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American Transplant Congress abstracts

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  • 2016 American Transplant Congress

    National Trends in Liver Discards: The Weekend Effect.

    D. Carpenter,1 S. Mohan,2 K. Halazun,3 E. Verna,5 M. Chiles,2 G. Charak,1 L. Ratner.4

    1Surgery, Columbia University Medical Center, New York City, NY; 2Medicine, Division of Nephrology, Columbia University Medical Center, New York City, NY; 3Department of Surgery, Division of Transplantation, Weill Cornell Medical Center, New York City, NY; 4Department of Surgery, Division of Transplantation, Columbia University Medical Center, New York City, NY; 5Department of Medicine, Center for Liver Disease and Transplantation, Division of Digestive and Liver Diseases, Columbia University Medical Center, New York City, NY.

    Overall organ discard rates have increased over the last decade. Given the current organ shortage, understanding factors that contribute to the discard of livers is…
  • 2016 American Transplant Congress

    Understanding the Dynamics of a Suddenly Plateauing Kidney Waiting List.

    A. Wilk, D. Stewart, E. Edwards.

    United Network for Organ Sharing, Richmond, VA.

    Background: The number of candidates on the kidney (KI) wait list (WL) abruptly flattened around the time the new Kidney Allocation System (KAS) was implemented…
  • 2016 American Transplant Congress

    Acute-on-Chronic Liver Failure Admissions Cost 3 Times More Than Non-ACLF Related Admissions.

    S. Leffingwell, J. O'Leary, S. Asrani.

    Baylor Simmons Transplant Institute, Baylor University Medical Center, Dallas, TX.

    Background: Acute-on-chronic liver failure (ACLF) is associated with significant resource utilization. However, the relative charges associated with ACLF are not established.Methods: We examined cirrhotics admitted…
  • 2016 American Transplant Congress

    Do All cPRA 100% Candidates Have Equal Access to Organ Allocation?

    H. Gebel,1,2 S. Gustafson,1 D. Segev,1,3 B. Kasiske,1 A. Israni.1

    1Scientific Registry of Transplant Recipients, Minneapolis; 2Pathology, Emory University Hospital, Atlanta; 3Surgery, Johns Hopkins, Baltimore.

    Renal transplant candidates with cPRA values of 98%, 99%, and 100% received local, regional, and national priority, respectively, for deceased donor kidneys with the new…
  • 2016 American Transplant Congress

    Virtual Crossmatching Under the New KAS: Safely Bypassing a Physical Crossmatch When Allocating Kidneys to Highly Sensitized Candidates.

    R. Bray,1 R. Parsons,2 N. Turgeon,2 H. Gebel.1

    1Pathology, Emory University, Atlanta, GA; 2Emory Transplant Center, Emory University, Atlanta, GA.

    AIM: On 12/4/2014, the OPTN implemented a new KAS for deceased donor(DD) transplants which, among many changes, increased priority for highly sensitized (HS) candidates (cPRA>98%).…
  • 2016 American Transplant Congress

    Impact of the New Kidney Allocation System on Highly Sensitized Patients: Single Center Report.

    A. Mattiazzi,1 W. Kupin,1 D. Roth,1 L. Chen,2 G. Burke,2 G. Ciancio,2 P. Ruiz,2 R. Vianna,2 G. Guerra.1

    1Department of Medicine, Division of Nephrology, Miami Transplant Institute, Miami, FL; 2Department of Surgery, Miami Transplant Institute, Miami, FL.

    Background: Highly sensitized patients (HSP) with calculated Panel Reactive Antibody (cPRA) >80% are known to have extensive waiting time on UNOS list. The new kidney…
  • 2016 American Transplant Congress

    Early Changes to Kidney Distribution Under the New Kidney Allocation System.

    A. Massie,1 X. Luo,1 B. Lonze,1 N. Desai,1 A. Bingaman,2 M. Cooper,3 D. Segev.1

    1JHU, Baltimore; 2Methodist, San Antonio; 3Georgetown, Washington.

    In December 2014, the Kidney Allocation System (KAS), a major change to kidney allocation, was implemented, granting increased priority to younger candidates and candidates with…
  • 2016 American Transplant Congress

    Thoracic Simulated Allocation Modeling (TSAM) of Broader Sharing.

    M. Colvin,1 M. Skeans,1 L. Robbins Callahan,2 L. Edwards,2 J. Zeglin,1 S. Silvestry,3 R. Davies,4 M. Farr,5 A. Israni,1 J. Rogers.6

    1SRTR, Minneapolis, MN; 2UNOS, Richmond, VA; 3Florida Hospital Transplant Institute, Orlando, FL; 4Nemours/A.I. duPont Hospital for Children, Wilmington, DE; 5Columbia University Medical Center, New York, NY; 6Duke University, Durham, NC.

    Heart allocation policy (OPTN policy 6) is in development. The Heart Subcommittee of the OPTN Thoracic Committee developed a 6-tiered medical urgency algorithm, then investigated…
  • 2016 American Transplant Congress

    Projection versus Reality: KPSAM and KAS.

    S. Gustafson, A. Israni, J. Pyke, N. Salkowski, J. Snyder, B. Kasiske.

    Scientific Registry of Transplant Recipients, Minneapolis, MN.

    On December 4, 2014, the national kidney allocation system (KAS) was substantially revised. The decision to revise was based in part on results from the…
  • 2016 American Transplant Congress

    Prospective Randomized Controlled Study Evaluating the Relationship Between Electronic Adherence Data and Tacrolimus Concentration Data.

    B. Kane,1 M. Lockwood,1 L. Potter,1 L. Lourenco,1 A. Bodzin,1 D. Covington,2 K. Mayer,3 J. Millis.1

    1University of Chicago Transplant Center, University of Chicago, Chicago, IL; 2Clinical Research, Innovation Clinical Research, LLC, Tucson, AZ; 3R&D, SIMpill, LLC, Madison, WI.

    Purpose: The SIMpill® Medication Adherence System (MAS) is being evaluated in transplant recipients in a prospective 3-year study. The MAS captures patient medication adherence data…
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