MDCalc

Metroticket Calculator for Hepatocellular Carcinoma (HCC) Survival 2.0

Predicts post-liver transplant survival for patients with HCC based on preoperative factors.

If an alpha-fetoprotein (AFP) level is unavailable, consider using the original Metroticket.

Enter values based on preoperative evaluation and radiology findings.

mm
ng/mL

Presence of HCV infection

This input is optional.

Result:

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Advice
  • Discuss results in a multidisciplinary transplant board and in shared decision-making with the patient (prognostic framing, trade-offs, and waiting-list risks).
  • Authors proposed a ~70% predicted 5-year HCC-specific survival as a pragmatic threshold for considering listing/activation when otherwise appropriate; follow local policy.
Critical Actions

Allocation rules still govern transplant candidacy; this tool does not override OPTN/UNOS policy.

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