2021 American Transplant Congress
Utilization of Living Donor Liver Transplant for Patients Who Travel for Transplant in the United States
University of California, San Francisco, San Francisco, CA
*Purpose: We have previously shown that United States (US) liver transplant (LT) candidates listed at a single center (SL) are disadvantaged compared with patients who…2021 American Transplant Congress
Identifying Health-System Level Barriers and Facilitators to Living Donor Kidney Transplantation: A Comparative Case Study
*Purpose: Despite the well-known advantages of living donor kidney transplantation (LDKT), rates at many centers have stagnated or declined. In Canada, there are large interprovincial…2021 American Transplant Congress
Waitlist Outcomes for Exception Candidates Following the Implementation of MMaT/250 Score
1Johns Hopkins Medical Institutions, Baltimore, MD, 2Temple University, Philadelphia, PA
*Purpose: Starting in May 2019, exception points were allocated based on DSA-level median-MELD-at-transplant (MMaT/DSA). In February 2020, the exception point system was further modified based…2021 American Transplant Congress
Summary of the OPTN’s Policy and System Modifications in Response to the COVID-19 Pandemic
*Purpose: In April 2020, the OPTN made several policy and system modifications in response to the growing COVID-19 pandemic including updates to candidate lab data,…2021 American Transplant Congress
Waitlist and Post-Transplant Outcomes of Candidates with Iabp or Ecmo: Comparison of Old and New Heart Allocation Policies
*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
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
*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
*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
*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
*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…
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