11 Jun, 2021

BAR, SOFT AND DRI POST-HEPATIC TRANSPLANTATION: WHAT IS THE BEST FOR SURVIVAL ANALYSIS?

Fernando TORTEROLLI
Rafael Katsunori WATANABE
Fernando Issamu TABUSHI
Igor Luna PEIXOTO
Paulo Afonso Nunes NASSIF
Nertan Luiz TEFILLI
Sergio Luiz ROCHA
Osvaldo MALAFAIA
DOI: 10.1590/0102-672020210001e1576
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Background:

Liver transplantation is the treatment of choice for patients with terminal liver disease. The Balance of Risk Score (BAR), Survival Outcomes Following Liver Transplantation (SOFT) and Donor Risk Index (DRI) scores are predictive systems for post-transplant survival.

Aim:

To evaluate the most accurate score and the best cutoff point for each predictor in the brazilian population.

Method:

Retrospective cross-sectional study of 177 patients. Data on the recipient, donor and transplant were analyzed and the prognostic scores BAR, SOFT and DRI were calculated for each transplant. To determine the BAR and SOFT cutoff points associated with death in three months, ROC curves were adjusted. Results: The best cutoff point for BAR was 9 points with an area under the ROC curve=0.69 and for SOFT it was 12 points with an area under the ROC curve=0.73. The DRI score did not discriminate survival (p = 0.139).

Conclusion:

The SOFT score proved to be better than BAR for survival analysis post-hepatic transplantation and the DRI was not effective.


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ABCD – BRAZILIAN ARCHIVES OF DIGESTIVE SURGERY is a periodic with a single annual volume in continuous publication, official organ of the Brazilian College of Digestive Surgery - CBCD.

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