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Articles tagged "Allocation"

  • 2018 American Transplant Congress

    Is Percent Exception at Transplant a Driver of MELD Inflation?

    D. Schladt,1 J. Snyder,1 A. Israni,1 W. Kim,2 J. Lake.3

    1SRTR, Minneapolis, MN; 2Stanford University, Stanford, CA; 3Univ of Minnesota, Minneapolis, MN.

    Before 2016, the proportion of deceased donor liver recipients with an exception status at liver transplant (LT) correlated strongly with median MELD at transplant (MMaT)…
  • 2018 American Transplant Congress

    State of the Union: Outcomes of a Single Center's A2-to-B Transplants Two Years after the Implementation of KAS

    S. Radomski, S. Rosen-Bronson, D. Li, M. Awwad, G. Vranic, B. Javid, P. Abrams, S. Yi, M. Cooper, A. Gilbert.

    Medstar Georgetown Transplant Institute, Medstar Georgetown University Hospital, Washington, DC.

    Introduction. Since the implementation of the new KAS there are few reports on both single center outcomes in the modern era of transplantation and the…
  • 2018 American Transplant Congress

    An Economic Analysis of the UK Pancreas Allocation Scheme

    K. Burke,1 S. Birch,2,3 T. Augustine.1

    1The Renal and Pancreas Transplantation Unit, Manchester Royal Infirmary, Manchester, United Kingdom; 2Centre for Health Economics, University of Manchester, Manchester, United Kingdom; 3Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, Canada.

    Introduction: Economics provides input to decisions concerning the best use of available resources. In transplantation, limitations include organ availability and competing organ demands. This is…
  • 2018 American Transplant Congress

    The Predictive Power of MELD is Decreasing in the Era of Older, Sicker Patients

    E. Godfrey,1 J. Lai,2 T. Miloh,3 N. Galvan,1 R. Cotton,1 C. O'Mahony,1 J. Vierling,1 N. Sussman,1 A. Rana.1

    1Department of Surgery, Baylor College of Medicine, Houston, TX; 2Department of Medicine, University of California, San Francisco, San Francisco, CA; 3Department of Pediatrics, Baylor College of Medicine, Houston, TX.

    PurposeThe field of liver transplantation has shifted considerably in the MELD era. Liver allocation, immunosuppression, and etiologies of liver failure have changed over time, and…
  • 2018 American Transplant Congress

    Outcome of Second Kidney Transplantation According to Previous Pediatric Donor Type: A Retrospective Cohort Analysis

    K. Phonphok, T. Duong, S. Panombualert, S. Bunnapradist.

    Medicine-Nephrology, UCLA, Los Angeles, CA.

    Background: With the prioritization of age ≤ 18 years old at the time of registration on the kidney transplant waiting list in the United States,…
  • 2018 American Transplant Congress

    Cumulative United States Experience in Domino Liver Transplants

    K. Barrera, S. Sharma, A. Gruessner, R. Gruessner.

    Surgery, State University of New York, Downstate, Brooklyn, CA.

    Background/Purpose: The ongoing shortage of livers in the setting of growing waiting lists remains a challenge in transplantation. First introduced in 1995, sequential or domino…
  • 2018 American Transplant Congress

    Informatics Tools for Mapping Molecular HLA Typing Data to UNOS Antigen Equivalencies

    N. Kaur,1 E. Kransdorf,2 M. Pando,3 M. Maiers,4 L. Gragert.1,4

    1Tulane University School of Medicine, New Orleans; 2Cedars-Sinai Heart Institute, Los Angeles; 3Baylor Scott and White, Temple; 4National Marrow Donor Program / Be The Match, Minneapolis.

    Introduction:Molecular HLA typing must be converted to antigen equivalencies for entry into the UNOS database, UNet. Maintaining an up-to-date mapping table for this purpose has…
  • 2018 American Transplant Congress

    Reassessment of Virtual Crossmatch: The Clinical Meaning of Cell-Based Actual Crossmatch for Kidney Transplantation

    B. Peng,1,2 M. Yu,1,2 Q. Zhuang,1,2 H. Liu,1,2 L. Zhu,1,2 Y. Liu,1,2 K. Cheng,1,2 Y. Ming.1,2

    1Transplantation Center, The Third Xiangya Hospital, Central South University, Changsha, Hunan, China; 2Engineering & Technology Research Center for Transplantation Medicine, National Ministry of Health, Changsha, Hunan, China.

    Background: Due to the high sensitivity and specificity of Luminex technique, the Luminex single antigen beads (LSAB) assays are widely used in detecting the HLA…
  • 2018 American Transplant Congress

    Accepting a DCD Liver May Improve Patient Survival Compared to Waiting for a Non-DCD Liver

    A. Wey,1 N. Salkowski,1 J. Lake,2 W. Kim,3 B. Kasiske,1 A. Israni,1 J. Snyder.1

    1Scientific Registry of Transplant Recipients, Minneapolis; 2Univ of Minnesota, Minneapolis; 3Stanford University, Palo Alto.

    Only ~50% of liver candidates undergo deceased donor transplant; 17% die on the waiting list and 20% are removed from the list as too sick…
  • 2018 American Transplant Congress

    Improving Prognostication amongst Patients Undergoing Liver Transplantation for Hepatocellular Carcinoma: An International, 16-Center Study to Validate and Recalibrate HALTHCC

    D. Firl,1 K. Sasaki,1 S. Kimura,2 W. Dumronggittigule,3 A. Gorgen,4 J. Lerut,5 M. Rossi,6 U. Cillo,7 A. Viveiros,8 E. Tsochatzis,9 G. Otto,10 G. Ettorre,11 G. Tisone,12 M. Vivarelli,13 S. Agnes,14 J. Markmann,2 T. Ikegami,15 T. Kaido,16 G. Sapisochin,4 V. Agopian,3 Q. Lai,5,6 F. Aucejo.1

    1CCF, Cleveland; 2MGH, Boston; 3UCLA, LA; 4UHN, Toronto, Canada; 5SLH, Louvain, Belgium; 6UH, Rome, Italy; 7UP, Padua, Italy; 8MUI, Innsbruck, Austria; 9UCL, London, United Kingdom; 10UM, Mainz, Germany; 11SCH, Rome, Italy; 12TVU, Rome, Italy; 13AOU, Torrette Ancona, Italy; 14AGH, Rome, Italy; 15KU, Kyoto, Japan; 16KU, Kyushu, Japan.

    Objective: Prognosticating outcomes in liver transplant (LT) for hepatocellular carcinoma (HCC) continues to challenge the field. Whereas adoption of the binary Milan Criteria (MC) generalized…
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