The summaries are free for public
use. The Chronic Liver Disease
Foundation will continue to add and
archive summaries of articles deemed
relevant to CLDF by the Board of
Trustees and its Advisors.
Abstract Details
Child-Pugh Classification: Time to Abandon?
Kok B1, Abraldes JG1. Semin Liver Dis. 2019 Jan 11. doi: 10.1055/s-0038-1676805. [Epub ahead of print]
Author information
1
Division of Gastroenterology (Liver Unit), University of Alberta, Edmonton, Canada.
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.