Articles tagged "Allocation"

2019 American Transplant Congress
Patients With Persistently Low MELD-Na Scores Continue To Be At Risk Of Liver Related Death
N. Mazumder, K. Atiemo, S. Montag, A. Daud, A. Kho, M. Abecassis, J. Levitsky, D. Ladner
Northwestern Memorial Hospital, Chicago, IL
*Purpose: The Model for End Stage Liver Disease-Sodium (MELD-Na) score is a reliable predictor of 90-day mortality however its long term predictive ability is unclear,…
2019 American Transplant Congress
Specific Reasons for Public Health Service (PHS) Increased Risk (IR) Designation Had Little Influence on Doctors’ Kidney Offer Acceptance Decisions in Controlled “Lab” Experiment
D. Stewart¹, J. Rosendale¹, H. McGehee¹, J. Schold², J. Lindemans³, J. Kessler⁴, C. Sullivan⁴, K. Mekeel⁵, R. Stratta⁶, R. Formica⁷, D. Klassen¹
¹UNOS, Richmond, VA, ²CCF, Cleveland, OH, ³Duke, Durham, NC, ⁴Wharton, Philadelphia, PA, ⁵UCSD, San Diego, CA, ⁶Wake Forest, Winston-Salem, NC, ⁷Yale, New Haven, CT
*Purpose: Over 25% of donors are labeled as PHS “increased risk,” a designation associated with reduced organ utilization despite favorable risk/benefit calculations for most patients.…
2019 American Transplant Congress
Continuous Distribution: LSAM Simulation Study
T. Weaver¹, N. Salkowski¹, J. Snyder¹, D. Schladt¹, J. Pyke¹, A. Herreid¹, B. Thompson¹, W. Kim², J. Lake³, A. Israni¹
¹SRTR, Minneapolis, MN, ²Stanford Univ, Stanford, CA, ³Univ of Minnesota, Minneapolis, MN
*Purpose: This liver simulated allocation model (LSAM) study of a simple continuous distribution system for several parameter values introduces and describes its characteristics, demonstrating how…
2019 American Transplant Congress
Geographic Trends in Drug Intoxicated Deceased Donor Recovery and Utilization
R. Urban, D. Klassen, J. Rosendale
United Network for Organ Sharing, Richmond, VA
*Purpose: The impact of the current opioid epidemic has been felt throughout the nation, and has seen significant geographic variation in the impact on decease…
2019 American Transplant Congress
Kidney Grafts From Donors After Circulatory Death Provide Comparable Outcome To Donors After Brain Death Without Intracorporeal In Situ Cooling
H. Harada, M. Miura, A. Mitsuke, H. Higuchi, N. Fukuzawa, H. Tanaka, T. Hirano, T. Seki
Sapporo City General Hospital, Sapporo, Hokkaido, Japan
*Purpose: Donation after circulatory death (DCD) had been one and only source of deceased kidney donor in our country. The number of donation after brand…
2019 American Transplant Congress
Effect of DSA-Free Heart Allocation on Children
M. Skeans¹, J. Pyke¹, K. Audette¹, R. White², W. Mahle³, A. Savage⁴, J. Smith⁵
¹SRTR, Minneapolis, MN, ²Children's Hosp, Philadelphia, PA, ³Emory Univ., Atlanta, GA, ⁴Med University of SC, Charleston, SC, ⁵Seattle Children's Hosp, Seattle, WA
*Purpose: On Oct 18, 2018, the heart allocation system changed to better risk stratify adult candidates, and a current project is underway to remove donation…
2019 American Transplant Congress
Factors Associated with the Acceptance of Livers for Liver Transplantation: Validation of the Discard Risk Index in the Eurotransplant Region
J. D. Boer¹, H. Putter², J. J. Blok³, N. Cambridge¹, S. Van den Berg¹, U. Samuel¹, G. Berlakovich⁴, M. Guba⁵, A. E. Braat³
¹Eurotransplant International Foundation, Leiden, Netherlands, ²Department of Biomedical Data Sciences, Leiden University Medical Center, Leiden, Netherlands, ³Transplant Center, Leiden University Medical Center, Leiden, Netherlands, ⁴Medical University of Vienna, Vienna, Austria, ⁵Hospital of the University of Munich, Munich, Germany
*Purpose: In times of organ shortage it has to be better understood why available livers are not transplanted. This study aims to analyze factors associated…
2019 American Transplant Congress
A Collaborative AI Framework to Improve the MELD Exception Request Policy Process
A. M. Placona, S. M. Noreen, R. Carrico
Research, United Network for Organ Sharing, Henrico, VA
*Purpose: A goal of organ allocation policy is to balance medical urgency with equitable access to transplant. MELD Exceptions attempt to ensure that patients’ medical…
2019 American Transplant Congress
DOME: A New Strategy for Prioritizing Hepatocellular Carcinoma Patients on the Liver Transplant Waitlist
C. Rickert¹, M. Akan², Z. Leung³, J. F. Markmann¹, S. Tayur², H. Zhao³, H. Yeh¹
¹Massachusetts General Hospital, Boston, MA, ²Tepper School of Business, Carnegie Mellon University, Pittsburgh, PA, ³City University of Hong Kong, Hong Kong, China
*Purpose: Currently, adult HCC patients are prioritized for liver transplantation by receiving MELD exception points, determined primarily by time on waitlist without regard to actual…
2019 American Transplant Congress
Policy Changes in Facilitated Pancreas Allocation Support Pancreas Utilization
R. Urban¹, J. S. Odorico², S. V. Niederhaus³, R. Carrico¹, A. Fox¹
¹United Network for Organ Sharing, Richmond, VA, ²Department of Surgery, University of Wisconsin-Madison School of Medicine and Public Health, Madison, WI, ³Department of Surgery, University of Maryland Medical Center, Baltimore, MD
*Purpose: In an effort to address the decline in pancreas transplantation, facilitated pancreas allocation (FPA) was modified August 16, 2016 from an opt-in system for…