Articles tagged "Allocation"

2020 American Transplant Congress
Reducing Travel While Improving Geographic Equity: Continuous Distribution with “Gravity Functions”
M. Mankowski¹, N. Wood², S. Gentry², D. Segev³
¹King Abdullah University of Science and Technology, Thuwal, Saudi Arabia, ²US Naval Academy, Annapolis, MD, ³Johns Hopkins University, Baltimore, MD
*Purpose: Recently, the OPTN board selected the continuous distribution framework for future organ allocation changes. Continuous distribution allocates organs without geographic boundaries, for example, by…
2020 American Transplant Congress
One Year of the OPTN’s SLK Allocation Policy
A. Wilk¹, R. Formica², A. Wiseman³, R. Hirose⁴, D. Mulligan², D. Stewart¹
¹United Network for Organ Sharing, Richmond, VA, ²Yale School of Medicine, New Haven, CT, ³Univ of Colorado School of Medicine, Aurora, CO, ⁴UCSF, San Francisco, CA
*Purpose: Simultaneous Liver-Kidney (SLK) allocation policy went into effect on 8/10/17, establishing medical eligibility criteria for adult SLK candidates and creating a “Safety Net” for…
2020 American Transplant Congress
Impact of UNOS Acceptance Sequence Number on Liver Graft Survival
C. Thornley, O. Kezirian, S. Mehta, J. Cashman, J. Brink, T. Chaly Jr, W. Van der Werf
University of Arizona/Banner University Medical Center Phoenix, Phoenix, AZ
*Purpose: Many initially declined liver grafts will go on to be successfully transplanted into other candidates. Limited information exists regarding outcomes of liver grafts that…
2020 American Transplant Congress
The Heart of the Matter: The Impact of the 2018 Heart Allocation Policy at a Single Organ Procurement Organization
A. J. Boyer, J. B. Nave, C. A. Hostetler, C. C. Muse, R. A. Squires, J. P. Orlowski
LifeShare Transplant Donor Services of Oklahoma, Oklahoma City, OK
*Purpose: In 2018, allocation policy changed with the goal of lowering waitlist mortality by increasing access to donor hearts. We sought to describe the impact…
2020 American Transplant Congress
Getting to Yes Faster: Multifactorial Filters to Reduce Unwanted Offers
A. Toll, H. McGehee, J. Rosendale, D. Stewart, R. McTier
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: Using recursive…
2020 American Transplant Congress
Early Outcomes with the Liver-Kidney Safety Net
R. M. Cannon¹, D. S. Goldberg², D. E. Eckhoff¹, D. J. Anderson¹, B. J. Orandi¹, J. E. Locke¹
¹University of Alabama at Birmingham, Birmingham, AL, ²University of Miami, Miami, FL
*Purpose: A safety net policy was implemented in August 2017 giving liver alone recipients with significant renal dysfunction post-transplant priority for subsequent renal transplantation. This…
2020 American Transplant Congress
Implementing a Height Based Rule for Allocation of Pediatric Donor Livers to Adults – A Liver Simulated Allocation Model (LSAM) Study
J. Ge¹, W. L. Nicholas², S. Gentry², J. C. Lai¹
¹Medicine-Gastroenterology, University of California, San Francisco, San Francisco, CA, ²Mathematics, United States Naval Academy, Annapolis, MD
*Purpose: Candidate height contributes to transplant rate and waitlist (WL) mortality disparities seen amongst adult women liver transplant (LT) candidates. 72% of adult women on…
2020 American Transplant Congress
When CPRA Zero is Not the Hero: Does KAS Disadvantage Unsensitized Relisted Patients?
M. Casey, Z. Su, M. Mohamed Ahmed, D. Taber, E. Weeda, T. Morinelli, P. Mauldin, K. Soliman, M. A. Posadas-Salas, V. Rao, D. DuBay
Medical University of South Carolina, Charleston, SC
*Purpose: Since the 2014 Kidney Allocation System (KAS) changes, patients with a very high calculated panel reactive antibody (CPRA) have received greater priority in deceased…
2020 American Transplant Congress
Comparing Early Kidney after Liver Transplant (KALT) and Simultaneous Liver-Kidney Transplant (SLK): Evaluating Racial Disparities. Will Everyone Have the Same “Safety Net”?
C. Jay¹, R. Stratta¹, W. Washburn², J. Rogers¹, S. Rudnick¹, A. Reeves-Daniel¹, J. Heimbach³
¹Wake Forest Baptist Health, Winston-Salem, NC, ²The Ohio State University Wexner Medical Center, Columbus, OH, ³Wake Forest Baptist Health, Winston-Salem, MN
*Purpose: In 2017, UNOS implemented simultaneous liver-kidney transplant (SLK) guidelines that included medical eligibility criteria and a “safety net” providing prioritization on the kidney transplant…
2020 American Transplant Congress
What’s Lung Got to Do with It?: The Impact of the 2017 Lung Allocation Policy at a Single Organ Procurement Organization
A. J. Boyer, J. B. Nave, C. A. Hostetler, C. C. Muse, R. A. Squires, J. P. Orlowski
LifeShare Transplant Donor Services of Oklahoma, Oklahoma City, OK
*Purpose: To describe the impact of the lung allocation change on a single organ procurement organization (OPO). The allocation change took place on 11/24/2017 and…