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Articles tagged "Allocation"

  • 2017 American Transplant Congress

    The Impact of the Kidney Allocation System on Outcomes for Kidneys with KDPI > 85%.

    A. Perry,1 J. Sageshima,1 C. Santhanakrishnan,1 J. McVicar,1 C. Troppmann,1 A. De Mattos,2 J. Woloszyn,1 R. Perez.1

    1Division of Transplant Surgery, University of California, Davis, Sacramento, CA; 2Division of Transplant Medicine, University of California, Davis, Sacramento, CA

    Single center outcomes were examined to assess the impact of the implementation of the Kidney Allocation System (KAS) on outcomes for kidneys with KDPI >85%.Methods:…
  • 2017 American Transplant Congress

    Hepatitis C Genotypes Among Deceased Organ Donors in the United States.

    D. Goldberg,1 V. Van Deerlin,1 M. Farooqi,1 A. Sicilia,1 R. Hasz,2 R. Bloom,1 E. Blumberg,1 C. Gentile,1 P. Abt,1 P. Reese.1

    1University of Pennsylvania, Philadelphia, PA; 2Gift of Life, Philadelphia, PA

    Background: HCV is one of the leading causes of liver disease in the US. 5% of deceased organ donors are HCV+ and HCV infection is…
  • 2017 American Transplant Congress

    A UNOS Database Analysis of Patient Outcomes from Kidney Alone versus Simultaneous Kidney Liver Transplants Utilizing Matched Donor Pairs.

    T. Zens, J. Danobeitia, P. Stahler, G. Leverson, R. Redfield III, A. D'Alessandro, L. Fernandez.

    Surgery - Division of Transplantation, University of Wisconsin - Madison, Madison, WI

    Introduction: Renal grafts used in simultaneous kidney liver (SLK) transplants are allocated by arbitrary clinical criteria without entering the kidney allocation algorithm. The goal of…
  • 2017 American Transplant Congress

    Improving Liver Allocation Using Optimized Neighborhoods.

    S. Mehrotra, V. Kilambi.

    Industrial Engineering and the Management Sciences, Northwestern University, Evanston, IL

    Background: Geographic disparities persist in access to liver transplantation. Candidates with similar urgency experience varying opportunities for transplants across the US. Policymakers are poised to…
  • 2017 American Transplant Congress

    Life Threatening Disparities in Calculated MELD Due to Variation in Laboratory Methods within a UNOS Region.

    E. Verna,1 C. Connelly,1 L. Dove,1 J. Emond,1 P. Adem,2 N. Babic,3 J. Corsetti,4 J. Faix,5 J. Hayden,6 M. Lifshitz,7 M. Chiles,1 S. Mohan,1 H. Eldad,1 A. Kratz.1

    1CUMC, NY; 2WMC, NY; 3MSSM, NY; 4URMC, Rochester; 5MMC, NY; 6WCM, NY; 7NYU, NY

    MELD was implemented as an objective measure to prioritize patients for liver transplant (LT). Accuracy and reproducibility of MELD is an essential assumption to ensure…
  • 2017 American Transplant Congress

    KDPI Usefulness in Spain: A Comparison with Classical ECD/SCD.

    C. Arias-Cabrales,1 M. Pérez-Sáez,1 D. Redondo,1 A. Buxeda,1 C. Burballa,1 S. Bermejo,1 A. Sierra,1 M. Mir,1 A. Burón,2 A. Zapatero,3 M. Crespo,1 J. Pascual.1

    1Nephrology, Hospital del Mar, Barcelona, Spain; 2Epidemiology and Evaluation, Hospital del Mar, Barcelona, Spain; 3Intensive Care Medicine, Hospital del Mar, Barcelona, Spain

    Kidney donor shortage requires an expansion in selection criteria and objective tools to minimize discarded organs. Easy donor pretx variables such as age, standard/expanded criteria…
  • 2017 American Transplant Congress

    Can We Successfully Overcome Obesity as a Barrier for Kidney Transplantation?

    K. Zorbas,1 S. Karhadkar,1 S. Rao,2 K. Lau,1 I. Lee,2 A. Gillespie,2 S. Constantinescu,2 A. Karachristos,1 A. Di Carlo.1

    1Surgery, Lewis Katz School of Medicine at Temple University, Philadelphia, PA; 2Nephrology, Temple University, Philadelphia, PA

    Obesity is a significant barrier for kidney transplantation (KT) with higher rates of denial for listing and longer listing to transplantation interval. We examined the…
  • 2017 American Transplant Congress

    An Argument for Expanding the Simultaneous Liver and Kidney Transplant Criteria: Validity of the New UNOS Allocation Policy.

    S. Nagai,1 M. Safwan,1 K. Collins,1 M. Rizzari,1 D. Moonka,2 K. Brown,2 A. Patel,3 A. Yoshida,1 M. Abouljuod.1

    1Transplant and Hepatobiliary Surgery, Henry Ford Hospital, Detroit, MI; 2Gastroenterology, Henry Ford Hospital, Detroit, MI; 3Nephrology, Henry Ford Hospital, Detroit, MI

    Aim: According to the latest simultaneous liver-kidney transplant (SLK) allocation policy by UNOS, allocation of kidney is dependent on duration of low glomerular filtration rate…
  • 2017 American Transplant Congress

    MELD-Based Allocation Leads to Inferior Survival After Liver Transplantation.

    P. Ritschl, L. Wiering, M. Hippler-Benscheidt, F. Aigner, M. Biebl, M. Schmelzle, K. Kotsch, J. Pratschke, R. Öllinger.

    Department of Surgery, Campus Virchow and Mitte, Charité-Universitätsmedizin Berlin, Berlin, Germany

    Introduction and BackgroundThe MELD-based allocation system has been implemented in Germany in 2006 in order to decrease waiting list mortality in patients with end stage…
  • 2017 American Transplant Congress

    MELD Exception Score: LSAM Modeling of a Fixed Floor.

    J. Heimbach,1 R. Hirose,2 D. Schladt,3 J. Pyke,3 J. Zeglin,3 S. Leppke,3 J. Lake,4 W. Kim.5,3

    1Mayo Clinic, Rochester; 2UCSF, San Francisco; 3SRTR, Minneapolis; 4Univ of Minnesota, Minneapolis; 5Stanford Univ, Stanford

    Current US liver allocation policy grants standard MELD score exceptions beginning at 22 points and rising every 3 months. Scores for hepatocellular cancer are delayed…
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