Articles tagged "Allocation"

2018 American Transplant Congress
Generation of Calculated Panel-Reactive Antibody Values Using a Reference Panel of Bone Marrow Donors
E. Kransdorf,¹ L. Gragert,^2,4 M. Pando,³ N. Kaur,² J. Patel,¹ I. Kim,¹ X. Zhang,¹ M. Maiers,⁴ J. Kobashigawa.¹
¹Cedars-Sinai Medical Center, Los Angeles, CA; ²Tulane University School of Medicine, New Orleans, LA; ³Baylor Scott & White, Temple, TX; ⁴National Marrow Donor Program, Minneapolis, MN.
Introduction: Calculated panel-reactive antibody (CPRA) is the official metric of sensitization used by the United Network for Organ Sharing (UNOS) for kidney allocation. The reference…
2018 American Transplant Congress
Evaluation of Accepting Kidneys of Varying Quality for Transplantation or Expedited Placement with Decision Trees
S. Mehrotra,¹ H. Gordon,¹ K. Bui,¹ J. Friedewald,² D. Ladner,² B. Kaplan,⁴ V. Kilambi.³
¹Industrial Engineering and Management Sciences, Northwestern University, Evanston, IL; ²Feinberg School of Medicine, Northwestern University, Chicago, IL; ³Operations Research, RAND Corporation, Boston, MA; ⁴Transplant Services, Baylor Scott and White, Houston, TX.
Underutilization of marginal-quality kidney-organs for transplantation has occupied the community and led to introducing the idea of expediting the placement of kidneys for populations at…
2018 American Transplant Congress
Inferior Patient and Graft Survival in Highly Sensitized Adult Kidney Transplant Recipients with a Prior Transplant Compared to Pediatric Kidney Transplant Recipients: An Analysis of OPTN Data
P. Almond,¹ S. Al-Akash,¹ D. Stewart,² A. Robinson.²
¹CPSST Departments of Pediatric Surgery and Renal Transplantation, Driscoll Children's Hospital, Corpus Christi, TX; ²UNOS, Richmond, VA.
Under the current kidney allocation system (KAS), pediatric (PED) renal transplant (RTx) candidates have a priority to kidneys from KDPI <35% donors. However, that excludes…
2018 American Transplant Congress
Estimated Impact of the Number of Simultaneous Offers on Kidney Delay and Discard
M. Mankowski,¹ S. Raghavan,³ C. Holscher,² M. Kosztowski,² D. Segev,² S. Gentry.⁴
¹King Abdullah University of Science and Technology, Thuwal, Saudi Arabia; ²Johns Hopkins University, Baltimore; ³University of Maryland, College Park; ⁴US Naval Academy, Annapolis.
Following local decline of a recovered kidney, making regional and national offers in larger simultaneous batches might decrease discards. We simulated varying batch sizes for…
2018 American Transplant Congress
Changes in Geographic Disparity Following Share 35
M. Bowring,¹ E. Chow,¹ A. Massie,¹ D. Segev,¹ S. Gentry.^1,2
¹JHU, Baltimore; ²US Naval Academy, Annapolis.
Given increased sharing under Share35, we investigated whether Share35 reduced geographic disparity in deceased-donor liver transplant (DDLT) rates across Donation Service Areas (DSAs).METHODS: Using SRTR…
2018 American Transplant Congress
The Kidney Allocation System from the Perspective of a Small Program in a Donor Service Area
K. Brown,² S. Hill,² L. Lipscomb,² A. Jones,² S. Hanna,² J. Africa.¹
¹Glickman Institute, Cleveland Clinic, Cleveland, OH; ²Urology and Renal Transplant, Charleston Area Medical Center, Charleston, WV.
This study investigated the impact of the new kidney allocation system (KAS) on a small transplant program (SP) when compared with the 3 other centers…
2018 American Transplant Congress
Racial and Ethnic Disparities in Preemptive Transplantation before and after the Introduction of Kidney Allocation System, in Pediatric and Young Adult End Stage Renal Disease Patients
R. George,¹ M. Basu,² R. Garro,¹ J. Hogan,¹ R. Patzer.²
¹Pediatric Nephrology, Emory University & Children's Healthcare of Atlanta, Atlanta, GA; ²Dept of Surgery and Dept of Epidemiology, Emory University and Rollins School of Public Health, Atlanta, GA.
Background: Among the various options of renal replacement therapy (RRT), preemptive transplantation (pTx) is the modality of choice in children. The objective of this study…
2018 American Transplant Congress
The Effect of Donor-Recipient Gender Matches on Living Donor Liver Transplantation
J. Han, Y. You, H. Choi, B. Kwak, D. Kim.
Surgery, The Catholic University of Korea, Seoul St. Mary's Hospital, Seoul, Republic of Korea.
PurposeSome investigators reported that the donor-recipient gender mismatches influence on long-term graft survival after deceased donor liver transplantation. The aim of this study was to…
2017 American Transplant Congress
Harnessing Scientific and Technological Advances to Improve Equity in Kidney Allocation Policies.
C. Jacquelinet,¹ B. Audry,¹ C. Antoine,¹ C. Suberbielle,² D. Glotz,² A. Tambur.³
¹Agence de la Biomedecine, Saint Denis, France; ²Saint Louis Hospital, Paris, France; ³Northwestern University, Chicago
To increase the likelihood of finding a compatible donor, kidney allocation systems prioritize highly sensitized patients to counterbalance the impact of HLA allo-sensitization and preclude…
2017 American Transplant Congress
Absence of Independent and Additional Predictive Ability of Preimplantation Kidney Allograft Biopsies for Long-Term Outcome: Population Based Study.
O. Aubert, D. Viglietti, C. Loheac, M. Rabant, C. Gosset, J. Duong Van Huyen, D. Glotz, C. Legendre, C. Lefaucheur, A. Loupy.
Paris Translational Research Center for Organ Transplantation, Paris, France
BackgroundA significant number of kidneys are discarded worldwide due to the suboptimal use of large kidney resources. The mean cause is the result of the…