Articles tagged "Allocation"

2022 American Transplant Congress
Size to Fit: A Simple Formula to Predict Donor Liver Weight in Deceased Donor Liver Transplant
A. Mohamed¹, J. Cui², T. Kitajima¹, T. Shamaa¹, T. Ivanics¹, I. Godana³, A. Yorks², S. Shimada¹, B. Madek¹, M. Rizzari¹, A. Yoshida¹, M. Abouljoud¹, S. Nagai¹, K. Collins¹
¹Henry Ford Transplant Institute, Detroit, MI, ²Wayne State University School of Medicine, Detroit, MI, ³General Surgery, McLaren, Lansing, MI
*Purpose: Estimated donor liver volume (DLV) prediction equations are widely published. However, they often are complex and underpredict DLV, particularly in non-ideal body weight donors.…
2022 American Transplant Congress
Impact of Kidney Allocation Change on Low Volume Kidney Transplant Centers
S. Nagaraju¹, S. Vaishnav¹, S. A. Deslich², S. Hanna¹, A. Jones³, J. B. Africa¹
¹Renal Transplant, Charleston Area Medical Center, Charleston, WV, ²Research Associate Senior, Health Services & Outcomes Rsc, Charleston Area Medical Center, Charleston, WV, ³Charleston Area Medical Center, Charleston, WV
*Purpose: Effective March 15, 2021, the OPTN launched a new policy for matching kidney and pancreas transplant candidates with organs from deceased donors. The new…
2022 American Transplant Congress
Survival Comparison of Simultaneous Pancreas-Kidney Transplant with Pancreas After Living-Donor Kidney Transplant by Wait Time and Organ Quality
G. R. Lyden¹, E. S. Helgeson², E. B. Finger³, A. J. Matas³, J. J. Snyder⁴, D. M. Vock²
¹Scientific Registry of Transplant Recipients, Hennepin Healthcare Research Institute; Division of Biostatistics, University of Minnesota, Mpls, MN, ²Div Biostatistics U MN, Mpls, MN, ³Dept Surg U MN, Mpls, MN, ⁴Hennepin Healthcare Research Institute, Mpls, MN
*Purpose: The survival benefit of simultaneous pancreas-kidney (SPK) compared to pancreas after living-donor kidney (PALK) transplant is controversial. Wait times for SPK and donor risk…
2022 American Transplant Congress
Meld 3.0 for Liver Allocation: Results From the Liver Simulated Allocation Model
A. Kwong¹, T. Weaver², D. Schladt², A. Wey², K. Audette², S. Biggins³, J. Snyder², A. Israni², J. Lake⁴, W. Kim¹
¹Stanford University, Stanford, CA, ²Hennepin Healthcare Research Institute, Minneapolis, MN, ³University of Washington, Seattle, WA, ⁴University of Minnesota, Minneapolis, MN
*Purpose: Priority on the US liver transplant waitlist is determined by the model for end-stage liver disease (MELD), a score composed of serum bilirubin, creatinine,…
2022 American Transplant Congress
Center-Level Variation in Transplantation Practice Following Acuity Circles Policy Change
A. Burton¹, D. Goldberg²
¹University of Miami Miller School of Medicine, Miami, FL, ²Department of Gastroenterology, University of Miami Miller School of Medicine, Miami, FL
*Purpose: Although early studies suggest that the Acuity Circles (AC) allocation policy has reduced disparities in access to deceased donor liver transplants (DDLTs), changes in…
2022 American Transplant Congress
Impact of Donor-to-Recipient Body Surface Area Ratio on Graft Survival and Mortality Following Deceased Donor Liver Transplants
S. Radomski, L. Zeiser, A. Massie, S. Ottmann, D. Segev, E. King
Surgery, Johns Hopkins University, Baltimore, MD
*Purpose: The impact of size mismatch on graft survival in living donor liver transplant is well established but is not a common concern in deceased…
2022 American Transplant Congress
Low-Quality Kidney Allograft Use in Kidney Transplantation is Associated with a Prolonged Post-Transplant Length of Stay
J. A. Kahla¹, C. R. Goff¹, J. A. Goss², A. A. Rana²
¹Department of Student Affairs, Baylor College of Medicine, Houston, TX, ²Division of Abdominal Transplantation, Michael E DeBakey Department of General Surgery, Baylor College of Medicine, Houston, TX
*Purpose: The purpose of this study is to determine the effect of low-quality kidney allografts on recipient hospital length of stay following transplant using five…
2022 American Transplant Congress
Status Exception Use in the New Seven-Tiered Heart Allocation System
A. Plana¹, A. Kanelidis¹, W. F. Parker², V. Jeevanandam³, C. Salerno³, B. Smith¹, S. Kalantari¹, S. Pinney¹, J. Grinstein¹
¹Cardiology, University of Chicago, Chicago, IL, ²Pulmonary/Critical Care, University of Chicago, Chicago, IL, ³Cardiac Surgery, University of Chicago, Chicago, IL
*Purpose: The revised seven-tiered US heart allocation policy aimed to improve risk stratification to lower exception status use. However, recent literature has demonstrated that exceptions…
2022 American Transplant Congress
The Acuity Circle Allocation Policy is Associated with Worse Graft Survival After Liver Transplant with Donation After Circulatory Death Donors in Low-MELD Centers
T. Kitajima¹, T. Ivanics², D. Moonka¹, M. Shamaa¹, A. Mohamed³, S. Shimada¹, K. Collins⁴, M. Rizzari¹, A. Yoshida¹, M. Abouljoud⁴, S. Nagai¹
¹Henry Ford Hospital, Detroit, MI, ²Surgery, Henry Ford Hospital, Detroit, MI, ³Department of Transplant and Hepatobiliary Surgery, Henry Ford Hospital, Detroit, MI, ⁴Henry Ford Transplant Institute, Detroit, MI
*Purpose: Liver allocation in the United States was updated in February of 2020, with introduction of the acuity circle (AC) model. However, the effect of…
2022 American Transplant Congress
Late Liver Turn Downs: The Utilization and Impact of the Expedited Process
K. Gauntt¹, C. Martinez¹, R. Hunter¹, J. Prinz², K. Shutterly³, D. Brockmeier⁴
¹United Network For Organ Sharing, Richmond, VA, ²Donor Alliance, Denver, CO, ³Center for Organ Recovery and Education, Pittsburgh, PA, ⁴Mid-America Transplant, St. Louis, MO
*Purpose: There is belief that the discard rates are higher for organs turned down late in the recovery process. The expedited liver (LI) pathway, allows…