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American Transplant Congress abstracts

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Articles tagged "Allocation"

  • 2020 American Transplant Congress

    Inactive Status Change is an Independent Predictor of Waitlist Mortality and Disproportionately Impacts Patients in Donor Service Areas with a Higher Median MELD at Transplant

    R. Batra1, S. Noreen2, D. Stewart3, D. Haakinson1, G. Gan3, Y. Deng3, S. Kulkarni1

    1Surgery, Yale University School of Medicine, New Haven, CT, 2UNOS, Richmond, VA, 3Yale University, New Haven, CT

    *Purpose: Liver waitlist mortality is calculated by including both active and inactive patients. As inactive patients are unable to receive organ offers, models that adjust…
  • 2020 American Transplant Congress

    The Association between Donor Hypothermia and Allograft Outcomes in Liver and Kidney Transplantation

    S. Karhadkar, B. Kaplunov, A. Di Carlo

    Temple University School of Medicine, Philadelphia, PA

    *Purpose: Traumatic brain injury patients benefit from mild to moderate hypothermia (32-35 °C); and in patients with cardiac arrest, stroke, and asphyxia, hypothermia is and…
  • 2020 American Transplant Congress

    Quantifying Gender-Based Disparties in Liver Allocation: A Path Forward

    B. A. Shelton1, K. Olthoff2, E. Pomfret3, K. A. Forde2, D. Sawinski4, M. Gray1, N. Ascher5, J. E. Locke1

    1University of Alabama at Birmingham, Birmingham, AL, 2University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, 3University of Colorado School of Medicine, Denver, CO, 4University of Pennsylvania, Philadelphia, PA, 5University of California at San Francisco School of Medicine, San Francisco, CA

    *Purpose: Differences in local organ supply and demand have introduced geographic inequities in the Model for End-stage Liver Disease (MELD) based liver allocation system prompting…
  • 2020 American Transplant Congress

    Utilization of Mechanical Circulatory Support Devices and Impact on Outcomes in the New Heart Allocation System: An Analysis of the UNOS Registry

    L. K. Truby1, M. Farr2, E. M. DeFilippis3, K. Takeda3, V. K. Topkara3

    1Duke University Medical Center, Durham, NC, 2Columbia University Irving Medical Center, New York City, NY, 3Columbia University Irving Medical Center, New York, NY

    *Purpose: In October 2018, a new heart transplantation allocation system was put into effect with the intent of better stratifying the most medically urgent candidates,…
  • 2020 American Transplant Congress

    Waitlist Mortality in Children with Biliary Atresia: A Competing Risks Analysis

    I. A. Ziogas, F. Ye, Z. Zhao, L. K. Matsuoka, M. I. Montenovo, S. P. Alexopoulos

    Vanderbilt University Medical Center, Nashville, TN

    *Purpose: Biliary atresia (BA) is the most common indication for liver transplant (LT) in children. The current PELD allocation algorithm does not accurately reflect the…
  • 2020 American Transplant Congress

    How Advantaged are Kidney-Pancreas Candidates for Deceased-Donor Kidney Transplants, and is This Appropriate?

    A. Massie, M. Nguyen, R. Wesson, M. Henderson, N. Desai, D. Segev

    Johns Hopkins, Baltimore, MD

    *Purpose: Diabetic patients with renal failure may list for kidney-alone (KI) or kidney-pancreas (KP) transplantation. The benefits of KP vs KI for diabetic patients are…
  • 2020 American Transplant Congress

    Monitoring the Removal of Donation Service Area from Lung Allocation

    R. R. Goff1, R. Daly2, E. D. Lease3

    1Research, United Network for Organ Sharing, Richmond, VA, 2Mayo Clinic, Rochester, MN, 3University of Washington, Seattle, WA

    *Purpose: In 2017 the Organ Procurement and Transplantation Network (OPTN) altered US lung allocation policy by replacing the donor service area (DSA) with a 250…
  • 2020 American Transplant Congress

    Implications for Facilitated Pancreas Transplant Allocation with the Removal of Donor Service Area

    R. Forbes1, R. Urban2, A. Fox2, J. Odorico3, S. Niederhaus4

    1Vanderbilt University Medical Center, Nashville, TN, 2United Network for Organ Sharing, Richmond, VA, 3University of Wisconsin, Madison, WI, 4University of Maryland, Baltimore, MD

    *Purpose: Facilitated Pancreas (FP) Allocation, modified in August 2016 to be metric-based rather than opt-in, defines an eligible center as one that has transplanted at…
  • 2020 American Transplant Congress

    Predicting Kidney Allograft Discard: The Kidney Discard Risk Index

    M. B. Price, M. Joshi, T. Zhang, J. Vierling, T. Galvan, R. Cotton, C. O'Mahony, J. Goss, A. Rana

    Michael E. DeBakey Department of Surgery, Division of Abdominal Transplantation, Baylor College of Medicine, Houston, TX

    *Purpose: The disparity between the supply and demand for kidney allografts is exacerbated by an 18.9% discard rate. It is our aim to determine predictors…
  • 2020 American Transplant Congress

    Successful Heart Utilization and Outcomes with Long-Distance Transport of Deceased Donor Hearts: One Large Organ Procurement Organization’s Five-Year Experience

    D. Adorno, C. Wells, K. O'Connor

    LifeCenter Northwest, Bellevue, WA

    *Purpose: Long-distance transport of deceased donor hearts has been associated with reduced organ utilization rates and risk of inferior outcomes. One U.S. Organ Procurement Organization’s…
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