2018 American Transplant Congress
Predictors of Graft Survival amongst Recipients of Liver Allografts with Prolonged Cold Ischemic Time (CIT)
Background: CIT is an independent risk factor for worse outcomes in liver transplantation (LT). Factors contributing to improved graft survival in organs with CIT ≥12…2018 American Transplant Congress
Cold Ischemia Time is an Important Risk Factor for Post-Liver Transplant Prolonged Length of Stay
Background: Cold ischemia time (CIT) is often viewed as a categorical risk factor in liver transplantation. We hypothesize that the risk for adverse outcomes increases…2018 American Transplant Congress
Measuring and Monitoring Equity in Access to Deceased Donor Liver Transplants
Background: In 2016, the Organ Procurement and Transplantation Network (OPTN) developed a methodology to measure equity in deceased donor kidney allocation and has adapted it…2018 American Transplant Congress
Liver Transplant Patients with MELD>50 at Listing Have Poor Waitlist Outcomes and Similar Post Transplant Survival to Status 1A Patients
Henry Ford Health System, Detroit, MI.
Background: Allocation of liver allografts is prioritized to Status 1A patients over end-stage liver disease patients. We aimed to analyze waitlist and transplant outcomes of…2018 American Transplant Congress
Incidence Trends among Deceased Liver Transplant Recipients in the United States, 2011-2016: A Propensity Score-Matched Study
Transplant Institute, Henry Ford Hospital, Detroit, MI.
BackgroundDonation after cardiac death (DCD) donor liver graft is a known risk factor for graft failure secondary to primary non-function (PNF) and/or diffuse cholangiopathy (DC).…2018 American Transplant Congress
MELD-Na Score Based Liver Allocation: Hyponatremia is No Longer a Risk Factor for Waitlist Mortality
Background: Hyponatremia is associated with an increased risk of liver transplant (LT) waitlist mortality. The aim of this study was to compare waitlist outcomes between…2018 American Transplant Congress
Diffuse Optical Non-Invasive Organ Risk (DONOR) Indexing Using Diffuse Reflectance Spectroscopy for Pre-Transplant Evaluation
Purpose: Due to large transplant waitlists, a rapid, non-invasive method to evaluate organ quality for transplantation is needed. Diffuse optical spectroscopy (DOSi) is an optical…2018 American Transplant Congress
Changes in Geographic Disparity Following Share 35
1JHU, Baltimore; 2US Naval Academy, Annapolis.
Given increased sharing under Share35, we investigated whether Share35 reduced geographic disparity in deceased-donor liver transplant (DDLT) rates across Donation Service Areas (DSAs).METHODS: Using SRTR…2018 American Transplant Congress
Impact of Donation after Cardiac Death Allografts on Outcome Following Liver Transplantation for Fulminant Hepatic Failure: An Analysis of the UNOS Database
Scarcity of donor organs in liver transplantation (LT) has necessitated consideration of extended criteria donors (ECDs), including donation after cardiac death (DCD) donors. The narrow…2018 American Transplant Congress
Differences in Liver Waitlist Mortality Due to Geographic Disparity in Organ Availability
1Johns Hopkins, Baltimore; 2US Naval Academy, Annapolis.
DSA-level geographic disparity in access to liver transplantation for waitlisted patients has been described, but the impact of this disparity on waitlist mortality is poorly…
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