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Articles tagged "Allocation"

  • 2019 American Transplant Congress

    Unfair Waiting Time Calculation? Impact of Accumulated Wait Time Restart with a Decrease in Status from 1A to 1B or 2 on Mortality of Heart Transplant Candidates

    S. Yu, M. Kosztowski, M. Waldram, D. L. Segev, A. B. Massie

    Department of Surgery, Johns Hopkins, Baltimore, MD

    *Purpose: Between two heart transplant (HT) candidates listed at the same status, the candidate with longer accumulated wait time receives higher waitlist priority; under current…
  • 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.…
  • 2018 American Transplant Congress

    Predicting Survival after Deceased-Donor Kidney Transplants by Donor-Recipient Match: Who Can Tolerate a High-KDPI Kidney?

    S. Bae, J. Garonzik Wang, K. Jackson, A. Thomas, X. Luo, A. Massie, D. Segev.

    Johns Hopkins School of Medicine, Baltimore, MD.

    Deceased-donor kidney transplantation (DDKT) with high-KDPI kidneys carries an additional risk of mortality and graft failure, which could be tolerable for some candidates but detrimental…
  • 2018 American Transplant Congress

    Consequences of Being Listed at a Small Pancreas Program

    S. Niederhaus,1 M. Curry,2 A. Fox,2 J. Fridell,3 J. Odorico.4

    1Surgery, University of Maryland, Baltimore, MD; 2UNOS, Richmond, VA; 3Surgery, Indiana University, Indianapolis, IN; 4Surgery, University of Wisconsin, Madison, WI.

    How pancreas transplant center (PTC) volume affects patient outcomes after listing is unclear. Low volumes may lengthen waiting times or limit access to transplantation. We…
  • 2018 American Transplant Congress

    Gains from Joining Kidney Paired Donation with Several Incompatible Donors

    M. Bray, W. Wang, P. Song, J. Kalbfleisch.

    University of Michigan, Ann Arbor, MI.

    In kidney paired donation (KPD), a transplant candidate with an incompatible donor joins a pool of similar pairs in an effort to find new transplant…
  • 2018 American Transplant Congress

    Impact of New Pancreas Transplant Allocation Policy on Pancreas Transplant Volume and Outcomes: A Single Center Study

    N. Singh, A. Pulisetty, D. Aultman, R. McMillan, G. Zibari, H. Shokouh-Amiri.

    LSU, Shreveport, LA.

    BACKGROUND: A UNOS/OPTN policy approved in 2015 allowed simultaneous pancreas-kidney transplants (SPK) for type-2 diabetic patients. We examined the effect of this policy on volume…
  • 2018 American Transplant Congress

    Reliability of Deceased Donor Procurement Biopsy Images at the Time of Kidney Allocation

    S. Mansour,1 E. Hall,2 P. Reese,3 Y. Jia,1 H. Thiessen-Philbrook,1 G. Moeckel,1 F. Weng,4 P. Revelo,2 M. Khalighi,2 A. Trivedi,5 M. Doshi,6 B. Schroppel,7 C. Parikh.1

    1Yale University School of Medicine, New Haven; 2University of Utah School of Medicine, Salt Lake City; 3Perelman School of Medicine at the University of Pennsylvania, Philadelphia; 4Saint Barnabas Medical Center, Livingston; 5Hartford Hospital, Hartford; 6Wayne State University, Detroit; 7University Hospital, Ulm, Germany.

    Histological findings of procurement deceased-donor kidney biopsies contribute to organ allocation decisions. Representative images of pathology on biopsy slides are often uploaded into United Network…
  • 2018 American Transplant Congress

    Equivalent Clinical Outcomes and Stable Post-Operative Anti-A IgG Titers in A2 to B Renal Transplant Recipients Compared to Matched B to B Cohort

    C. Barnhill,1 P. Warner,2 A. Weiss,1 C. Kuhr,1 N. Cowan,1 J. Brandenberger.1

    1Transplant, Virginia Mason Medical Center, Seattle; 2Immunogenetics/HLA Laboratory, Bloodworks Northwest, Seattle.

    With the longest wait times and lowest rate of transplantation, ABO type B renal transplant candidates are at a disadvantage when compared to their type…
  • 2018 American Transplant Congress

    Transplant Hospitals Increase Volumes and Acceptance Rates under the COIIN Project

    D. Klassen, H. Haskell, K. Sisaithong, M. McBride, R. Carrico, M. Curry.

    United Network for Organ Sharing, Richmond.

    Introduction. Transplant center performance monitoring is based on one-year patient and graft survival. Through the OPTN contract with HRSA, UNOS created the Collaborative Innovation and…
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