Articles tagged "Allocation"

2021 American Transplant Congress
Allocation Changes and Covid Effect on Waiting Time for Liver Transplantation
L. Dageforde¹, Q. Yuan², N. Elias¹
¹Division of Transplantation, Massachusetts General Hospital, Boston, MA, ²Organ Transplant Institute, 8th Medical Center, Chinese PLA General Hospital, Beijing, China
*Purpose: On April 30, 2019 the National Liver Review Board (NLRB) was implemented and patients meeting criteria for hepatocellular carcinoma exception points received a score…
2021 American Transplant Congress
Early Review of Liver Acuity Circles Allocation
S. Noreen¹, J. Heimbach², J. Pomposelli³, M. Cafarella¹, J. Trotter⁴
¹UNOS, Richmond, VA, ²Mayo Clinic, Rochester, MN, ³UCHealth, Aurora, CO, ⁴BSWHealth, Dallas, TX
*Purpose: Acuity circles (AC) allocation was implemented on February 4, 2020, followed shortly by the declaration of national emergency for COVID-19. The goal of this…
2021 American Transplant Congress
High Degree of Center Variation in Simultaneous Heart Kidney Transplant: Opportunities for Standardization
B. I. Shaw¹, M. L. Samoylova¹, S. J. Kesseli¹, D. Olaso², A. S. Barbas¹, D. L. Sudan¹, L. E. Boulware³, L. M. McElroy¹
¹Surgery, Duke University, Durham, NC, ²School of Medicine, Duke University, Durham, NC, ³Medicine-Nephrology, Duke University, Durham, NC
*Purpose: Simultaneous heart kidney transplant (SHK) is increasingly common and unregulated. We sought to understand variation in patient selection for SHK at the center level.*Methods:…
2021 American Transplant Congress
Impact of Transplant Center Volume on Utilization of and Outcomes Following Donation After Circulatory Death Liver Transplantation in the United States
S. Kumar¹, S. Lin², J. D. Schold²
¹Digestive Disease Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates, ²Department of Quantitative Health Sciences, Cleveland Clinic Foundation, Cleveland, OH
*Purpose: Despite increased utilization of donation after circulatory death (DCD) grafts in the US, impact of center volume on DCD liver transplantation (LT) remains unclear.…
2021 American Transplant Congress
The Effect of Acuity Circles on Deceased Donor Transplant and Offer Rates Across Meld and Exception Statuses
A. Wey¹, S. Noreen², S. Gentry³, N. Salkowski¹, M. Cafarella², R. Hirose⁴, J. Trotter⁵, D. Segev⁶, A. Israni¹, J. Snyder¹, B. Kasiske¹
¹SRTR, Minneapolis, MN, ²UNOS, Richmond, VA, ³USNA, Annapolis, MD, ⁴Univ of San Francisco, San Francisco, CA, ⁵BSW Health, Dallas, TX, ⁶Johns Hopkins, Baltimore, MD
*Purpose: Acuity circles (AC) allocation was implemented on February 4, 2020. AC significantly changed the relative priority of candidates with allocation PELD/MELD scores of 29…
2021 American Transplant Congress
Poor Reliability of Karnofsky Performance Score in Kidney Transplant Candidates
M. R. Stedman, D. J. Watford, G. M. Chertow, J. C. Tan
Medicine, Stanford University, Palo Alto, CA
*Purpose: The Karnofsky Performance Status (KPS) Scale has been used as a proxy for frailty and as a predictor of transplant outcomes, however reliability of…
2021 American Transplant Congress
Geographic Divergence in Waitlist Registration and Trends in Waitlist Removal for Liver Transplantation in Patients with Nonalcoholic Steatohepatitis (NASH)
C. Hanlon¹, B. Saberi², L. Yuan¹
¹Internal Medicine - Transplant Hepatology, University of Southern California, Los Angeles, CA, ²Division of Gastroenterology and Hepatology, Beth Israel Deaconess Medical Center, Boston, MA
*Purpose: This study aims to evaluate regional trends of waitlist (WL) registrations and removal for liver transplantation (LT) among United States (US) adults listed for…
2021 American Transplant Congress
Accounting for Survivor Bias in Transplant Benefit Models
E. M. Schnellinger¹, E. Cantu², M. O. Harhay¹, D. E. Schaubel¹, S. E. Kimmel¹, A. J. Stephens-Shields¹
¹Department of Biostatistics, Epidemiology, and Informatics, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, ²Department of Surgery, Division of Cardiovascular Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA
*Purpose: The lung allocation system in the U.S. prioritizes lung transplant candidates based on estimated pre- and post-transplant survival. However, these models do not account…
2021 American Transplant Congress
Waitlist and Post-Transplant Outcomes of Candidates With Lvad: Comparison of Old and New Heart Allocation Policies
M. Colvin¹, Y. Ahn², S. Hall³, M. Walsh⁴, A. Israni²
¹Univ of Michigan, Ann Arbor, MI, ²SRTR, Minneapolis, MN, ³Baylor Univ, Dallas, TX, ⁴St. Vincent Heart Ctr, Indianapolis, IN
*Purpose: The new heart allocation policy took effect in October 2018. Its risk stratification scheme prioritizes patients with short-term devices, raising concern that candidates with…
2021 American Transplant Congress
The Impact of Donor and Recipient Age Differenceon Long Term Prognosis in Young Liver Transplant Recipients
A. Pita, A. Moro, J. C. McVey, D. J. Firl, M. Fujiki, T. Diago, C. Quintini, F. Aucejo, C. D. Kwon, K. V. Menon, K. Hashimoto, B. Eghtesad, C. Miller, K. Sasaki
The Cleveland Clinic, Cleveland, OH
*Purpose: Although the importance of donor and recipient age in liver transplant (LT) are well-studied, the prognostic influences of donor and recipient age differences are…