Model for End-Stage Liver Disease (Combined MELD)
Offers multiple versions of MELD for liver transplant planning.
On this page, you'll find the original MELD Score (Pre-2016), MELD Na (previously UNOS/OPTN standard), and MELD 3.0. MELD 3.0 is the current standard calculation for organ transplantation consideration in the United States and better accounts for disparities in organ allotment based on sex.
Advice
- The MELD Score helps to estimate prognosis for patients with end-stage liver disease, and is used to prioritize transplant recipients.
- Consider referral to hepatologist or liver transplant center for patients with elevated MELD score.
- MELD Score should be periodically reassessed, as it changes with changing lab values.
- OPTN considers a maximum score of 40 when assessing transplant appropriateness.
- If in the United States, refer to the Organ Procurement and Transplantation Network for the latest policies on liver transplant.