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DOI: 10.1055/s-0038-1676805
Child–Pugh Classification: Time to Abandon?
Publikationsverlauf
Publikationsdatum:
11. Januar 2019 (online)
![](https://www.thieme-connect.de/media/sld/201901/lookinside/thumbnails/10-1055-s-0038-1676805_1800059-1.jpg)
Abstract
The Child–Pugh classification is one of the commonest and oldest bedside tools utilized in estimating prognosis in patients with cirrhosis. However, its usage as a risk prediction tool or indeed a decision-making tool should be revisited. In this review, we discuss some inherent issues with the Child–Pugh classification and present a few contexts in which the current usage of Child–Pugh warrants reassessment, elaborating on its utility in acute variceal bleeding, specifically its role in decision-making on early transjugular intrahepatic portosystemic shunt, as well as its use in the context of hepatocellular carcinoma and drug development and dose adjustment.
Financial support
None
Author Contributions
B.K. and J.G.A. drafted the final manuscript.
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