Inicio  /  Cancers  /  Vol: 13 Par: 6 (2021)  /  Artículo
ARTÍCULO
TITULO

Liver Transplantation for T2 Hepatocellular Carcinoma during the COVID-19 Pandemic: A Novel Model Balancing Individual Benefit against Healthcare Resources

Umberto Cillo    
Alessandro Vitale    
Michael L. Volk    
Anna Chiara Frigo    
Paolo Feltracco    
Annamaria Cattelan    
Giuseppina Brancaccio    
Giuseppe Feltrin    
Paolo Angeli    
Patrizia Burra    
Sara Lonardi    
Silvia Trapani and Massimo Cardillo    

Resumen

Using Italian national data from more than 8000 patients, we proposed a novel model calculating the net benefit of liver transplantation (individual benefit minus harm to others on the waiting list) in T2 hepatocellular carcinoma (HCC) patients in different scenarios of transplant activity reduction. Our results show that the transplant net benefit is closely related to the decrease in the number of organs, but it is also higher in T2 HCC patients than in non-HCC patients with the same model for end-stage liver disease (MELD) scores. Our model supports liver transplantation for T2 HCC with the highest net benefit also during crises such as COVID-19.

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