Articles tagged "Allocation"

2019 American Transplant Congress
Differences in Wait Time, Graft Quality and Outcome for Pediatric Kidney Recipients in the Post-Kidney Allocation System Era
P. Singer, K. Eng, L. Castellanos Reyes, C. Sethna, L. Teperman, E. Grodstein
Northwell Health, Manhasset, NY
*Purpose: Though a purpose of the kidney allocation system (KAS) enacted in 2014 was to prioritize the transplantation of highly sensitized recipients, we explored the…
2019 American Transplant Congress
OPO Aggressiveness Index: A Novel OPO Performance Metric That Incentivizes Pursuit of Marginal Deceased Donor Candidates
L. Liyanage, Y. Yu, K. Jackson, J. Garonzik-Wang, D. Segev, A. Massie
Johns Hopkins, Baltimore, MD
*Purpose: Of 2.5M deaths in the US every year, only 10,000 are recovered for transplantation; recovery of organs from older donors is rare although similar…
2019 American Transplant Congress
Halt-hcc At The Time Of Listing Is Superior To Other Allocation Metrics At Predicting Waitlist Dropout; An Srtr Analysis
J. C. McVey¹, K. Sasaki¹, D. J. Firl², C. M. Miller¹, K. Hashimoto¹, C. Quintini¹, F. N. Aucejo¹
¹Digestive Disease and Surgery Institute, Cleveland Clinic, Cleveland, OH, ²Department of General Surgery, Duke University, Durham, NC
*Purpose: A recently developed liver allocation metric, Hazard Associated with Liver Transplant for Hepatocellular Carcinoma (HALT-HCC), has been shown to predict post-transplantation survival and recurrence.…
2019 American Transplant Congress
Illustration of Renal Recovery in SLK with Utilization of Most Recent Allocation Criteria
B. Patel, R. Prashar, A. Babu
Henry Ford Hospital Detroit, Detroit, MI
*Purpose: Single Center review of Renal recovery in Simultaneous Liver Kidney Transplantation (SLKT) in patients who were approved for SLK based on the recent UNOS…
2019 American Transplant Congress
The Power of Young Donor Liver; Elixir of Life for Sick Liver Transplant Recipient
J. Kusakabe¹, J. McVey², D. J. Firl², M. Fujiki², F. N. Aucejo², C. Quintini², K. Hashimoto², K. Sasaki²
¹Kyoto University Graduate School of Medicine, Kyoto, Japan, ²Cleveland Clinic Foundation, Department of General Surgery, Digestive Disease Institute, Cleveland Clinic, Cleveland, OH
*Purpose: Young donor organs are known to have significant prognostic benefits in liver transplantation (LT). However, details of short- and long-term prognostic benefits of young…
2019 American Transplant Congress
Access to Deceased Donor Liver Transplant for Candidates in Hawaii and Puerto Rico
A. M. Robinson¹, I. K. Kim², A. K. Mathur³, S. E. Rosas⁴
¹United Network for Organ Sharing, Richmond, VA, ²Cedars-Sinai Medical Center, Los Angeles, CA, ³Mayo Clinic Arizona, Phoenix, AZ, ⁴Joslin Diabetes Center, Harvard Medical School, Boston, MA
*Purpose: Hawaii and Puerto Rico comprise their own donor service areas (DSAs), HIOP and PRLL respectively. The liver programs in these locations serve populations mostly…
2019 American Transplant Congress
Ready for Prime Time: Intentional Allocation of Hepatitis C Positive Livers into Hepatitis C Negative Recipients
P. N. Martins¹, B. Movahedi¹, D. Devuni², P. Mahboub¹, A. Bozorgzadeh¹
¹Surgery, Division of Transplantation, University of Massachusets, Worcester, MA, ²Medicine, Division of Hepatology, University of Massachusets, Worcester, MA
*Purpose: The current discrepancy between supply and demand of liver grafts has dramatically increased the waiting time and mortality on the waiting list. The recent…
2019 American Transplant Congress
Geographic Disparities in Heart Transplant Rates
M. Kosztowski, S. Yu, A. Kilic, A. Massie, S. Zhou, D. Segev, S. Gentry
JHU, Baltimore, MD
*Purpose: One of the motivations for the recent changes to the heart allocation policy was to reduce geographic disparities. We investigated whether heart transplant (HT)…
2019 American Transplant Congress
Favorable Waitlist Outcomes in Patients with Alcoholic Liver Disease in the MELD-Na Era
M. Safwan, K. Collins, D. Moonka, S. Jafri, M. Rizzari, A. Yoshida, M. Abouljoud, S. Nagai
Henry Ford Health System, Detroit, MI
*Purpose: Alcoholic liver disease (ALD) is a common indication for liver transplantation. Patients with ALD are often required to be abstinent for a period of…
2019 American Transplant Congress
Higher Population Donor Service Areas Are Associated With Lower Meld At Death On Wait List And Higher Meld At Removal For “Too Sick
Y. Hung, Y. Bababekov, C. Rickert, Y. Hsu, D. Chang, H. Yeh
Massachusetts General Hospital, Boston, MA
*Purpose: Plans for distance based allocation in liver transplantation have raised concerns that patients listed in more rural Donor Service Areas (DSAs) will be disadvantaged…