Articles tagged "Allocation"

2021 American Transplant Congress
Waitlist and Post-Transplant Outcomes of Candidates with Iabp or Ecmo: Comparison of Old and New Heart Allocation Policies
M. Colvin¹, Y. Ahn², S. Hall³, M. Skeans², M. Walsh⁴, A. Israni²
¹Univ of Michigan, Ann Arbor, MI, ²SRTR, Minneapolis, MN, ³Baylor Univ, Dallas, TX, ⁴St. Vincent Heart Ctr, Indianapolis, IN
*Purpose: New heart allocation policy prioritizes candidates on short-term circulatory support to promote transplant of the sickest candidates. There has been a shift in the…
2021 American Transplant Congress
The Unintended Financial Consequences of Acuity Circles for Liver Allocation – Two-fold Increase in Import Fees and Higher Organ Acquisition Cost Despite Unchanged Travel Patterns
A. Wall, S. Asrani, G. McKenna, E. Martinez, R. Ruiz, H. Fernandez, J. Bayer, A. Gupta, N. Onaca, R. Goldstein, J. Trotter, G. Testa
Abdominal Transplant Surgery, Baylor University Medical Center, Dallas, TX
*Purpose: The recent initiation of acuity circles (AC) as the basis for liver allocation is associated with broader sharing and potentially greater travel and increased…
2021 American Transplant Congress
Geographic Variation in Candidate Listing Behavior Under the New Heart Allocation Policy
G. Ran¹, K. Chung¹, A. S. Anderson², R. Gibbons³, N. Narang⁴, M. Churpek⁵, W. F. Parker¹
¹Pritzker School of Medicine, University of Chicago, Chicago, IL, ²Department of Medicine, University of Texas San Antonio, San Antoion, TX, ³Department of Medicine, University of Chicago, Chicago, IL, ⁴Department of Medicine, University of Illinois-Chicago, Chicago, IL, ⁵Department of Medicine, University of Wisconsin, Madison, WI
*Purpose: Describe and explain variations in listing practice among U.S. transplant centers in response to the new allocation policy.*Methods: We performed an observational cohort study…
2021 American Transplant Congress
The Differential Impact of Size Mismatch in Live versus Deceased Donor Kidney Transplant
A. J. Vinson¹, T. Skinner², B. Kiberd³, D. Clark¹, K. Tennankore¹
¹Division of Nephrology, Department of Medicine, Nova Scotia Health Authority, Halifax, NS, Canada, ²Department of Urology, Nova Scotia Health Authority, Halifax, NS, Canada, ³Dalhousie University, Halifax, NS, Canada
*Purpose: The risk of significant weight mismatch between donors and recipients (D-R) undergoing living donor kidney transplant (LDKT) is not well established. Further, how this…
2021 American Transplant Congress
Extreme Hyponatremia as a Risk Factor for Early Mortality After Liver Transplantation in the MELD-Sodium Era
T. Ivanics¹, S. Leonard-Murali¹, H. Mouzaihem¹, D. Moonka², T. Kitajima¹, S. Yeddula¹, T. Shamaa¹, M. Rizzari¹, K. Collins¹, A. Yoshida¹, M. Abouljoud¹, S. Nagai¹
¹Division of Transplant and Hepatobiliary Surgery, Henry Ford Hospital, Detroit, MI, ²Division of Gastroenterology and Hepatology, Henry Ford Hospital, Detroit, MI
*Purpose: The impact of hyponatremia on waitlist and post-transplant outcomes following the implementation of MELD-Na based liver allocation remains unclear. We sought to evaluate waitlist…
2021 American Transplant Congress
The Calculated Panel of Incompatible Epitopes (cPIE) in the Service of Equitable Access to Transplantation
J. Lamsatfi¹, B. Bingfan Liu¹, S. Parto², A. Lewin³, K. Oualkacha¹, F. Claas⁴, P. Keown⁵, R. Sapir-Pichhadze⁶
¹McGill University, Montreal, QC, Canada, ²McGill University Health Centre, Montreal, QC, Canada, ³Hema-Quebec, Montreal, QC, Canada, ⁴Leiden University Medical Centre, Albinusdreef, Netherlands, ⁵University of British Columbia, Vancouver, BC, Canada, ⁶Medicine, McGill University Health Centre, Montreal, QC, Canada
*Purpose: To inform on feasibility of eplet matching, we developed the calculated Panel of Incompatible Epitopes (cPIE), an algorithm informing on the likelihood of identifying…
2021 American Transplant Congress
Racial and Ethnic Disparities in Pediatric Kidney Transplantation – Has KAS Made a Difference?
O. Charnaya¹, S. Yu², A. Goldberg³, J. Garonzik-Wang², D. Segev², P. Verghese⁴
¹Pediatrics, Johns Hopkins University, Baltimore, MD, ²Transplant Surgery, Johns Hopkins University, Baltimore, MD, ³University of Manitoba, Winninpeg, MB, Canada, ⁴Northwestern University Feinberg School of Medicine, Chicago, IL
*Purpose: Racial and ethnic minority pediatric transplant candidates have known disparities in access to kidney transplantation. The Kidney Allocation System (KAS), implemented in 2014, was…
2021 American Transplant Congress
Liver Simulated Allocation Model Does Not Accurately Predict Organ Offer Decisions in Pediatric Liver Transplant Candidates
N. L. Wood¹, D. B. Mogul², E. K. Hsu³, E. R. Perito⁴, G. V. Mazariegos⁵, D. Vanderwerken¹, D. L. Segev², S. Gentry¹
¹US Naval Academy, Annapolis, MD, ²Johns Hopkins, Baltimore, MD, ³Univ of Washington, Seattle, WA, ⁴UCSF, San Francisco, CA, ⁵Univ of Pittsburgh, Pittsburgh, PA
*Purpose: The U.S. relies on the Scientific Registry of Transplant Recipient’s (SRTR’s) Liver Simulated Allocation Model (LSAM) to predict the effect of allocation policy changes…
2021 American Transplant Congress
Outcomes in High Risk CMV Liver Transplants with Elevated MELD Scores
S. Freedman¹, K. Saunders², T. Sparkes¹, B. Masters¹, M. Plazak¹, K. Saharia³, D. Maluf³, B. Ravichandran²
¹University of Maryland Medical Center, Baltimore, MD, ²University of Maryland School of Pharmacy, Baltimore, MD, ³University of Maryland School of Medicine, Baltimore, MD
*Purpose: There is inconclusive evidence on the impact of MELD score on CMV viremia after liver transplantation. Following the implementation of Share 35, liver transplant…
2021 American Transplant Congress
Pediatric Kidney Transplant Strategy: The Sequence Effect
A. J. Vinson¹, B. Kiberd², P. Acott³, K. Tennankore¹
¹Nova Scotia Health Authority Division of Nephrology, Departm, Halifax, NS, Canada, ²Dalhousie University, Halifax, NS, Canada, ³IWK Health Center, Halifax, NS, Canada
*Purpose: Improvements in patient survival with pediatric end stage kidney disease (ESKD) predicts needing more than one kidney transplant over a child’s lifetime. Timing of…

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