Hepatology and GI
MELD 3.0
Sex-equitable MELD (2022) — incorporates sex and creatinine adjustment.
MELD 3.0 calculator
Result
9points
Lower priority — continued monitoring
OPTN adopted MELD 3.0 in 2022. Female sex +1.33 corrects historical organ allocation disparity.
How to use it
- 1
MELD 3.0 differences. +1.33 for female sex. Na adjusted. Creatinine capped at 3.0 mg/dL (vs. 4.0 in MELD-Na).
- 2
OPTN 2022 adoption. US liver allocation uses MELD 3.0 since 2022 to reduce sex disparity in waitlist mortality.
- 3
Interpretation same as MELD-Na. Higher score = higher mortality = higher allocation priority.
When to use it
- US transplant centres
- OPTN mandates MELD 3.0 for organ allocation since 2022.
- Female patients with cirrhosis
- MELD 3.0 gives higher scores to women — corrects historical underscoring.
- Research after 2022
- Compare MELD 3.0 to MELD-Na for waitlist outcome studies.
A reference for clinicians and students, not medical advice. A score supports a decision; it does not make one. Check every result against the patient in front of you and your local protocol.
At a glance
- Specialty
- Hepatology and GI
- Inputs
- 5
- Type
- Formula
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