Articles tagged "Allocation"

2019 American Transplant Congress
Dialysis Facility Profit Status and Referral for Kidney Transplantation
E. R. Walker¹, L. J. McPherson¹, J. C. Gander², S. Pastan¹, R. E. Patzer¹
¹Emory University School of Medicine, Atlanta, GA, ²Kaiser Permanente Georgia, Atlanta, GA
*Purpose: Patients receiving dialysis treatment in for-profit dialysis facilities have historically lower rates of kidney transplantation (KT) compared to non-profit facilities, but the impact of…
2019 American Transplant Congress
Improving Access to Lung Transplant through Donor Strategy: A Decision Analysis
W. Tsuang, B. Udeh
Cleveland Clinic, Cleveland, OH
*Purpose: The use of Donation after Cardiac Death (DCD) donors in addition to Donation after Brain Death (DBD) donors may increase patient access to lung…
2019 American Transplant Congress
ilearnKAS: An Animated Video to Educate African Americans about Key Concepts of Kidney Allocation
J. Narvaez, B. Dolph, T. Feeley, L. Kayler
University at Buffalo, Buffalo, NY
*Purpose: ilearnKAS is a iteratively-designed patient-engaged mobile educational animated video developed with guidance from patients, providers, Self-efficacy and Multimedia Learning Theories designed for African American…
2019 American Transplant Congress
Exploration of the Stanford Integrated Psychosocial Assessment for Transplant with Psychosocial and Medical Outcomes in Kidney/Kidney-Pancreas Transplant Recipients
G. Chen¹, C. Bell², P. Loughhead¹, B. Ibeche², J. S. Bynon², D. R. Hall², A. M. De Golovine², A. Edwards², W. A. Dar²
¹Memorial Hermann Hospital, Houston, TX, ²The University of Texas Health Science Center at Houston McGovern Medical School, Houston, TX
*Purpose: The Stanford Integrated Psychosocial Assessment for Transplant (SIPAT) is a psychometric instrument designed to improve organ transplant patient selection. However, limited studies have been…
2019 American Transplant Congress
Simulation vs. Reality: 250NM as First Unit of Lung Allocation
M. Skeans¹, J. Pyke¹, C. Lehr², R. Lehman³, K. Uccellini³, K. M. Chan⁴, E. D. Lease⁵, R. Daly⁶, M. Valapour²
¹SRTR, Minneapolis, MN, ²Cleveland Clinic Foundation, Cleveland, OH, ³OPTN, Richmond, VA, ⁴Univ. of Michigan, Ann Arbor, MI, ⁵Univ. of WA, Seattle, WA, ⁶Mayo Clinic, Rochester, MN
*Purpose: In November 2017, the OPTN Executive Committee removed donation service area as the first unit of donor allocation, replacing it with a circle of…
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…