LT) offers the unique advantage of curing both HCC and underlying liver disease. The Milan Criteria—adopted by UNOS—define LT eligibility based on tumor size and number, yielding 5-year survival rates exceeding 70%. However, HCC progression during wait times leads to significant dropout despite low MELD scores. To address this, UNOS implemented MELD exception points for HCC patients in 2002, prioritizing LT based on tumor progression risk. This system aims to balance organ allocation fairness with optimal outcomes.
000000940 540__ $$fCC BY
000000940 542__ $$fIn copyright - single owner
000000940 650__ $$aLiver Cirrhosis$$021584
000000940 650__ $$aHospitals$$020336
000000940 650__ $$aSurvival Analysis$$028823
000000940 650__ $$aLiver Transplantation$$028835
000000940 650__ $$aWaiting Lists$$027918
000000940 650__ $$aCarcinoma$$016112
000000940 650__ $$aTransplantation$$027278
000000940 650__ $$aLiver Cirrhosis$$021584
000000940 650__ $$aNeoplastic Processes$$022774
000000940 650__ $$aSurvival Rate$$028805
000000940 650__ $$aLiver Neoplasms$$021594
000000940 650__ $$aCarcinoma, Hepatocellular$$020130
000000940 650__ $$aSurvival Analysis$$028823
000000940 6531_ $$acancer
000000940 691__ $$aSchool of Medicine$$041369
000000940 692__ $$aDepartment of Public Health and Preventive Medicine$$041444
000000940 7001_ $$aSchlansky, Barry$$uOregon Health and Science University$$041354
000000940 8564_ $$9d6747292-8394-405d-9beb-c7d1705e4a07$$s1238455$$uhttps://digitalcollections.ohsu.edu/record/940/files/943_etd.pdf$$ePublic$$28c58d2691d9256a5eac56c7bf61960c7$$31
000000940 905__ $$a/rest/prod/x9/20/fw/89/x920fw89s
000000940 909CO $$ooai:digitalcollections.ohsu.edu:940$$pstudent-work
000000940 980__ $$aTheses and Dissertations