Articles tagged "Allocation"

2021 American Transplant Congress
Transplant Center Provisional Yes Practices for Deceased Donor Kidneys
A. M. Placona¹, C. Martinez¹, H. McGehee¹, C. Van De Walker², J. Rosendale¹
¹United Network for Organ Sharing, Richmond, VA, ²Pacific Northwest Transplant Bank, Portland, OR
*Purpose: Improving organ allocation efficiency has been a focus of the OPTN. While the use of provisional yes (PY) by transplant centers has received recent…
2021 American Transplant Congress
Chances of Renal Recovery in Liver Only Transplant Recipients Who Were Eligible for Simultaneous Liver-Kidney Transplant
J. Cui¹, A. Spann², A. Shingina², H. M. Schaefer³, J. C. Slaughter⁴, S. Alexopoulos⁵, M. Izzy²
¹Internal Medicine, Vanderbilt University Medical Center, Nashville, TN, ²Gastroenterology, Hepatology, and Nutrition, Vanderbilt University Medical Center, Nashville, TN, ³Nephrology, Vanderbilt University Medical Center, Nashville, TN, ⁴Biostatistics, Vanderbilt University Medical Center, Nashville, TN, ⁵Hepatobiliary Surgery and Liver Transplantation, Vanderbilt University Medical Center, Nashville, TN
*Purpose: Progressive decline in renal function is common among patients with end-stage liver disease. Liver transplant (LT) candidates can often develop severely impaired renal function…
2021 American Transplant Congress
Assessing the Impact of the New Liver Allocation Policy on Transplant Center and Organ Procurement Organization Logistics
W. P. Sawyer¹, A. Gracon²
¹General Surgery, Ochsner Health System, New Orleans, LA, ²Transplant Surgery, Ochsner Health System, New Orleans, LA
*Purpose: In February 2020, a new policy for liver allocation was instituted in an effort to reduce geographic disparity in median MELD at transplant. To…
2021 American Transplant Congress
Characterizing the Early Impact of the Kidney Accelerated Placement Project on Hard-to-place Kidneys
J. D. Motter, A. Kernodle, M. Levan, D. Segev, J. Garonzik-Wang, A. Massie
Johns Hopkins University, Baltimore, MD
*Purpose: In 2019, the OPTN implemented the Kidney Accelerated Placement Project (KAPP) in an effort to increase the utilization of kidneys with a high Kidney…
2021 American Transplant Congress
Pediatric Donation During COVID-19 Pandemic
M. MacConmara, B. Wang, L. de Gregorio, J. Shah, D. Desai, S. Hanish, P. Vagefi, C. S. Hwang
Surgery, UT Southwestern Medical Center, Dallas, TX
*Purpose: The COVID-19 pandemic led to a decrease in transplantation throughout the United States. We examined the impact of the pandemic in regards to the…
2021 American Transplant Congress
Changes to Allocation of En Bloc Deceased Donor Kidneys to Low Epts Patients
A. Robinson¹, M. Pavlakis², V. Casingal³
¹United Network for Organ Sharing, Richmond, VA, ²Beth Israel Deaconess Medical Center, Boston, MA, ³Carolinas Medical Center, Charlotte, NC
*Purpose: The OPTN implemented a policy on September 5, 2019 standardizing en bloc deceased donor kidney allocation in order to efficiently place and utilize kidneys…
2021 American Transplant Congress
Regional Trends in Liver Transplantation for Nonalcoholic Steatohepatitis
C. L. Hanlon¹, B. Saberi², L. Yuan¹
¹Internal Medicine, 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 in liver transplantation (LT) among adults in the United States (US) with nonalcoholic steatohepatitis (NASH), with particular…
2021 American Transplant Congress
Intensivist-Performed Transesophageal Echocardiography as a Screen for Organ Donation: A Four-Year, Single-Center Experience
K. M. Madden¹, T. C. Wray², K. Rainbird¹, I. Tawil², T. Dettmer², K. Azevedo², R. Venkataramani³, J. Marinaro²
¹New Mexico Donor Services, Albuquerque, NM, ²Emergency Medicine, University of New Mexico Health Sciences Center, Albuquerque, NM, ³Anesthesiology, University of New Mexico Health Sciences Center, Albuquerque, NM
*Purpose: Echocardiography is required for deceased heart donation, and transthoracic echocardiography is the traditional practice. At our institution, intensivists perform transesophageal echocardiography (TEE) and since…
2021 American Transplant Congress
Comparison of Outcomes of Hepatitis C Virus (hcv) Nucleic Acid (nat) Positive Donor Between Hcv-naïVe and Hcv + Recpients – A Donor Mate Analysis
J. Kamal, B. Sharma, A. Doyle, A. Kumar, A. Nishio-Lucar, S. Rao
University of Virginia, Charlottesville, VA
*Purpose: Despite a growing mismatch between organ need and supply, organs from HCV+ donors were only offered to HCV+ recipients (HCV R+) to avoid complications…
2021 American Transplant Congress
Improving Policy-constrained Kidney Exchange via Pre-screening
D. C. McElfresh¹, M. Curry², S. Booker³, M. Stuart³, D. Stewart³, R. Leishman³, T. Sandholm⁴, J. Dickerson²
¹Applied Mathematics, University of Maryland, College Park, MD, ²University of Maryland, College Park, MD, ³United Network for Organ Sharing, Richmond, VA, ⁴Carnegie Mellon University, Pittsburgh, PA
*Purpose: Many planned kidney exchange transplants do not go to transplantation (they “fail”) for a variety of reasons, such as positive crossmatch and logistical difficulties.…