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Articles tagged "Allocation"

  • 2017 American Transplant Congress

    Even with National Sharing, the Prospects of a 100% Sensitized Patient Receiving a Transplant Vary Dramatically Depending on the Precise CPRA Value.

    D. Stewart,1 A. Kucheryavaya,1 D. Tyan,2 H. Gebel,3 R. Bray,3 N. Turgeon.3

    1UNOS, Richmond, VA; 2Stanford Univ, Palo Alto, CA; 3Emory Univ Hosp, Atlanta, GA

    Background: In the Kidney Allocation System (KAS), CPRA of 99% & 100% candidates receive regional and national priority. This broader sharing, along with adoption of…
  • 2017 American Transplant Congress

    Stable Deceased Donor Transplantation Rates Among Pediatric Candidates Post-KAS Implementation.

    B. Shelton,1 C. Ray,1 D. Sawinski,2 R. Reed,1 P. MacLennan,1 J. Locke.1

    1University of Alabama at Birmingham, Birmingham; 2University of Pennsylvania, Philadelphia

    Background: The Kidney Allocation System (KAS) was implemented in December 2014 and increased access to deceased donor kidney transplant (DDKT) for highly sensitized candidates. Concerns…
  • 2017 American Transplant Congress

    A Novel Computational HLA Matching Algorithm for Improving Donor-Recipient Histocompatibility and Graft Outcomes After Kidney Transplantation.

    V. Kosmoliaptsis,1 D. Mallon,1 S. Fuggle,2 R. Johnson,2 C. Watson,1 J. Bradley,1 C. Taylor.1

    1Department of Surgery, University of Cambridge, Cambridge, United Kingdom; 2NHS Blood and Transplant, Bristol, United Kingdom

    Introduction: Human Leukocyte Antigen (HLA) matching is a central objective of kidney allocation policies, but current assessment of histocompatibility is inadequate. Building on our previous…
  • 2017 American Transplant Congress

    Is Lung Allocation Score Associated with Waitlist and Post-Transplant Survival?

    H. Maredia, M. Bowring, A. Massie, S. Oyetunji, C. Merlo, R. Higgins, D. Segev, E. Bush.

    JHU, Baltimore

    The lung allocation score (LAS) prioritizes patients based on predicted one-year waitlist and post-transplant mortality. However, for a given diagnosis, it is unclear whether LAS…
  • 2017 American Transplant Congress

    A Surge in Liver Donors After Years of Decline, Is This the Tip of the Iceberg?

    A. Rana,1 M. Goss,1 J. Rees,2 M. Kueht,1 J. Vierling,1 A. Mindikoglu,1 K. Halazun,3 N. Sussman,1 B. Kaplan,4 P. Wood,5 N. Galvan,1 R. Cotton,1 C. O'Mahony,1 J. Goss.1

    1Abdominal Transplantation, Baylor College of Medicine, Houston; 2Southwest Transplant Alliance Organ Procurement Organization, Dallas; 3Surgery, Weill Cornell Medical Center, New York; 4Nephrology, Mayo Clinic, Phoenix; 5LifeGift Organ Procurement Organization, Houston

    The number of liver donors has steadily declined since 2006, despite numerous efforts to increase donation. Then in 2013 to the current projected numbers for…
  • 2017 American Transplant Congress

    Increase in Post-Transplant Mortality Under KAS.

    A. Massie, J. Garonzik-Wang, D. Segev.

    JHU, Baltimore

    Following implementation of the Kidney Allocation System (KAS), a major change to deceased donor kidney allocation in December 2014, transplantation rates increased for African-Americans and…
  • 2017 American Transplant Congress

    KDPI and Small (<20 kg) Pediatric Kidney Donors.

    J. Smith,1,2 S. Gustafson,2 A. Wey,2 J. Snyder,2 A. Israni.2

    1Seattle Children's Hospital, Seattle; 2Scientific Registry of Transplant Recipients, Minneapolis

    Use of small (≤20 kg) donor kidneys in pediatric candidates has declined under the new kidney allocation system (KAS), from 5.0% of pediatric kidney-alone transplants…
  • 2017 American Transplant Congress

    Kidney Allograft Offers: Predictors of Turndown and the Relationship of Organ Acceptance Sequence to Kidney Allograft Survival.

    J. Cohen,1,2 J. Shults,2 D. Goldberg,2,3 D. Sawinski,1 P. Abt,4 P. Reese.1,2

    1Renal Division, University of Pennsylvania, Philadelphia, PA; 2Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania, Philadelphia, PA; 3Division of Gastroenterology, University of Pennsylvania, Philadelphia, PA; 4Transplant Surgery, University of Pennsylvania, Philadelphia, PA

    Background: There is growing interest in understanding patterns of organ acceptance and reducing organ discard. Little is known about how donor factors, holidays, and location…
  • 2017 American Transplant Congress

    Lung Transplant Recipient Travel Distance to Transplant Center Does Not Impact Survival.

    W. Tsuang,1 S. Lin,2 J. Schold,2 M. Valapour.1

    1Respiratory Institute, Cleveland Clinic, Cleveland, OH; 2Quantitative Health Sciences, Cleveland Clinic, Cleveland, OH

    Purpose: We examined if the geographic distance recipients travel for lung transplant care impacts posttransplant survival at our center.Methods: Retrospective single center cohort study of…
  • 2017 American Transplant Congress

    Exception Scores for Patients on the Liver Waiting List.

    T. Weaver,1 D. Schladt,1 M. Skeans,1 J. Pyke,1 J. Zeglin,1 S. Leppke,1 A. Israni,1,2 B. Kasiske,1,2 W. Kim,3 J. Lake.4

    1Scientific Registry of Transplant Recipients, Minneapolis, MN; 2Hennepin County Medical Center, Minneapolis, MN; 3Stanford University, Stanford, CA; 4University of Minnesota, Minneapolis, MN

    Liver waitlist candidates are prioritized for allocation using model for end-stage liver disease (MELD) scores, and some patients receive higher MELD scores through exception. The…
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