BAR (Balance of Risk ) Scoring System
This model provides a new and simple scoring system to predict outcome after orthotopic liver transplantation. The BAR score was calculated on 37.255 patients in the UNOS (United Network for Organ Sharing) database and identifies the six strongest predictors of post transplantation patient survival. Recent analysis (Dutkowski P et, Ann Surg 2011, in press) confirms the superiority of BAR as compared to other score systems like MELD (Model for end stage liver disease), D-MELD (Donor age multiplied by recipient MELD), DRI (donor risk index) and SOFT (survival outcome following liver transplantation).
The key survival predictors include the following factors for the:
- Donor
- Recipient
- Graft
BAR scoring appears to be easily applicable at the time of organ allocation, since liver graft cold ischemia can often be estimated.
Click here to calculate online the BAR-Score
The individual use of the calculator is free of charge. If use for registries, databases or trials a small fee may be charged. Please contact us for evaluation.
References