ATC Abstracts

American Transplant Congress abstracts

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Articles tagged "Allocation"

  • 2020 American Transplant Congress

    Liver Transplant Waitlist Mortality is Not Associated with Urbanicity

    Y. Chen1, Y. Hung2, Y. Hsu3, C. de Crescenzo1, C. Rickert1, J. Adler4, D. Chang1, H. Yeh1

    1Surgery, Massachusetts General Hospital, Boston, MA, 2Surgery, Sinai Hospital of Baltimore, Baltimore, MA, 3Harvard School of Public Health, Boston, MA, 4Surgery, Brigham and Women's Hospital, Boston, MA

    *Purpose: Because of geographic disparity in transplant rates and organ usage, distance-based liver distribution has been proposed to replace Donor Service Area based distribution. However,…
  • 2020 American Transplant Congress

    Patients in Donor Service Areas with Higher Median MELD at Transplant Have a Lower Probability of Liver Transplant Waitlist Activation

    J. Merola1, S. Noreen2, D. Stewart2, R. Batra1, D. Haakinson1, G. Gan3, Y. Deng3, S. Kulkarni1

    1Yale School of Medicine, New Haven, CT, 2United Network of Organ Sharing, Richmond, VA, 3Yale Center for Analytical Sciences, Yale University, New Haven, CT

    *Purpose: US allocation of hepatic allografts is prioritized based on medical need, however significant geographical disparities exist with median MELD at transplant across donor specific…
  • 2020 American Transplant Congress

    Transplant Center Effect on Acute Liver Failure Outcomes in a National Cohort

    N. Z. Wong, K. R. Reddy, T. Bittermann

    University of Pennsylvania, Philadelphia, PA

    *Purpose: Transplant centers coordinate complex care for patients with acute liver failure (ALF), in whom liver transplantation (LT) can be lifesaving. This study examines associations…
  • 2020 American Transplant Congress

    Hypernatremia Predicts Waitlist Death and Deterioration, but Not Post-Transplant Outcomes in Pediatric Liver Transplant Candidates

    L. Thalji1, N. Thalji2, S. Ibrahim3, J. Heimbach2, P. Kamath4, D. Haile1, D. Kor1

    1Anesthesiology, Mayo Clinic, Rochester, MN, 2Surgery, Mayo Clinic, Rochester, MN, 3Pediatric Gastroenterology, Mayo Clinic, Rochester, MN, 4Gastroenterology, Mayo Clinic, Rochester, MN

    *Purpose: Pre-transplant hypernatremia has been shown to predict post-transplant mortality in adult liver transplant (LT) recipients. The effects of hypernatremia in children, however, remain unexplored.…
  • 2019 American Transplant Congress

    Global Kidney Exchange

    D. N. Bozek1, O. Ekwenna1, S. Paloyo2, T. Dunn3, K. Krawiec4, S. Rees5, A. Roth6, M. Zimmerman7, J. Punch8, R. Forbes9, C. Marsh10, C. Kuhr11, J. Rogers12, M. Tan13, L. Basagoitia14, R. Correa-Rotter15, J. Ortiz1, P. Sindhwani1, M. A. Rees1

    1University of Toledo Medical Center, Toledo, OH, 2University of the Philippines – Philippine General Hospital; St. Luke’s Medical Center, Manila, Philippines, 3University of Minnesota, Minneapolis, MN, 4Duke University, Durham, NC, 5Alliance for Paired Donation, Perrysburg, OH, 6Stanford University, Stanford, CA, 7Froedert Hospital-Medical College of Wisconsin, Milwaukee, WI, 8University of Michigan, Ann Arbor, MI, 9Vanderbilt University Medical Center, Nashville, TN, 10Scripps Green Hospital, San Diego, CA, 11Virginia Mason Medical Center, Seattle, WA, 12Wake Forest Baptist Medical Center, Winston-Salem, NC, 13Piedmont Hospital, Atlanta, GA, 14ProRenal, ., Mexico, 15INNSZ, Mexico City, Mexico

    *Purpose: Poverty prevents more kidney transplants (KTs) worldwide than any other barrier. Global kidney Exchange (GKE) is a mechanism to overcome this barrier.*Methods: In high-income…
  • 2019 American Transplant Congress

    Optimizing Opportunity and Benefits of Steroid Avoidance in the New KAS Era

    S. Sultan, M. Aull, R. Friedlander, V. K. Sharma, D. Serur, A. Watkins, S. Kapur, D. Dadhania

    New York Presbyterian / Weill Cornell, New York, NY

    *Purpose: The introduction of the new Kidney Allocation System (KAS) in 2014 has facilitated transplantation of sensitized patients with high CPRA. However, the CPRA value…
  • 2019 American Transplant Congress

    Share 21 Rather Than Share 15: Balancing Transplant Opportunity without Compromising Waitlist Outcomes

    S. Nagai1, L. C. Chau1, M. Abouljoud1, K. Collins1, S. Jafri2, M. Safwan1, D. Moonka2

    1Transplant and Hepatobiliary Surgery, Henry Ford Hospital, Detroit, MI, 2Gastroenterology, Henry Ford Hospital, Detroit, MI

    *Purpose: We recently reported that, with the introduction of Meld-Na liver allocation, the score at which patients clearly benefit from liver transplant as opposed to…
  • 2019 American Transplant Congress

    Modeling Multiple Registrations and the Impact at the National and Regional Scale

    C. Harvey, R. Weigel

    Computational Science and Informatics, George Mason University, Fairfax, VA

    *Purpose: Current policies in the U.S. allow patients to register at multiple organ donor service areas (DSAs), provided they have physician approval and can cover…
  • 2019 American Transplant Congress

    Have Graft Outcomes Improved for Pediatric Transplant Recipients Since the Implementation the Kidney Allocation System

    C. S. Bell1, S. Hebert2, A. De Golovine3, R. Swinford1

    1Division of Pediatric Nephrology & Hypertension, McGovern Medical School at UTHealth - Houston, Houston, TX, 2Division of Nephrology, Department of Internal Medicine, Houston Methodist Hospital, Houston, TX, 3Renal Diseases &Hypertension, McGovern Medical School at UTHealth - Houston, Houston, TX

    *Purpose: The new kidney allocation system (KAS) that utilizes a Kidney Donor Profile Index (KDPI) in matching transplant recipients to donors was implemented in December…
  • 2019 American Transplant Congress

    The Collaborative Improvement and Innovation Network (COIIN): Impact on Deceased Donor Transplant Rates and Offer Acceptance Practices

    A. Wey1, S. Gustafson1, B. Carrico2, J. Foutz2, K. Sisaithong3, M. McBride2, D. Klassen2, D. Klassen2, N. Salkowski1, B. Kasiske1, A. Israni1, J. Snyder1

    1SRTR, Minneapolis, MN, 2OPTN, Richmond, VA, 3OPTN, Minneapolis, MN

    *Purpose: The Organ Procurement and Transplantation Network (OPTN) completed the Collaborative Improvement and Innovation Network (COIIN), a study to increase kidney transplants by reducing risk…
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