Articles tagged "Allocation"

2022 American Transplant Congress
The Effect of Adoption of Acuity Circles on Hepatocellular Carcinoma Transplantation Rates at a Single High Acuity Center
D. W. Victor III, J. Corkrean, S. Kodali
Sherrie and Allan Conover Center for Liver disease and Transplantation, Houston Methodist Hospital, Houston, TX
*Purpose: Transplantation for selected patient with HCC has been prioritized with a MELD exception since 2002. Further changes have decreased the maximum exception for HCC.…
2022 American Transplant Congress
Increase in Exception and Extension Requests for Higher-Urgency Patients Under the New Heart Allocation Policy
J. R. Golbus¹, Y. Ahn², B. K. Nallamothu¹, M. N. Walsh³, D. Zaun², A. Israni², M. Colvin¹
¹University of Michigan, Ann Arbor, MI, ²Hennepin Healthcare Research Institute, Minneapolis, MN, ³Ascension St. Vincent Heart Center, Carmel, IN
*Purpose: In October 2018, a new heart allocation policy was introduced that expanded the number of listing statuses and established a national review board, abolishing…
2022 American Transplant Congress
Kidney Allograft Loss After Simultaneous Liver Kidney (SLK) Transplant Before and After the New SLK Allocation Criteria Implementation
A. P. Bregman¹, S. Jackson², N. Lim¹, J. Lake¹, S. Riad¹
¹Medicine, University of Minnesota, Minneapolis, MN, ²Analytics, Mhealth-Fairview, Minneapolis, MN
*Purpose: On August 10, 2017 UNOS/OPTN implemented new allocation criteria for simultaneous liver-kidney (SLK) transplants. We sought to examine the association between the new allocation…
2022 American Transplant Congress
Meld/Peld Exception Policy and Outcomes in Children with Hepatopulmonary Syndrome Requiring Liver Transplantation in the United States
M. H. Raza¹, P. Kobierski¹, A. Misra², A. Lim³, C. Goldbeck², K. Etesami², R. Kohli⁴, J. Emamaullee²
¹Keck School of Medicine of USC, Los Angeles, CA, ²Surgery, University of Southern California, Los Angeles, CA, ³University of Southern California, Los Angeles, CA, ⁴Liver Transplant Program, Children's Hospital-Los Angeles, Los Angeles, CA
*Purpose: Hepatopulmonary syndrome (HPS) is associated with increased waitlist mortality in liver transplant (LT) candidates. Children with HPS are currently granted MELD/PELD exception for LT…
2022 American Transplant Congress
Process Evaluation of the Ascent Study: A Hybrid Type 1 Effectiveness-Implementation Trial of a Multi-Level Intervention to Improve Dialysis Provider Knowledge of Kidney Allocation Policy Changes and Increase Kidney Transplant Waitlisting
M. A. Urbanski¹, Y. Lee¹, M. Basu¹, C. Escoffery², R. Hamoda¹, L. Plantinga³, S. O. Pastan¹, R. E. Patzer¹
¹Division of Transplantation, Emory University School of Medicine, Emory University, Atlanta, GA, ²Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, Atlanta, GA, ³Division of Geriatrics and Gerontology, Emory University School of Medicine, Emory University, Atlanta, GA
*Purpose: Kidney transplant is the optimal treatment for end-stage kidney disease, yet only a fifth of patients are on the waitlist and inequities in access…
2022 American Transplant Congress
Impact of Cold Ischemia Times on 1 Year Kidney Transplant Outcomes
T. Fletchinger, L. Burdine
Department of Surgery, University of Arkansas for Medical Sciences, Little Rock, AR
*Purpose: Recent organ allocation changes have increased travel and subsequent cold ischemia times (CIT) of kidney allografts. We sought to investigate the impact of prolonged…
2022 American Transplant Congress
Does the New Kidney Transplant Allocation System Impact Delayed Graft Function Rates After Kidney Transplantation?
P. N. Chotai¹, F. Siddiqui², A. Logan³, K. Washburn⁴, A. Schenk⁵, A. Limkemann³
¹Division of Transplantation, Department of General Surgery, The Ohio State University Wexner Medical Center, Columbus, OH, ²Ohio State University, Bloomfield, NJ, ³The Ohio State University Wexner Medical Center, Columbus, OH, ⁴The Ohio State University, Columbus, OH, ⁵Ohio State University Wexner Medical Center, Bexley, OH
*Purpose: The Organ Procurement and Transplantation Network (OPTN) implemented a new, distance based, kidney transplant allocation system (nKAS) for recipients of deceased donor kidney transplant…
2022 American Transplant Congress
Escalating Waitlist Mortality Above MELD 40: A Rationale to Uncap MELD 3.0?
A. Kwong, A. Mannalithara, W. Kim
Division of Gastroenterology and Hepatology, Stanford University, Stanford, CA
*Purpose: MELD 3.0 is a recently proposed model that improves upon MELD-Na, incorporating sex and albumin as additional variables, updating existing coefficients and adding relevant…
2022 American Transplant Congress
Impact of Removing DSA and OPTN Region from Pancreas Allocation
S. E. Booker¹, A. Robinson¹, K. Gauntt¹, J. White¹, S. Niederhaus², O. Olaitan³, R. Forbes⁴
¹UNOS, Richmond, VA, ²University of Maryland School of Medicine, Baltimore, MD, ³Rush University Medical Center, Chicago, IL, ⁴Vanderbilt University Medical Center, Nashville, TN
*Purpose: Donation Service Area (DSA) and OPTN Region were removed from pancreas allocation on 3/15/21 and replaced with a 250 nautical mile (NM) fixed circle…
2022 American Transplant Congress
Left Digit Bias in Selection and Acceptance of Deceased Donor Organs
C. E. Jacobson¹, C. S. Brown², K. H. Sheetz³, S. A. Waits²
¹University of Michigan Medical School, Ann Arbor, MI, ²Department of Surgery, University of Michigan, Ann Arbor, MI, ³Department of Surgery, University of California San Francisco, San Francisco, CA
*Purpose: Organs suitable for donation are a scarce resource and maximizing the use of available donor organs is a public health priority. Transplantable organs may…