Articles tagged "Allocation"

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
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
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…