Articles tagged "Allocation"

2019 American Transplant Congress
Exploring the Drivers of the Early Decline in One-Year Patient Survival after KAS
K. Lindblad, A. Wilk, D. Stewart
UNOS, Richmnd, VA
*Purpose: The OPTN implemented a new kidney allocation system (KAS) on December 4, 2014, and initial post-implementation monitoring found a statistically significant decline in one-year…
2019 American Transplant Congress
Racial/Ethnic and Socio-Economic Disparities: Single versus Multi-Organ Transplant Recipients
C. A. Custer¹, K. Ladin², J. Entwistle³, E. J. Gordon⁴
¹United Network for Organ Sharing, Richmond, VA, ²Tufts University, Medford, MA, ³Thomas Jefferson University, Washington, DC, ⁴Northwestern University, Chicago, IL
*Purpose: Under current deceased donor kidney allocation policy, multi-organ transplant (MOT) candidates often receive priority over single organ transplant (SOT) candidates. We examined the distribution…
2019 American Transplant Congress
The Increasing Financial Challenge of Liver Transplantation
D. Axelrod¹, S. Hohmann², K. Lentine³, H. Xiao³, B. Kasiske⁴, J. Snyder⁴, M. Ostrander⁵, M. Schnitzler³
¹Univ of Iowa, Iowa City, IA, ²Vizient Inc, Chicago, IL, ³Saint Louis Univ, St. Louis, MO, ⁴SRTR, Minneapolis, MN, ⁵Visient, Inc., Minneapolis, IA
*Purpose: Despite innovations in clinical care, liver transplant (LT) remains highly resource intensive due to medical complexity and organ quality. National allocation systems prioritize access…
2019 American Transplant Congress
Donor-Recipient Matching in Kidney Transplant: The Whole is Greater Than the Sum of the Parts
A. Vinson, K. Tennankore, B. Kiberd
Dalhousie University, Halifax, NS, Canada
*Purpose: In deceased donor kidney transplantation, strategic organ allocation is expected to prolong patient and graft survival after transplant. The aim of this study was…
2019 American Transplant Congress
Finding Opportunities for Increased Donation after Circulatory Death Liver Utilization: Results of an American Society of Transplant Surgeons/Association of Organ Procurement Organizations Survey
M. Hobeika¹, R. Glazner², D. Foley¹, S. Hanish¹, C. Quintini¹, E. Eidbo², D. Axelrod¹
¹American Society of Transplant Surgeons DCD Task Force, Arlington, VA, ²Association of Organ Procurement Organizations, Vienna, VA
*Purpose: Liver allografts from donation after circulatory death (DCD) donors remain underutilized in the U.S. Improved utilization requires expanded potential donor identification by organ procurement…
2019 American Transplant Congress
Development of an Aggressiveness Report Card
L. Liyanage, M. Kosztowski, S. Bae, K. Jackson, C. Holscher, A. Massie, N. Desai, M. Henderson, D. Segev, J. Garonzik-Wang
Johns Hopkins, Baltimore, MD
*Purpose: Use of suboptimal kidneys (SOKs) is not uniform across centers. We hypothesize that creating an aggressiveness report card (ARC) that provides surgeons with timely…
2019 American Transplant Congress
Accelerating Kidney Allocation: Simultaneously Expiring Offers
M. Kosztowski¹, M. Mankowski², S. Raghavan³, J. Garonzik-Wang¹, D. Axelrod⁴, D. L. Segev¹, S. E. Gentry¹
¹Johns Hopkins University, Baltimore, MD, ²King Abdullah University of Science and Technology, Thuwal, Saudi Arabia, ³University of Maryland, College Park, MD, ⁴University of Iowa, Iowa City, IA
*Purpose: Placing kidneys quickly might reduce discard. Additionally, a faster allocation system that reduces cold ischemia time would yield benefits: decreased delayed graft function, shorter…
2019 American Transplant Congress
Kidney Transplant Outcomes and Organ Acceptance Practice Patterns: Nationwide Analyses of the US and France
O. Aubert¹, P. P. Reese², Y. Bouatou¹, M. Raynaud¹, C. Legendre¹, D. Glotz¹, C. Lefaucheur¹, C. Jacquelinet³, A. Loupy¹
¹Paris Translational Center for Organ Transplantation, Paris, France, ²Department of Medicine, Renal-Electrolyte and Hypertension Division, University of Pennsylvania, Philadelphia, PA, ³Agence de la Biomédecine, Paris, France
*Purpose: Approximately 3,500 donated kidneys are discarded in the US each year, drawing concern from Medicare and advocacy groups. We hypothesised that more aggressive organ…
2019 American Transplant Congress
Disparities in Pediatric Liver Transplant Waitlist Access
S. C. Kim¹, K. Ross¹, E. Hsu², R. Patzer¹, R. J. Lynch¹
¹Emory University, Atlanta, GA, ²University of Washington, Seattle, WA
*Purpose: While disparities in access to liver transplant are well documented among adults, differences in access to the waitlist for children in remote or underserved…
2019 American Transplant Congress
Should First and Second Transplant Candidates Be Treated Equally?
S. Clark, M. Kadatz, J. Gill, J. S. Gill
Nephrology, University of British Columbia, Vancouver, BC, Canada
*Purpose: To inform future organ distribution policy.*Methods: We determined access to deceased donor transplantation, transplant survival, the duration of additional renal replacement therapy needed within…