Articles tagged "Allocation"

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…
2021 American Transplant Congress
The Landscape of Non-Directed Living Liver Donation in the United States
L. R. Herbst, L. Zeiser, A. Massie, K. Herrick Reynolds, E. King, A. Gurakar, D. L. Segev, J. Garonzik Wang, A. M. Cameron
Johns Hopkins University, Baltimore, MD
*Purpose: Non-directed donation (NDD) for kidney transplantation has increased substantially over the past decade, however the landscape of NDD for liver transplantation has yet not…
2021 American Transplant Congress
Healthcare Disparities Amongst Dialysis Patients in North Carolina: Decreased Access to Transplant in Lowest Health Rank Counties
D. Leto¹, W. Irish², C. Haisch², B. Tuttle², D. Leeser²
¹Cape Fear Valley Medical Center, Fayetteville, NC, ²East Carolina University, Greenville, NC
*Purpose: This study measured healthcare disparities amongst the counties in North Carolina with the best compared with counties with the worst healthcare outcomes, specifically the…
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…