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American Transplant Congress abstracts

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Articles tagged "Allocation"

  • 2021 American Transplant Congress

    Waitlist and Post-Transplant Outcomes of Candidates With Lvad: Comparison of Old and New Heart Allocation Policies

    M. Colvin1, Y. Ahn2, S. Hall3, M. Walsh4, A. Israni2

    1Univ of Michigan, Ann Arbor, MI, 2SRTR, Minneapolis, MN, 3Baylor Univ, Dallas, TX, 4St. Vincent Heart Ctr, Indianapolis, IN

    *Purpose: The new heart allocation policy took effect in October 2018. Its risk stratification scheme prioritizes patients with short-term devices, raising concern that candidates with…
  • 2021 American Transplant Congress

    The Impact of Donor and Recipient Age Differenceon Long Term Prognosis in Young Liver Transplant Recipients

    A. Pita, A. Moro, J. C. McVey, D. J. Firl, M. Fujiki, T. Diago, C. Quintini, F. Aucejo, C. D. Kwon, K. V. Menon, K. Hashimoto, B. Eghtesad, C. Miller, K. Sasaki

    The Cleveland Clinic, Cleveland, OH

    *Purpose: Although the importance of donor and recipient age in liver transplant (LT) are well-studied, the prognostic influences of donor and recipient age differences are…
  • 2021 American Transplant Congress

    Utilization of Living Donor Liver Transplant for Patients Who Travel for Transplant in the United States

    H. J. Braun, D. Amara, A. M. Shui, P. Stock, R. Hirose, F. Delmonico, N. L. Ascher

    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

    A. Horton1, M. Fortin2, P. Nugus3, D. Landsberg4, M. Paquet2, M. Cantarovich1, S. Sandal1

    1Nephrology, McGill University Health Centre, Montreal, QC, Canada, 2Nephrology, Centre Hospitalier de l’Université de Montréal, Montreal, QC, Canada, 3Family Medicine, McGill University, Montreal, QC, Canada, 4Nephrology, University of British Columbia, Vancouver, BC, Canada

    *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

    T. Ishaque1, J. G. Wang1, S. Karhadkar2, D. Segev1, A. B. Massie1

    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

    A. Wilk, S. Taranto, C. Jett, L. Cartwright

    UNOS, Richmond, VA

    *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

    M. Colvin1, Y. Ahn2, S. Hall3, M. Skeans2, M. Walsh4, A. Israni2

    1Univ of Michigan, Ann Arbor, MI, 2SRTR, Minneapolis, MN, 3Baylor Univ, Dallas, TX, 4St. Vincent Heart Ctr, Indianapolis, IN

    *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

    A. Wall, S. Asrani, G. McKenna, E. Martinez, R. Ruiz, H. Fernandez, J. Bayer, A. Gupta, N. Onaca, R. Goldstein, J. Trotter, G. Testa

    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

    G. Ran1, K. Chung1, A. S. Anderson2, R. Gibbons3, N. Narang4, M. Churpek5, W. F. Parker1

    1Pritzker School of Medicine, University of Chicago, Chicago, IL, 2Department of Medicine, University of Texas San Antonio, San Antoion, TX, 3Department of Medicine, University of Chicago, Chicago, IL, 4Department of Medicine, University of Illinois-Chicago, Chicago, IL, 5Department of Medicine, University of Wisconsin, Madison, WI

    *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

    A. J. Vinson1, T. Skinner2, B. Kiberd3, D. Clark1, K. Tennankore1

    1Division of Nephrology, Department of Medicine, Nova Scotia Health Authority, Halifax, NS, Canada, 2Department of Urology, Nova Scotia Health Authority, Halifax, NS, Canada, 3Dalhousie University, Halifax, NS, Canada

    *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…
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