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American Transplant Congress abstracts

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  • 2015 American Transplant Congress

    One Year Outcomes and Quality of Life Measurements in 127 Extended Criteria Donor Recipients- A Single Centre Comparative Study

    Y. Tabbakh,1 S. Turner,1 H. Maple,1 C. Callaghan,1 J. Olsburgh,1 F. Calder,1 M. Drage,1 N. Karydis,1 I. Loukopoulos,1 G. Koffman,1 R. Hilton,1 J. Pattison,1 C. Farmer,3 S. Shah,2 E. Spigler,1 N. Mamode,1 N. Kessaris.1

    1Guys Hospital, London, United Kingdom; 2Kings Hospital, London, United Kingdom; 3Kent & Canterbury Hospital, Kent, United Kingdom.

    Introduction: Expanded criteria donors (ECDs) are those aged over 60 or 50-59 with 2 of: hypertension, death from cerebrovascular cause or terminal serum creatinine over…
  • 2015 American Transplant Congress

    Survival Outcomes of Kidney Transplant Recipients from Expanded Criteria Donors: A Systematic Review and Meta-Analysis

    A.-H. Querard,1,2,3 F. Gillaizeau,1,3 Y. Foucher,1,3 E. Dantan,3 D. Larmet,1 M. Lorent,3 L.-M. Pouteau,1 C. Combescure,4 M. Giral.1,3,5

    1Institute for Transplantation, Urology and Nephrology, CHU Nantes, Inserm U1064, Nantes University, Nantes, France; 2Centre Hospitalier Départemental de Vendée, La Roche sur Yon, France; 3EA 4275 SPHERE-bioStatistics, Pharmacoepidemiology and Human sciEnces REsearch, Nantes University, Nantes, France; 4CRC & Division of Clinical Epidemiology, Department of Health and Community Medicine, University of Geneva, Geneva, Switzerland; 5LabExTransplantex Nantes, Centre d'Investigation Clinique Biothérapie, Nantes, France.

    Background: In 2002, UNOS proposed the use of Expanded Criteria Donors (ECD=brain dead donor > 60 years, or 50-59 years with two criteria: CVA as…
  • 2015 American Transplant Congress

    Identifying Predictors for 30-Day Readmission in Renal Transplant Recipients

    J. Weber,1 B. Astor,2 D. Cray,3 A. Djamali,2 D. Kaufman,4 D. Mandelbrot,2 S. Parajuli,2 M. Schanning,3 E. Snyder,1 M. Mohamed.2

    1Surgical Nursing, UW Hospital & Clinics, Madison, WI; 2Department of Medicine, UW School of Medicine & Public Health, Madison, WI; 3Business Planning & Analysis Department, UW Hospital & Clinics, Madison, WI; 4Department of Surgery, UW School of Medicine & Public Health, Madison, WI.

    Purpose: The aim of this study is to determine risk factors associated with 30-day hospital readmissions in renal transplant recipients.Methods: This single center longitudinal study…
  • 2015 American Transplant Congress

    Risks for Readmission Post-Renal Transplant: A Co-Morbid Condition

    M. John, A. Smith, I. Dortonne, A. Paramesh, M. Killackey, B. Lee, R. Zhang, J. Buell.

    Transplant Institute, Tulane University, New Orleans, LA.

    Background: Recently CMS addressed “excessive” readmission rates with a punitive 5% cut in reimbursement. For decades renal transplantation has been highly regulated with published outcomes…
  • 2015 American Transplant Congress

    Socioeconomic Factors and Early Hospital Readmission After Kidney Transplant at a Single Center

    J. Lin, E. King, R. Craig-Shapiro, C. Wickliffe, A. Massie, D. Segev.

    Department of Surgery, Johns Hopkins School of Medicine, Baltimore.

    Early hospital readmission (EHR) is a key negative outcome in kidney transplantation (KT). Socioeconomic (SE) factors are associated with EHR in other contexts, but have…
  • 2015 American Transplant Congress

    Early Hospital Readmission and Distance from Transplant Center

    E. King,1 L. Kucirka,1 M. McAdams-DeMarco,1,2 A. Massie,1,2 D. Segev.1,2

    1Surgery, Johns Hopkins University, School of Medicine, Baltimore, MD; 2Epidemiology, Johns Hopkins University, School of Public Health, Baltimore, MD.

    Background: Early hospital readmission occurs in 31% of kidney transplant (KT) recipients and may be associated with mechanistic factors not previously captured in patient-level risk…
  • 2015 American Transplant Congress

    Come Again? A Retrospective Cohort Study of Rehospitalization Following Expanded Criteria Donor Renal Transplantation

    M. Hung,1 C. Dunn,1 A. Holtzman,1 E. Bellin,2 S. Greenstein.2

    1Albert Einstein College of Medicine, Bronx, NY; 2Montefiore Medical Center, Bronx, NY.

    Though ECD kidneys are commonly used, they have an increased risk of graft failure, which is associated with rehospitalizations within thirty days post-transplant. Our aim…
  • 2015 American Transplant Congress

    Alemtuzumab Induction Is Associated With a Lower Risk of Early Rehospitalization After Kidney Transplant

    G. Dube,1 D. Tsapepas,2 Y. Coppleson,3 L. Ratner,4 D. Cohen,1 S. Mohan.1

    1Medicine, Columbia University Medical Center, New York, NY; 2Pharmacy, New York-Presbyterian Hospital, New York, NY; 3Quality and Patient Safety, New York-Presbyterian Hospital, New York, NY; 4Surgery, Columbia University Medical Center, New York, NY.

    Early rehospitalizations within the first 30 days (R-30D) are common after kidney transplant. R-30D are costly and associated with an increased risk of graft failure…
  • 2015 American Transplant Congress

    Incidence and Risk Factors for Emergency Department Visits Following Kidney Transplantation

    N. Elfadawy,1,2 E. Poggio,1 D. Goldfarb,1 L. Buccini,1 S. Flechner,1 J. Schold.1

    1Cleveland Clinic, Cleveland, OH; 2Medical Research Institute - Alexandria University, Alexandria, Egypt.

    Emergency department (ED) visits contribute substantially to healthcare costs, transition-of-care errors and add to patient burden. There are approximately 135 million ED visits annually in…
  • 2015 American Transplant Congress

    High Intra-Patient Variability in Tacrolimus Trough Blood Levels Increases the Risk of Death-Censored Graft Loss After Kidney Transplantation

    E. Rodrigo,1 D. San Segundo,2 J. Ruiz,1 M. López-Hoyos,2 A. Benito,1 M. de Cos,3 Z. Albines,1 M. Serrano,1 M. Arias.1

    1Nephrology, University Hospital Marqués de Valdecilla, Santander, Cantabria, Spain; 2Immunology, University Hospital Marqués de Valdecilla, Santander, Cantabria, Spain; 3Pharmacology, University Hospital Marqués de Valdecilla, Santander, Cantabria, Spain.

    Kidney graft loss rates beyond the first year showed only small improvements over past decades. Advances in maintenance immunosuppressive therapy contributed to the improvements seen…
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