ATC Abstracts

American Transplant Congress abstracts

  • Home
  • Meetings Archive
    • 2020 American Transplant Congress
    • 2019 American Transplant Congress
    • 2018 American Transplant Congress
    • 2017 American Transplant Congress
    • 2016 American Transplant Congress
    • 2015 American Transplant Congress
    • 2013 American Transplant Congress
  • Keyword Index
  • Resources
    • 2016 Resources
      • 2016 Welcome Letter
      • ATC 2016 Program Planning Committees
      • ASTS Council 2015-2016
      • AST Board of Directors 2015-2016
    • 2015 Resources
      • 2015 Welcome Letter
      • ATC 2015 Program Planning Committees
      • ASTS Council 2014-2015
      • AST Board of Directors 2014-2015
      • 2015 Conference Schedule
  • Advanced Search

Impact of Proximity MELD/PELD Points on Liver Redistricting Scenarios.

S. Gentry,1,2 J. Pyke,1 D. Schladt,1 J. Zeglin,1 W. Kim,3 J. Lake,4 R. Hirose,5 D. Mulligan,6 A. Israni.1

1Scientific Registry of Transplant Recipients, Minneapolis
2United States Naval Academy, Annapolis
3Stanford, Palo Alto
4University of Minnesota, Minneapolis
5Surgery, University of California, San Francisco
6Surgery, Yale University, New Haven.

Meeting: 2016 American Transplant Congress

Abstract number: 441

Keywords: Allocation, Liver, Public policy

Session Information

Date: Tuesday, June 14, 2016

Session Name: Concurrent Session: Liver: MELD, Allocation and Donor Issues (DCD/ECD) 1

Session Time: 2:30pm-4:00pm

 Presentation Time: 2:42pm-2:54pm

Location: Room 304

Related Abstracts
  • MELD/PELD 35+ Candidates Benefit from Regional Sharing
  • Health Disparities in Pediatric Intestinal Transplantation: Before and After the Implementation of MELD/PELD.

Background: To address geographic disparity in liver allocation, a new organ distribution system consisting of 4 or 8 districts has been proposed (Gentry, Am J Transplant 2013). The OPTN Liver Committee is considering including proximity points for candidates within 150 or 250 miles of the donor.

Purpose: We evaluated the impact of proximity preference on disparity in liver distribution.

Methods: We used the liver simulated allocation model (LSAM) to project disparity (variance in median MELD/PELD at transplant by DSA) and transport burden (percentage of organs transported by flying) with bonus proximity MELD/PELD points.

Results: Broader sharing in the current 11 regions was projected to increase variance in median MELD/PELD at transplant compared with a current policy simulation. The 8- and 4-district maps decreased this variance by half (Figure 1). Adding proximity points did not substantially reduce this disparity benefit, but did reduce the percentage of organs transported by flying; flight percentage was lowest for the 8-district 5-point 150-mile scenario (Figure 2, 65%).

Conclusions: Proximity MELD/PELD points can mitigate the transport burden of liver redistricting while reducing the disparity in median MELD/PELD at transplant.

CITATION INFORMATION: Gentry S, Pyke J, Schladt D, Zeglin J, Kim W, Lake J, Hirose R, Mulligan D, Israni A. Impact of Proximity MELD/PELD Points on Liver Redistricting Scenarios. Am J Transplant. 2016;16 (suppl 3).

  • Tweet
  • Email
  • Print

To cite this abstract in AMA style:

Gentry S, Pyke J, Schladt D, Zeglin J, Kim W, Lake J, Hirose R, Mulligan D, Israni A. Impact of Proximity MELD/PELD Points on Liver Redistricting Scenarios. [abstract]. Am J Transplant. 2016; 16 (suppl 3). https://atcmeetingabstracts.com/abstract/impact-of-proximity-meldpeld-points-on-liver-redistricting-scenarios/. Accessed February 25, 2021.

« Back to 2016 American Transplant Congress

Most Viewed Abstracts

  • This Week
  • This Month
  • All Time
  • A Decade of Donor-Derived Disease: A Report of the OPTN Ad Hoc Disease Transmission Advisory Committee (DTAC).
  • Low GFR after Kidney Donation Is Not Chronic Kidney Disease
  • Subtherapeutic Low Tacrolimus Trough Levels (≤3.5 Ng /ml) Are A Risk Factor For Acute Rejection And Creatinine Doubling.
  • Is There a Difference Between DCD and DBD Kidney Transplantation with Similar KDPI?
  • Kidney Dialysis after Heart Transplantation: The Short and Long Term Outcomes
  • Low GFR after Kidney Donation Is Not Chronic Kidney Disease
  • Subtherapeutic Low Tacrolimus Trough Levels (≤3.5 Ng /ml) Are A Risk Factor For Acute Rejection And Creatinine Doubling.
  • Penis Transplantation: First U.S. Experience.
  • A Decade of Donor-Derived Disease: A Report of the OPTN Ad Hoc Disease Transmission Advisory Committee (DTAC).
  • Is There a Difference Between DCD and DBD Kidney Transplantation with Similar KDPI?
  • Low GFR after Kidney Donation Is Not Chronic Kidney Disease
  • Left-Sided Donor Nephrectomy Predisposes Living Kidney Donors to Latent Adrenal Insufficiency with Symptoms of Fatigue and Inferior Quality of Life.
  • Live Related Kidney Transplant Experience in Abuja, Nigeria – First Eight Cases Ever.

Visit Our Partner Sites

American Transplant Congress (ATC)

Visit the official site for the American Transplant Congress »

American Journal of Transplantation

The official publication for the American Society of Transplantation (AST) and the American Society of Transplant Surgeons (ASTS) »

American Society of Transplantation (AST)

An organization of more than 3000 professionals dedicated to advancing the field of transplantation. »

American Society of Transplant Surgeons (ASTS)

The society represents approximately 1,800 professionals dedicated to excellence in transplantation surgery. »

Copyright © 2013-2021 by American Society of Transplantation and the American Society of Transplant Surgeons. All rights reserved.

Privacy Policy

loading Cancel
Post was not sent - check your email addresses!
Email check failed, please try again
Sorry, your blog cannot share posts by email.
This site uses cookies: Find out more.