How do you use objective sarcopenia/frailty measures during liver transplant evaluation to decide between expedited listing versus a defined period of prehabilitation before listing?

At our center, we screen everyone with the liver frailty index (LFI). In those found to have frailty, we refer them to a prehabilitation clinic where, apart from providing physical literacy, personalized exercise and dietary prescriptions, we monitor LFI, 6MWT, and phase angle at every visit. This a...

The answer to this question may need to be assessed on an individual basis. With higher MELD scores, sicker patients will only benefit from being listed to accept an organ if it becomes available, versus waiting and mandating a period of rehab that may result in death on the waiting list. Lower MELD...