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Articles tagged "Allocation"

  • 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…
  • 2018 American Transplant Congress

    Liver Allocation: One OPO's Experience with Expedited versus Non-Expedited Placement

    C. Muse, R. Squires, C. Trahan, J. Whaley, J. Orlowski.

    LifeShare Transplant Donor Services of Oklahoma, Oklahoma City, OK.

    Background: One organ procurement organization (OPO) sought to study expedited versus non-expedited livers recovered/transplanted after local/regional centers declined. The OPO sought to determine relative recipient…
  • 2018 American Transplant Congress

    A Calculated Panel Reactive Antibody (CPRA) Calculator Supporting Both Allele-Level and Antigen-Level HLA Specificities

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

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

    Introduction:The number of HLA alleles represented on Luminex assays has increased over time, allowing for improved characterization of anti-HLA antibody specificity. Calculated Panel Reactive Antibody…
  • 2018 American Transplant Congress

    Exploring the Viability of Kidneys Discarded in the US: A Comparison of Kidney Utilization Patterns and Outcomes in the US and France

    O. Aubert, P. Reese, M. Raynaud, D. Viglietti, C. Loheac, N. Kamar, M. Delahousse, C. Legendre, D. Glotz, C. Lefaucheur, A. Loupy.

    Paris Translational Center for Organ Transplantation, Paris, France.

    Approximately 2,000 donated kidneys are discarded in the US each year. Some transplant leaders have questioned the viability of these lost organs, while others suggest…
  • 2018 American Transplant Congress

    Estimation of Mortality on the Wait List

    S. Asrani, L. Jennings, J. Trotter, G. Klintmalm.

    Baylor University Medical Center, Dallas, TX.

    Background: Since the introduction of MELD and MELDNa, the waitlist population has changed. Further, serum creatinine is a poor surrogate of renal dysfunction in patients…
  • 2018 American Transplant Congress

    Positive Relationship between Transplant Center Volume and Utilization of Hard to Place Liver Allografts after Late Declines

    J. Knox,1 H. Braun,1 S. Syeed,1 K. Halazun,2 G. Roll.1

    1Department of Transplant Surgery, UCSF, San Francisco, CA; 2Weill Cornell Medical Center, New York, NY.

    Given ongoing waitlist mortality and the high rates of liver discard in the US we wanted to investigate late declines (LD), and very late declines…
  • 2018 American Transplant Congress

    MELD Based Allocation Deteriorates Patient Survival without Improving Waiting List Mortality in a Low Donor Area

    P. Ritschl, L. Wiering, F. Aigner, M. Biebl, D. Eurich, M. Schmelzle, I. Sauer, K. Kotsch, J. Pratschke, R. Öllinger.

    Department of Surgery, Campus Charité Mitte / Campus Virchow-Klinikum CCM/CVK, Charité - Universitätsmedizin Berlin, Berlin, Germany.

    The MELD-based allocation system has been implemented in Germany in 2006 in order to decrease waiting list mortality in patients with end stage liver disease.…
  • 2018 American Transplant Congress

    Ethnic Disparities in Elderly Patients Receiving Kidney Transplantation

    I. Bajjoka, A. Yaldo, C. Crombez, M. Abouljoud.

    Henry Ford Transplant Institute, Detroit, MI.

    Purpose: Over the past 10 years, the number of elderly kidney transplant recipients has increased. This analysis evaluates whether the trend is equitable across ethnic…
  • 2018 American Transplant Congress

    Time-Effect of Donor and Recipient Characteristics on Graft Survival after Kidney Transplantation

    E. Molmenti,1 J. Yang,3 C. Molmenti,2 E. Grodstein,1 H. Rilo,1 L. Teperman.1

    1Surgery, Zucker School of Medicine at Hofstra/Northwell, Manhasset, NY; 2Feinstein Institute, Zucker School of Medicine at Hofstra/Northwell, Manhasset, NY; 3Epidemiology, Mailman Schoool of Public Health, Columbia University, New York, NY.

    BackgroundThe current kidney allocation system (KAS) is based on the Kidney Donor Profile Index (KDPI) and the Estimated Post-Transplant Survival (EPTS), quality-based “longevity matching” strategies…
  • 2018 American Transplant Congress

    Deceased Pediatric Donor Livers: How Current Policy Drives Allocation and Transplantation

    E. Hsu,2 J. Ge,1 J. Bucuvalas,3 J. Lai.1

    1UC-San Francisco, San Francisco, CA; 2Seattle Children's Hospital, Seattle, WA; 3Cincinnati Children's Hospital, Cincinnati, OH; 4University of California San Francisco, San Francisco, CA.

    Background:The current liver allocation algorithm for livers from deceased pediatric (<18y; “pedi“) donors prioritizes adults listed locally/regionally over children listed nationally. We sought to understand…
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