Articles tagged "Allocation"

2018 American Transplant Congress
An Early Look at the OPTN's New SLK Allocation Policy
A. Kucheryavaya,¹ R. Formica,² N. Turgeon,³ D. Stewart,¹ A. Wilk.¹
¹UNOS, Richmond; ²Yale School of Medicine, New Haven; ³Emory Univ Hosp, Atlanta.
Background: The new Simultaneous Liver-Kidney (SLK) allocation policy went into effect on 8/10/17. It established renal medical criteria for patients waiting for SLK transplants and…
2018 American Transplant Congress
Calibration of Updated LSAM
J. Pyke,¹ T. Weaver,¹ D. Schladt,¹ N. Salkowski,¹ A. Wey,¹ J. Lake,² W. Kim,³ S. Gentry,⁴ A. Israni.¹
¹SRTR, Minneapolis; ²Univ of Minnesota, Minneapolis; ³Stanford Univ, Stanford; ⁴U.S. Navy, Annapolis.
Purpose: The liver simulated allocation model (LSAM) is a discrete-event microsimulation of the liver allocation system used for policy evaluation and research. We investigated the…
2018 American Transplant Congress
Kidney Transplant Outcomes in Patients with CPRA Values > 98% after Implementation of the New OPTN/UNOS Kidney Allocation System (KAS): A Single Center Study Update
N. Kaur,¹ M. Kamoun,² J. Kearns,² J. Trofe-Clark,¹ P. Abt,³ M. Levine,³ S. Goral.¹
¹Department of Medicine, Renal-Electrolyte and Hypertension Division, Hospital of the University of Pennsylvania, Philadelphia; ²Pathology and Laboratory Medicine, Hospital of the University of Pennsylvania, Philadelphia; ³Surgery, Hospital of the University of Pennsylvania, Philadelphia.
Background: Sensitized patients in the past have had prolonged waiting times and greater incidence of death while on the waiting list. On December 4, 2014,…
2018 American Transplant Congress
Racial/Ethnic Disparities in Living Donor Kidney Transplantation before and after the New National Kidney Allocation System
X. Zhang,¹ T. Melanson,² L. Plantinga,^3,6 M. Basu,¹ S. Pastan,^1,7 S. Mohan,^4,5 M. Garber,⁶ R. Patzer.^1,6,7
¹Department of Surgery, Emory University School of Medicine, Atlanta; ²Department of Health Policy & Management, Emory University, Atlanta; ³Department of Medicine, Emory University School of Medicine, Atlanta; ⁴School of Medicine, Columbia University, New York; ⁵Department of Epidemiology, Columbia University, New York; ⁶Department of Epidemiology, Emory University, Atlanta; ⁷Emory Transplant Center, Emory Healthcare, Atlanta.
We aimed to assess the potential unintended impact of a new national kidney allocation system (KAS) in December 2014 on living donor kidney transplant (LDKT)…
2018 American Transplant Congress
Improved OPO Performance Drives Broader Organ Sharing in the United States
R. Carrico, B. Shepard, D. Klassen.
United Network for Organ Sharing, Richmond.
Background: OPTN allocation policies in the United States include both local geographic priority and broader sharing. Local allocation priority varies by organ type. For example,…
2018 American Transplant Congress
Do Protocol Biopsies in the Highly Sensitized Improve Renal Allograft Survival? A Single Center Evaluation of 2 Year Graft Function
S. Kuppachi, R. Kalil, M. Fraer, M. Sanders, M. Swee, Z. Stewart, C. Thomas.
Organ Transplant Center, University of Iowa, Iowa City, IA.
Highly sensitized kidney transplant recipients (hsKTR) are at an increased risk of antibody mediated rejection (AMR). Following implementation of the new kidney allocation system (KAS)…
2018 American Transplant Congress
Outcomes of ABO Non-Identical Pancreas Transplant
S. Nagaraju, R. Mangus, J. Fridell.
Indiana University School of Medicine, Indianapolis.
A data review of all pancreas transplants since 2003 (n=606) at our institution revealed 41 recipients of a non-identical ABO donor pancreas. They were matched…
2018 American Transplant Congress
Greater Access to Kidney Transplantation in Competitive DSAs: Due to Improved Referral?
J. Adler,¹ D. Chang,² H. Yeh.²
¹Surgery, University of Wisconsin School of Medicine and Public Health, Madison, WI; ²Surgery, Massachusetts General Hospital, Boston, MA.
INTRODUCTION: For patients with chronic kidney disease (CKD), access to kidney transplantation (ATT) varies across the 58 Donor Service Areas (DSAs) of the United States,…
2018 American Transplant Congress
Surgical Categorization Improve Outcomes and Organ Utilization in Liver Transplant
H. Bohorquez,^1,2 H. Sharma,¹ D. Bruce,¹ A. Cohen,^1,2 C. Carmody,^1,2 J. Seal,¹ E. Bugeaud,¹ D. Sonnier,¹ A. Mathur,¹ D. Marroquin,¹ M. Voltz,¹ D. Lucia,¹ G. Loss.^1,2
¹Multi-Organ Transplant Institute, Ochsner Helath System, New Orleans, LA; ²School of Medicine, University of Queensland, New Orleans, LA.
Background: Liver transplant (LT) varies greatly in technical complexity due to factors such as prior surgery, obesity, and portal vein thrombosis (PVT). This must be…
2018 American Transplant Congress
Demographic and Geographic Differences in the Proportion of Liver Disease Deaths Captured by the Transplant Waitlist in the United States, 2011 – 2015
K. Ross,¹ R. Lynch,² D. Goldberg,³ R. Patzer.^1,2
¹Department of Epidemiology, Rollins School of Public Health, Atlanta, GA; ²Emory Transplant Center, Atlanta, GA; ³Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Background: There are no population-based estimates of the prevalence of end-stage liver disease in the United States, creating challenges in measuring disease burden to inform…