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Articles tagged "Allocation"

  • 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…
  • 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)…
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