Articles tagged "Allocation"

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…
2020 American Transplant Congress
Discrepant Subtyping of Blood Type A2 Living Kidney Donors in Paired Kidney Exchange
L. Warnke¹, R. R. Redfield¹, K. M. Miller¹, M. Cooper², G. Roll³, C. Freise³, B. Lee³, V. Chipman³, A. Thomas⁴, D. Leeser⁵, M. Ronin⁶, G. Hil⁶, A. D. Waterman⁷, D. Mandelbrot¹
¹Transplant, UW Health, Madison, WI, ²Transplant, Medstar Georgetown, Washington, DC, ³Transplant, UCSF, San Fransisco, CA, ⁴Surgery, Johns Hopkins University, Baltimore, MD, ⁵Transplant, ECU, Greenville, NC, ⁶NKR, Babylon, NY, ⁷Nephrology, UCLA; Terasaki Research Institute, Los Angeles, CA
*Purpose: Utilizing non-A1 donors for O or B recipients with low anti-A titers presents an opportunity to expand living donor kidney transplantation. Since February 2018,…
2020 American Transplant Congress
Did the 250 Nautical Mile Circle Work? Geographic Disparities in Lung Transplantation Before and after the Policy Change
M. Kosztowski¹, Y. Yu², A. Massie², D. L. Segev², S. E. Gentry²
¹University of Iowa, Iowa City, IA, ²Johns Hopkins, Baltimore, MD
*Purpose: In November 2017, the lung allocation policy was challenged in court due to concern that candidates living in New York City were being disadvantaged…
2020 American Transplant Congress
Temporal Trends in Utilization and Outcomes of DCD Livers for Liver Transplantation in the United States
K. R. Jackson, J. Motter, A. Massie, B. Philosophe, J. Garonzik-Wang, D. Segev
Johns Hopkins University, Baltimore, MD
*Purpose: Donation after cardiac death (DCD) livers represent a possible expansion to the donor pool, but are frequently discarded due to an increased mortality and…
2020 American Transplant Congress
Increased Graft Survival Following Implementation of the Kidney Allocation Score
M. L. Samoylova¹, B. I. Shaw¹, W. Irish², S. J. Kesseli¹, A. Connor¹, A. S. Barbas¹, L. McElroy¹, K. V. Ravindra¹
¹Surgery, Duke University Hospital, Durham, NC, ²Surgery, East Carolina University, Greenville, NC
*Purpose: The Kidney Allocation Score (KAS) was developed to improve matching of donor and recipients; we examine the effect of this change on transplantation practice…
2020 American Transplant Congress
Does the Distance from the Transplant Center Impact Kidney Transplant (KT) DGF, CIT and Outcomes?
M. Laftavi¹, O. Pankewycz², R. Shahbazov¹, A. Almonte¹, B. Gallay², J. Leggat², R. Hod Dvorai¹, C. Hubbell¹, S. Narsipur²
¹Transplant, Upstate Medical University, SYRACUSE, NY, ²Nephrology, Upstate Medical University, SYRACUSE, NY
*Purpose: Currently, there is an ongoing debate regarding the efficient use of available organs (utility) versus the fair access to transplant (equity). UNOS is now…
2020 American Transplant Congress
Domestic U.S. Transplant Tourism: Analysis of U.S. Citizens Who Travel to Another State for Transplant
R. S. Mangus, M. F. Mount
Indiana University, Indianapolis, IN
*Purpose: Transplant tourism is a phenomenon where patients travel away from their home to receive organ transplantation where organs are more readily available. This flow…
2020 American Transplant Congress
Effects of Mandatory 6-Month Waiting Time Policy on Post-Transplant Outcomes and Explant Pathology in Liver Transplant Patients with Hepatocellular Carcinoma
S. Nagai, T. Kitajima, S. Yeddula, R. Salgia, M. Abouljoud, D. Moonka
Henry Ford Hospital, Detroit, MI
*Purpose: In the United States, current allocation policy mandates a 6-month waiting period before exception scores are granted to liver transplant (LT) candidates with hepatocellular…
2020 American Transplant Congress
Calculating the Lung Allocation Score Error for ECMO Patients
N. Dussault¹, J. Katsis², E. Garrity¹, M. M. Churpek³, W. F. Parker¹
¹University of Chicago, Chicago, IL, ²Vanderbilt University, Nashville, TN, ³University of Wisconsin, Madision, WI
*Purpose: The use of extracorporeal membranous oxygenation (ECMO) as a bridge to lung transplantation has increased dramatically. However, the Lung Allocation Score (LAS) does not…