BACKGROUND: The @entity3851 ( @entity3851 ) is based on objective variables, including serum @entity1011 (SCr). This study assesses the influence of skin color on @entity3851 scores calculated using SCr or corrected @entity1011 (CrC) in female candidates for liver transplantation (LTx). METHODS: White and black @entity1 were eligible. The glomerular filtration rate (GFR) was calculated by means of the Modification of Diet in @entity8 formula, using SCr. The GFR was then used for reverse calculation of CrC considering each female as male. The @entity3851 scores were calculated using both @entity1011 values and compared between white and black candidates. RESULTS: SCr-based and CrC-based scores were similar between groups. Calculated GFR was significantly higher in black @entity1 than in white @entity1 (P < 0.001). Use of CrC yielded 1-point, 2-point, and 3-point increases in the @entity3851 score in 20.2%, 25.7%, and 17.5% of white @entity1 , respectively. None of the black @entity1 had a @entity3851 score increase greater than 1 point. The CrC-based @entity3851 calculation would benefit 63.4% of white females and only 26.1% of black females. CONCLUSIONS: Use of CrC for @entity3851 calculation would prioritize white females for liver allocation, but does not seem feasible, as it would not ensure equitable allocation across different ethnicities.

Model for End-Stage Liver Disease: Is Sex-Based XXXX Correction a Viable Strategy for Black Females?

@entity1011 :: ('MESH:D003404', 'Chemical') :: ['creatinine'] @entity1 :: ('9606', 'Species') :: ['women', 'patients'] @entity8 :: ('MESH:D007674', 'Disease') :: ['Renal Disease'] @entity3851 :: ('MESH:D058625', 'Disease') :: ['MELD', 'model for end-stage liver disease']
@entity1011 :: (MESH:D003404,Chemical) :: ['Creatinine']
