When someone has hepatitis, and the doctor says that you're end stage (hepatitis)---------that's totally different than end stage cirrhosis.
Here's what I mean.
Hepatitis has four stages
(Stage 1, Stage 2, Stage 3, Stage 4).
The last stage of HEPATITIS (the 4th stage of hepatitis)......is cirrhosis.
THEN----Cirrhosis has three stages.
(Stage A, Stage B, Stage C.)
In other words-----You could look at it like this. Here's the order that the stages would go:
Stage 1 Hepatitis- is not cirrhosis
Stage 2 Hepatitis- is not cirrhosis
Stage 3 Hepatitis- is not cirrhosis yet
Stage 4 Hepatitis- is the beginning of cirrhosis
Stage A Cirrhosis- is compensated Cirrhosis (liver is still doing it's job)
Stage B Cirrhosis- is the start of decompensated cirrhosis ("decompensated" means that complications like ascites, encephalopathy, varices, are beginning to happen)
Stage C Cirrhosis- is decompensated, end stage cirrhosis
A person has to be at least Stage B or Stage C cirrhosis, to get "evaluated" for the liver transplant waiting list.
In other words------
Here's two very important things to keep in mind:
Hepatitis has 4 stages (stage 1, stage 2, stage 3, stage 4).......the 4th stage of hepatitis is "cirrhosis". Many people refer to stage 4 hepatitis as "end stage". (But you need to keep in mind that stage 4 hepatitis is just the BEGINNING of cirrhosis)
Cirrhosis has 3 stages (stage A, stage B, stage C)
stage A cirrhosis = compensated cirrhosis
stage B cirrhosis = beginning to decompensate
stage C cirrhosis = decompensated cirrhosis (end stage cirrhosis)
Stage A cirrhosis (compensated cirrhosis) means that the liver is still doing enough of it's job.....to keep you relatively well. No "complications" happening.
Stage B cirrhosis (beginning of decompensation) means that "complications" are beginning to appear. Examples of "complications" are ascites, or varices, or encephalopathy.
Stage C cirrhosis (decompensated cirrhosis) means that the liver is not able to do it's job......."complications" (ascites, varices, encephalopathy) are worsening.
Doctors use a CTP Scorecard to determine what stage of cirrhosis that a person is in. The CTP Score is based on 5 questions (and gives you a point value for each of your answers).
CTP scores range from 5 to 15.
A person must have at least a CTP score of 7 or higher, in order to get referred to a liver transplant center for an Evaluation.
The evaluation is a series of tests and interviews, to see if a person is a good candidate for transplant.
If a person passes their Evaluation, they are placed on the liver transplant waiting list.
Once a person is on the Waiting List......another scoring system is used (MELD score). The MELD Score is for donor liver allocation. (Used to see who gets the next available liver) Source:: Hepatitis C outreach project
"By the love of those I've been privileged to rescue, I have been rescued"