Articles tagged "Allocation"

2016 American Transplant Congress
Thoracic Simulated Allocation Modeling (TSAM) of Broader Sharing.
M. Colvin,¹ M. Skeans,¹ L. Robbins Callahan,² L. Edwards,² J. Zeglin,¹ S. Silvestry,³ R. Davies,⁴ M. Farr,⁵ A. Israni,¹ J. Rogers.⁶
¹SRTR, Minneapolis, MN; ²UNOS, Richmond, VA; ³Florida Hospital Transplant Institute, Orlando, FL; ⁴Nemours/A.I. duPont Hospital for Children, Wilmington, DE; ⁵Columbia University Medical Center, New York, NY; ⁶Duke University, Durham, NC.
Heart allocation policy (OPTN policy 6) is in development. The Heart Subcommittee of the OPTN Thoracic Committee developed a 6-tiered medical urgency algorithm, then investigated…
2016 American Transplant Congress
Optimal Integration of Kidney Exchange Programs with Antibody Reduction Therapy to Increase Successful Transplant in Difficult to Match Recipients.
K. Melancon,¹ N. Koizumi,² M. Gentili,³ C. Callender.⁴
¹Surgery, George Washington University Hospital, Washington, DC; ²Public Policy, George Mason Univ, Arlington, VA; ³Operations Research, University of Louisville, Louisville, KY; ⁴Surgery, Howard University Hospital, Washington, DC.
Kidney paired donation (KPD) allows incompatible pairs to exchange kidneys with other incompatible pairs. However, evidence suggests there stills exist barriers to KPD utilization, especially…
2016 American Transplant Congress
Impact of Proximity MELD/PELD Points on Liver Redistricting Scenarios.
S. Gentry,^1,2 J. Pyke,¹ D. Schladt,¹ J. Zeglin,¹ W. Kim,³ J. Lake,⁴ R. Hirose,⁵ D. Mulligan,⁶ A. Israni.¹
¹Scientific Registry of Transplant Recipients, Minneapolis; ²United States Naval Academy, Annapolis; ³Stanford, Palo Alto; ⁴University of Minnesota, Minneapolis; ⁵Surgery, University of California, San Francisco; ⁶Surgery, Yale University, New Haven.
Background: To address geographic disparity in liver allocation, a new organ distribution system consisting of 4 or 8 districts has been proposed (Gentry, Am J…
2016 American Transplant Congress
Survey Results Show Strong Support for Allowing Patients Undergoing Desensitization to Keep Their Pre-Desensitization CPRA Allocation Priority.
A. Kucheryavaya,¹ R. Bray,² D. Tyan.³
¹UNOS, Richmond; ²Emory Univ Hosp, Atlanta; ³Stanford Univ, Palo Alto.
Background: On the waitlist, highly sensitized kidney (KI) candidates who undergo desensitization (DS) lose allocation priority associated with pre-DS CPRA value if some unacceptable antigens…
2016 American Transplant Congress
Fifty Is the New 40? An Argument to Uncap the MELD Score.
J. DiNorcia,¹ Y. Genyk,¹ K. Andreoni,⁴ W. Kim,³ J. Levitsky,⁵ D. Mulligan,⁶ R. Sung,⁷ M. Nadim.¹
¹Univ of Southern California, Los Angeles, CA; ²Stanford University, Palo Alto, CA; ³Univ of Florida, Gainesville, FL; ⁴Northwestern Univ, Chicago, IL; ⁵Yale Univ, New Haven, CT; ⁶Univ of Michigan, Ann Arbor, MI.
Background: The MELD score is used to prioritize patients awaiting liver transplantation (LT) and has been capped at 40 to prevent transplant futility in patients…
2016 American Transplant Congress
Projection versus Reality: KPSAM and KAS.
S. Gustafson, A. Israni, J. Pyke, N. Salkowski, J. Snyder, B. Kasiske.
Scientific Registry of Transplant Recipients, Minneapolis, MN.
On December 4, 2014, the national kidney allocation system (KAS) was substantially revised. The decision to revise was based in part on results from the…
2016 American Transplant Congress
Can OPTN/UNOS Policies Be Effectively Transferred to Another Country's Healthcare System? Russian Case.
B. Yaremin,¹ A. Mironov,⁴ A. Kolsanov,² A. Navasardyan,¹ R. Akhmetshin,³ A. Starostina.²
¹Samara Regional Ministry of Health, Samara, Russian Federation; ²Operative Surgery Chair, Samara State Medical University, Samara, Russian Federation; ³Moscow Regional Ministry of Health, Moscow, Russian Federation; ⁴Samara Organ Procurement Organisation, Samara State Medical University, Samara, Russian Federation.
US Organ Procurement System known as one of the most advanced systems all over the World. Start of new transplant program in other country always…
2016 American Transplant Congress
Skipping Comparable Local Waitlist Candidates Under Share 35.
E. Chow,¹ A. Massie,¹ X. Luo,¹ C. Wickliffe,¹ S. Gentry,² A. Cameron,¹ D. Segev.¹
¹Surgery, Johns Hopkins University, Baltimore, MD; ²Mathematics, US Naval Academy, Annapolis, MD.
Under Share-35, deceased donor (DD) livers are offered regionally to candidates with MELD≥35 before locally to lower MELD candidates. The characteristics and outcomes of local…
2016 American Transplant Congress
NEAD Chains Do Not Disadvantage Blood Type O, Black, or Highly Sensitized Patients.
M. Rees,¹ J. Roberts,² K. Lentine,³ A. Roth,⁴ A. Leichtman,⁵ H. Xiao,³ S. Rafizadeh,¹ E. Neidich,² M. Melcher.⁴
¹UT, Toledo; ²UCSF, SF; ³SLU, St Louis; ⁴Stanford, Palo Alto; ⁵Arbor Res, Ann Arbor.
Introduction: NEAD chains raised concern that wait-listed blood type (BT) O patients and racial minorities would be disadvantaged by allocation of a non-directed donor (NDD)…
2016 American Transplant Congress
Waitlist versus Population-Based Metrics of Access to Liver Transplantation: Comparing UNOS Waitlist Data and Nationally-Representative Data of Patients with End-Stage Liver Disease.
D. Goldberg,^1,2 B. French,² J. Lewis,^1,2 S. Halpern.^1,2
¹Department of Medicine, University of Pennsylvania, Philadelphia, PA; ²Department of Biostatistics and Epidemiology, University of Pennsylvania, Philadelphia, PA.
Background: Strategies for allocating transplantable livers are evaluated based on how they impact waitlisted patients. This approach may not optimize outcomes for all patients with…