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Articles tagged "Allocation"

  • 2021 American Transplant Congress

    Status of Kidney Allocation in Liver-kidney Transplants Before and After the UNOS/OPTN Policy

    J. Oveyssi, M. Hussain, P. Homkrailas, S. Bunnapradist

    Department of Internal Medicine: Division of Transplant Nephrology, UCLA, Los Angeles, CA

    *Purpose: On August 10, 2017 the United Network for Organ Sharing (UNOS) enacted policies 9.7 and 8.5G to establish medical criteria for simultaneous liver-kidney (SLK)…
  • 2021 American Transplant Congress

    Incorporation of Donor Liver Macrovesicular Steatosis Into Srtr Risk Adjustment Models for Deceased Donor Yield and Post-Transplant Outcome

    A. Kwong1, C. Wang2, A. Wey3, N. Salkowski3, J. Snyder4, J. Wetmore2, A. Israni2, J. Lake4, P. Stock5, W. Kim1

    1Stanford University, Redwood City, CA, 2Medicine, Hennepin Healthcare, Minneapolis, MN, 3Scientific Registry of Transplant Recipients, Minneapolis, MN, 4University of Minnesota, Minneapolis, MN, 5University of California, San Francisco, San Francisco, CA

    *Purpose: The SRTR had not traditionally included biopsy results in post-transplant risk adjustment, yet biopsy results may influence outcomes and thus decisions regarding organ acceptance.…
  • 2021 American Transplant Congress

    Kidney Programs Can Filter Off a Majority of Their Unwanted Organ Offers without Harming Transplant Volumes

    A. Toll, H. McGehee, R. McTier, D. Stewart

    Research, United Network for Organ Sharing, Richmond, VA

    *Purpose: Evaluate if multifactorial filters can reduce unwanted kidney offers to centers, thereby reducing administrative burden and getting to the accepting candidate quicker.*Methods: 34 centers…
  • 2021 American Transplant Congress

    Simulation Model for Cytomegalovirus Matching in Deceased Donor Kidney Allocation System in the U.S.

    B. Tanriover1, V. K. Ariyamuthu1, T. Zangeneh2, M. M. Al Obaidi2, Y. Ulukus3, M. A. Ergun3, B. Sandikci4

    1Department of Medicine / Nephrology, University of Arizona, COM Tucson, Tucson, AZ, 2Department of Medicine / Infectious Disease, University of Arizona, COM Tucson, Tucson, AZ, 3Operations Management, Istanbul Technical University, Istanbul, Turkey, 4Operations Management, University of Chicago, Chicago, IL

    *Purpose: The prevalence of positive and negative cytomegalovirus (CMV) serology among transplant recipients and donors are approximately 60-65% and 30-35%, respectively. CMV mismatch, donor-positive/recipient-negative status…
  • 2021 American Transplant Congress

    Liver Simulated Allocation Model (LSAM) of a Height-Based Policy Change to Improve Sex Disparity in Liver Transplantation (LT)

    S. Bernards1, E. Lee1, N. Leung2, H. Zhao2, M. Akan3, M. Sarkar1, S. Tayur3, N. Mehta1

    1UCSF, SF, CA, 2City U, HK, Hong Kong, 3CMU, Pittsburgh, PA

    *Purpose: Since the introduction of the MELD-based allocation system, women are now 30% less likely than men to undergo LT and have 20% higher waitlist…
  • 2021 American Transplant Congress

    Equity in Access to Kidney Transplants by Race/ethnicity in the Covid-19 Era

    D. Stewart1, A. Robinson2, K. Bradbrook2, A. Wilk2, D. Klassen3

    1United Network for Organ Sharing, Richmond, VA, 2Research, United Network for Organ Sharing, Richmond, VA, 3Chief Medical Officer, United Network for Organ Sharing, Richmond, VA

    *Purpose: The direct impact of the COVID-19 pandemic on minority populations has been well documented, and it is conceivable that disparities in access to kidney…
  • 2021 American Transplant Congress

    Impact of CHA2DS2-VASc Score on Postoperative Mortality Following Kidney Transplant

    J. Klein1, M. Rangel1, Z. Spigel2, E. Hollinger1, D. Olaitan1, M. Hertl1, E. Chan1

    1Surgery, Rush University Medical Center, Chicago, IL, 2Surgery, Allegheny Health Network, Pittsburgh, PA

    *Purpose: This study aimed to assess the correlation between CHA2DS2-VASc score and postoperative kidney transplant survival. The conditions captured in the CHA2DS2-VASc score are commonly…
  • 2021 American Transplant Congress

    Profound Opportunities Lost: Patients with High Priority for Ideal Donor Kidneys That are Not Placed on the Kidney Transplant Waiting List

    J. Schold1, A. Huml1, E. Poggio1, J. Sedor1, S. Husain2, K. L. King2, S. Mohan2

    1Cleveland Clinic Foundation, Cleveland, OH, 2Columbia University, New York, NY

    *Purpose: The national Kidney Allocation System(KAS) prioritizes patients with high (top 20%) Estimated Post-Transplant Survival (EPTS) with expedited access to high quality deceased donor kidneys.…
  • 2021 American Transplant Congress

    The Intersection of Cost, Quality, and Volume in Liver Transplant

    D. Axelrod1, R. Balakrishnan1, A. Harris2, S. Hohmann2, J. Snyder3, B. Kasiske3, M. Schnitzler4, K. Lentine4

    1Univ of Iowa, Iowa City, IA, 2Vizient Inc., Irving, TX, 3SRTR, Minneapolis, MN, 4Saint Louis Univ, Saint Louis, MO

    *Purpose: As a consequence of changing allocation practices and the ongoing shortage of high-quality organs, the cost of liver transplant (LT) continues to increase throughout…
  • 2021 American Transplant Congress

    Not Quite Right: The Irony of Longer Cold Times for Higher KDPI Kidneys

    H. Ghali1, D. Won1, S. Yoon1, A. Friedman2

    1Systems Science and Industrial Engineering, SUNY Binghamton, Binghamton, NY, 2LiveOnNY, New York, NY

    *Purpose: To identify tactics for reduction of the kidney discard rate, we analyzed measurable, operational factors contributing to the key outcome of transplantation (TXP) or…
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