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Articles tagged "Allocation"

  • 2018 American Transplant Congress

    Offer Acceptance Practices and Geographic Variability in Allocation MELD at Transplant

    A. Wey,1 S. Gentry,2 J. Pyke,1 D. Schladt,1 T. Weaver,1 N. Salkowski,1 B. Kasiske,1 A. Israni,1 J. Snyder.1

    1SRTR, Minneapolis; 2U.S. Navy, Anapolis.

    Offer acceptance practices may cause geographic variability in allocation model for end-stage liver disease (aMELD) score at transplant and could magnify the apparent impact of…
  • 2018 American Transplant Congress

    Many Highly Sensitized Candidates Still Waiting for Transplant Despite the Kidney Allocation System Change: Making the Case for Incompatible Transplantation

    C. Schinstock, B. Smith, A. Bentall, M. Stegall.

    Von Liebig Center for Transplantation and Clinical Regenerative Medicine, Mayo Clinic, Rochester, MN.

    Introduction: The rate of kidney transplantation in highly sensitized individuals has increased since the kidney allocation system (KAS) change, but it remains unclear who has…
  • 2018 American Transplant Congress

    Medical Contraindications to Solid Organ Transplant Listing: A Survey of Heart, Liver, Lung and Kidney Programs

    A. Wall, G. Lee, J. Maldonado, D. Magnus.

    Stanford University, Palo Alto, CA.

    Purpose: The purpose of this study was to evaluate the influence of advanced age, obesity and HIV seropositivity on solid organ transplant listing across liver,…
  • 2018 American Transplant Congress

    Outcomes of Organ Transplantation from Donors with Cancer History

    Z. Guo,1 X. He,1 S. Huang.1

    1Organ Transplant Center, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China; 2Guangdong Provincial Key Laboratory of Organ Donation and Transplant Immunology, Sun Yat-sen University, Guangzhou, China; 3Guangdong Provincial International Cooperation Base of Science and Technology, Sun Yat-sen University, Guangzhou, China.

    Purpose: The inherent challenges of selecting an acceptable donor for each of the increasing numbers and acuity of recipients has led programs to take increased…
  • 2018 American Transplant Congress

    Hard-To-Place Kidney Offers: System- Level Predictors of Discard

    L. Kayler,1 J. Nie,2 K. Noyes,2 M. Leeman,3 R. Narvaez.1

    1Dept of Surgery, University at Buffalo, Buffalo, NY; 2Dept of Epidemiology and Environmental Health, University at Buffalo, Buffalo, NY; 3Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, NY.

    Background: Deceased-donor kidney discard rates remain high. Inefficiencies in the allocation of hard-to-place kidneys may be contributing to discard suggesting that system-level factors represent opportunities…
  • 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,…
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