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 Transplant Surgery Advanced Practice Providers in the Management of Pancreas Transplant Recipients

E. A. Herriman, J. M. Sharp, K. J. Brown, J. R. Montgomery, J. C. Magee, J. D. Punch, R. S. Sung, K. J. Woodside

Section of Transplantation, Department of Surgery, University of Michigan, Ann Arbor, MI

Meeting: 2019 American Transplant Congress

Abstract number: D276

Keywords: Kidney/pancreas transplantation, Outcome, Pancreas transplantation, Patient education

Session Information

Date: Tuesday, June 4, 2019

Session Name: Poster Session D: Pancreas and Islet: All Topics

Session Time: 6:00pm-7:00pm

 Presentation Time: 6:00pm-7:00pm

Location: Hall C & D

Related Abstracts
  • Impact of Early Hospital Readmission Following Simultaneous Pancreas Kidney Transplantation.
  • Which Place of Pancreas Graft Biopsy in the Management of Pancreas Transplant Recipients?

*Purpose: Transplant surgery advanced practice providers (APPs) roles and responsibilities vary widely between different transplant centers. In an effort to standardize care for the pancreas transplant program, our center underwent a programmatic transition in mid-2011, in which APPs increased involvement in the daily care of simultaneous pancreas and kidney (SPK), pancreas after kidney (PAK), and pancreas transplant alone (PTA) recipients. We sought to determine if this change impacted patient outcomes.

*Methods: We conducted a retrospective analysis of all patients who underwent SPK, PAK, or PTA at our center between 2006-2017. Patients transplanted during the gradual transition period of increased APP involvement (Feb-Aug 2011) were omitted from analysis (n=6). Cohorts were defined as pre-transition (transplanted before Feb-2011) or post-transition (transplanted after Aug-2011). Primary outcome was index hospital length of stay (LOS). Secondary outcomes were readmission within 30 days of discharge, pancreas graft loss, and patient death. Mann-Whitney U testing was used to compare the primary outcome and 30-day readmissions. Cox proportional hazard testing was used to analyze graft loss and patient death.

*Results: We identified 170 patients during the study period; 106 (62.4%) were pre-transition and 64 (37.6%) were post-transition. There were no significant differences in demographics between cohorts. There was a trend towards lower index hospital LOS for post-transition patients (Figure 1), but this was not statistically significant (8.0±4.1 vs 9.3±7.5 days, p=0.088). No recipients experienced an index hospital LOS ≥21 days in the post-transition period. There were no differences in 30-day hospital readmissions (44.3 vs 42.2%, p=0.8), pancreas graft loss (HR 0.69, 95%CI 0.32-1.49, p=0.3), or patient death (HR 0.98, 95%CI 0.30-3.15, p=1.0).

 border=

*Conclusions: Although our study found a trend towards decreased index hospital LOS, this difference was not statistically significant. Despite this trend, there was not an increase in readmissions. Intriguingly, there were fewer outliers in the post transition period, with no patients experiencing index hospital LOS ≥21 days. These results suggest advanced practice providers are effective in standardizing care of pancreas transplant recipients, while maintaining outcomes and potentially positively impacting program metrics.

  • Tweet
  • Email
  • Print

To cite this abstract in AMA style:

Herriman EA, Sharp JM, Brown KJ, Montgomery JR, Magee JC, Punch JD, Sung RS, Woodside KJ. Impact of Transplant Surgery Advanced Practice Providers in the Management of Pancreas Transplant Recipients [abstract]. Am J Transplant. 2019; 19 (suppl 3). https://atcmeetingabstracts.com/abstract/impact-of-transplant-surgery-advanced-practice-providers-in-the-management-of-pancreas-transplant-recipients/. Accessed March 4, 2021.

« Back to 2019 American Transplant Congress

Most Viewed Abstracts

  • This Week
  • This Month
  • All Time
  • 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?
  • Penis Transplantation: First U.S. Experience.
  • 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?
  • Penis Transplantation: First U.S. Experience.
  • Is There a Difference Between DCD and DBD Kidney Transplantation with Similar KDPI?
  • Low GFR after Kidney Donation Is Not Chronic Kidney Disease
  • Evidence of a Clinically Significant Drug-Drug Interaction between Cannabidiol and Tacrolimus: A Case Report
  • Kidney Dialysis after Heart Transplantation: The Short and Long Term Outcomes

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.