Articles tagged "Allocation"

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
Centers Avoided 67% of Kidney Offers by Participating in the OPTN’s Multifactorial Offer Filter Pilot Project
A. Toll, H. McGehee, D. Stewart, R. McTier
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: 40 centers…
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.…
2021 American Transplant Congress
Trends and Outcomes Analysis of U.S. Transplant Centers Performing High Volumes of Hard to Place Kidneys
D. Bahl¹, A. Mahajan², H. Aramada³, Y. Qazi³
¹St. George's University, St. George's, Grenada, ²University College Cork School of Medicine, County Cork, Cork City, Ireland, ³Keck Hospital of USC, Los Angeles, CA
*Purpose: Despite a growing number of patients awaiting a kidney transplant, discard rate remains significantly high. The UNOS SRTR data now provides information on all…
2021 American Transplant Congress
Machine Learning Informs Utility-Based Non-Directed Living Liver Donor Allocation
K. Bambha¹, J. Perkins¹, M. Sturdevant¹, S. W. Biggins¹, R. Bakthavatsalam¹, P. Healey², A. Dick², J. Reyes¹
¹University of Washington, Seattle, WA, ²Seattle Children's, Seattle, WA
*Purpose: To maximize non-directed living liver donor graft utility, we developed analytic models predicting 10-year graft survival post liver transplant (LT).*Methods: We analyzed OPTN living…
2021 American Transplant Congress
Mitigating the Adverse Impact of Broader Kidney Sharing with Hospital-based Machine Perfusion
Y. Yushkov, B. R. Schleich, T. Carrea, V. Wadhera, M. J. Goldstein
Hackensack University Medical Center, Hackensack, NJ
*Purpose: The new UNOS kidney allocation changes effective December 2020 will be removing the geographic limits of donation service areas (DSA) and UNOS regions favoring…
2021 American Transplant Congress
Clinical Outcomes and Racial Impact of HLA Matching in the Australian Deceased Donor Kidney Transplantation Program, 2000-2018
M. Gramlick, M. Heer
Department of Surgery, John Hunter Hospital, Newcastle, Australia
*Purpose: The Australian deceased donor (DD) kidney transplant program places a large emphasis on HLA matching despite a known disadvantage to ethnic minority groups. We…
2021 American Transplant Congress
Changes to Adult Heart Allocation Improve Candidate Stratification
K. Bradbrook¹, K. Lindblad¹, R. R. Goff¹, R. Daly², S. Hall³
¹Research, United Network for Organ Sharing, Richmond, VA, ²Mayo Clinic, Rochester, MN, ³Baylor University Medical Center, Dallas, TX
*Purpose: Historically, heart allocation has been driven by waitlist (WL) mortality rather than post-transplant survival. On 10/18/2018 the Organ Procurement and Transplantation Network (OPTN) implemented…
2021 American Transplant Congress
Survival After Heart Transplant vs. Simultaneous Heart Kidney Transplant by Degrees of Renal Dysfunction at Engraftment in the United States: A Multivariable Analysis
S. M. Riad¹, M. Aljuhani¹, S. Jackson², T. Alexy¹, H. Wadie³, C. Martin¹, R. Kandaswamy⁴
¹Medicine, University of Minnesota, Eden Prairie, MN, ²Complex Care Analytics, Fairview Health Services, Minneapolis, MN, ³Transplant, Mayo Clinic, Jacksonville, FL, ⁴Surgery, University of Minnesota, Minneapolis, MN
*Purpose: There has been a rising trend for utilizing kidneys in heart transplant candidates with different renal dysfunction degrees without established criteria to address this…
2021 American Transplant Congress
Is Equitable Access to Transplantation Possible in the Era of HLA Epitope Compatibility?
S. Parto¹, J. Lamsatfi², B. Liu², A. Bourdiec², B. Foster², K. Oualkacha², F. Claas³, P. Keown⁴, R. Sapir-Pichhadze⁵
¹Medicine, McGill University, Montreal, QC, Canada, ²McGill University, Montreal, QC, Canada, ³Leiden University Medical Centre, Albinusdreef, Netherlands, ⁴University of British Columbia, Vancouver, BC, Canada, ⁵Medicine, McGill University Health Centre, Montreal, QC, Canada
*Purpose: We applied the calculated Panel of Incompatible Epitopes (cPIE), an algorithm informing on the likelihood of identifying blood group and eplet-compatible donors, to study…