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Articles tagged "Allocation"

  • 2022 American Transplant Congress

    Association Between Histopathological Features on Implantation Renal Biopsies and Graft Outcomes and Kdpi

    C. Khor, S. McGinn, C. Fisher, R. Yang, K. Richards, K. Muir, J. Lu

    Nephrology, Royal North Shore Hospital, Sydney, Australia

    *Purpose: The global shortage of organs and the increasing use of marginal kidneys for transplantation necessitates an accurate assessment of deceased donor kidneys. The kidney…
  • 2022 American Transplant Congress

    Changes in Cold Ischemia Time and Transplantation Practices with the Concentric Model of Kidney Allocation

    C. M. Puttarajappa1, P. Sood1, A. Tevar1, V. Gunabushanam1, S. Hariharan1, S. Mohan2

    1University of Pittsburgh Medical Center, Pittsburgh, PA, 2Columbia University, New York, NY

    *Purpose: Evaluate impact of the new concentric kidney allocation system (KAS250) on kidney utilization, allocation practices and cold ischemia time (CIT).*Methods: Using data from the…
  • 2022 American Transplant Congress

    Growing Use of Perfusion for Heart, Liver, and Lung and Early Outcomes

    R. R. Goff1, K. Gauntt1, W. Cherikh1, E. D. Lease2, D. Klassen1

    1United Network for Organ Sharing, Richmond, VA, 2University of Washington, Seattle, WA

    *Purpose: In 2015 the OPTN began collecting data on perfusion for heart, liver, and lung deceased donors (DD) on the DD registration form. Since 2015,…
  • 2022 American Transplant Congress

    What Does It Mean—and How Common is It—For Deceased-Donor Kidneys to ‘Cross in the Air’ En Route to a Recipient?

    G. R. Vece, K. Lindblad, M. Stuart, S. Diallo

    United Network for Organ Sharing, Richmond, VA

    *Purpose: Recent initiatives to broaden organ allocation beyond “local” boundaries (replacing with circle-based or continuous allocation) have brought logistical concerns into sharper focus than ever…
  • 2022 American Transplant Congress

    Increased Costs, Cold Ischemia Time, and Sharing Associated with Removing DSA and OPTN Region from Kidney Allocation: A Single-Center Analysis

    R. Forbes1, A. Dreher1, E. Zavala2, L. A. Hickman1, L. Smith3, J. Lawson1, D. Shaffer1, B. P. Concepcion1

    1Vanderbilt University Medical Center, Nashville, TN, 2Transplant Center, Vanderbilt University Medical Center, Nashville, TN, 3Vanderbilt Transplant Center, Nashville, TN

    *Purpose: On March 15, 2021, Donation Service Area (DSA) and OPTN Region were removed from kidney allocation and replaced with a 250 nautical mile (NM)…
  • 2022 American Transplant Congress

    Eliminating Hepatitis C Positive Status from Kidney Donor Profile Index (KDPI) Calculations Results in Improved Transplant Rates and Outcomes in an Elderly Veteran Population

    R. Lopez-Soler1, A. Thorndyke1, C. Trotter1, A. Abadier2, M. Samra1

    1Surgery, Transplantation, Edward Hines Jr. Veterans Administration Hospital, Hines, IL, 2Surgery, Loyola University Medical School, Maywood, IL

    *Purpose: Overall mortality on the kidney transplant waiting list is higher for older patients. The average age of waitlisted veteran patients is 64, with patients…
  • 2022 American Transplant Congress

    Transplant Rates Increased with Broader Distribution of Deceased Donor Kidneys

    A. Robinson1, K. Gauntt1, A. Wilk1, J. Kim2, V. Casingal3, N. Turgeon4, M. Pavlakis5

    1UNOS, Richmond, VA, 2Surgery, Keck Medicine of USC, Los Angeles, CA, 3Carolinas Medical Center, Charlotte, NC, 4Dell Seton Medical Center at The University of Texas, Austin, TX, 5Beth Israel Deaconess Med Ctr, Boston, MA

    *Purpose: The OPTN Kidney Transplantation Committee implemented a policy removing donation service area (DSA) and OPTN region from kidney allocation on 3/15/2021. In addition to…
  • 2022 American Transplant Congress

    Allocation Based on Acuity Circles Decreases Waiting Time for Liver Transplant Patients

    M. H. Kim, K. Sasaki, A. Gallo, T. Pham, M. L. Melcher, S. Busque, C. Esquivel, C. Bonham

    Stanford University, Stanford, CA

    *Purpose: In February, 2020, UNOS implemented a new liver allocation system incorporating a combination of acuity based on MELD/PELD score and distance from the donor…
  • 2022 American Transplant Congress

    Post-Transplant Outcomes and Financial Burden in Donation After Cardiac Death Donor Liver Transplant After the Implementation of Acuity Circle Allocation Policy

    S. Shimada, T. Shamaa, T. Ivanics, T. Kitajima, M. Adhnan, K. Collins, M. Rizzari, A. Yoshida, M. Abouljoud, S. Nagai

    Division of Transplant and Hepatobiliary Surgery, Henry Ford Hospital, Detroit, MI

    *Purpose: The use of donation after cardiac death (DCD) donor liver grafts has been increasing in many transplant centers after introducing the acuity circles (AC)…
  • 2022 American Transplant Congress

    Impact of the Weekend Effect on Adult and Pediatric Liver or Kidney Offer Acceptance

    T. Yamamoto, M. Fruscione, A. Shah, L. Dageforde, S. Kimura, H. Yeh, N. Elias, T. Kawai, J. F. Markmann

    Transplant Surgery, Massachusetts General Hospital/Harvard Medical School, Boston, MA

    *Purpose: Weekends may impose resource and manpower constraints on hospitals. Studies using data from prior allocation schemas showed increased adult organ discards on weekends. We…
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