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How do you use the UKELD Score in your own clinical practice? Can you give an example of a scenario in which you use it? To use the score with common sense to understand its strengths and limitations (such as confidence limits, effect of other factors, etc). What recommendations do you have for doctors once they have applied the UKELD Score? Therefore, it may be used inappropriately as it is an aid, not an absolute prediction. The model applies to death from liver failure and does not apply to many cases, such as cancer, hepatopulmonary syndrome, etc. Conclusion: MELD 3.0 affords more accurate mortality prediction in general than MELDNa and addresses determinants of wait list outcomes, including the sex disparity. The score uses lab measurements which are not standardized the components do vary and can be affected by non-liver factors. In the Liver Simulated Allocation Model analysis, MELD 3.0 resulted in fewer wait list deaths compared to MELDNa (7788 vs 7850 P. What pearls, pitfalls and/or tips do you have for users of the UKELD Score? Do you know of cases when it has been applied, interpreted, or used inappropriately? The MELD Score, a well-respected model, was developed for patients in the US and predicting survival in a slightly different cohort. Why did you develop the UKELD Score? Was there a particular clinical experience or patient encounter that inspired you to create this tool for clinicians?We wanted to create a reliable score based on robust data to predict survival of patients listed for liver transplantation in the UK.