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Articles tagged "Allocation"

  • 2016 American Transplant Congress

    Does Donor and Recipient Age Disparity Make a Difference with Expanded Criteria Donors?

    M. Khan,1 K. Jones,1 H. El-Hennawy,1 A. Farney,1 J. Rogers,1 G. Orlando,1 A. Reeves-Daniel,2 A. Palanisamy,2 M. Gautreaux,3 S. Iskandar,3 W. Doares,4 S. Kaczmorski,4 R. Stratta.1

    1Surgery, Wake Forest, Winston-Salem, NC; 2Internal Medicine, Wake Forest, Winston-Salem, NC; 3Pathology, Wake Forest, Winston-Salem, NC; 4Pharmacy, Wake Forest, Winston-Salem, NC.

    The critical shortage of donor organs challenges the transplant community to optimize the use of organs from all consented deceased donors (DD). The purpose of…
  • 2016 American Transplant Congress

    Pediatric Liver Transplant Exception Request Narratives – How Do We Justify Requests?

    H. Braun,3 S. Rhee,1 J. Dodge,2 J. Roberts,2 E. Perito.1

    1Pediatrics, University of California-San Francisco, San Francisco, CA; 2Surgery, University of California-San Francisco, San Francisco, CA; 3School of Medicine, University of California-San Francisco, San Francisco, CA.

    Purpose: Over 50% of pediatric liver transplant (LT) candidates receive exceptions to increase PELD/MELD; more than [frac12] are non-standard exception requests (NSER) based on narrative…
  • 2016 American Transplant Congress

    What Are the Charges and Costs of Transplanting High MELD Patients?

    K. Bortecen, B. Gelb, A. Winnick, G. Morgan, L. Teperman.

    Transplant Surgery, NYU Langone Medical Center, New York, NY.

    Purpose: There is a significant variation in the MELD scores and subsequent morbidity among liver recipients in the US. Larger OPOs consistently serve patients with…
  • 2016 American Transplant Congress

    Understanding the Initial Rise in Kidney Discard Rates Observed Post-KAS.

    D. Stewart,1 A. Kucheryavaya,1 R. Brown,1 D. Klassen,1 N. Turgeon,2 M. Aeder.3

    1UNOS, Richmond, VA; 2Emory Univ, Atlanta, GA; 3Univ Hosp Case Med Ctr, Cleveland, OH.

    Background: Kidney discard rates increased by 10% -- from 18.3% to 20.2% (p=0.001) -- during the first 7 months of KAS but returned to pre-KAS…
  • 2016 American Transplant Congress

    Donor-Candidate Mismatch in Age, Sex, HLA, and Body Size Inform a Calculator for Kidney Graft Survival.

    J. Kalbfleisch,1 V. Ashby,1 A. Leichtman,2 M. Rees,3 P. X.-L. Song,1 A. Sakhuja,1 M. Bray,1 R. Eikstadt,1 A. Goulding,1 W. Wang.1

    1Univ of Michigan, Ann Arbor; 2Arbor Research, Ann Arbor, MI; 3Univ of Toledo, Toledo, OH.

    Using Scientific Registry of Transplant Recipients data, we analyzed 232,705 kidney transplant recipients that received a transplant from 1998-2012. Graft failure rates were estimated using…
  • 2016 American Transplant Congress

    The Impact of Gender Discordance on Graft Survival Among Liver Transplant Recipients.

    J. Moore, X. Luo, A. Massie, T. Purnell, D. Mogul, D. Segev.

    Johns Hopkins School of Medicine, Baltimore.

    Past studies have shown inferior liver graft survival in gender-discordant recipient/donor pairings compared to gender-matched pairings, particularly in male recipients of female donor livers. However,…
  • 2016 American Transplant Congress

    Optimal Measures for Timely Transplantation: Reviewing Correlation Between Early Transplantation Wait-Listing and Transplantation Outcomes.

    M. Brown, K. Polkinghorne, J. Kanellis.

    Nephrology, Monash Medical Centre, Clayton, Victoria, Australia.

    Background and Purpose: Transplantation is the best treatment for end-stage renal failure (ESRF). In Australia the algorithm for organ allocation considers a combination of factors…
  • 2016 American Transplant Congress

    Children Listed as Status 1B for Liver Transplantation Are Disenfranchised by MARS Therapy.

    A. Bakshi,1 M. Kueht,1 A. Rana,1,2 A. Akcan Arikan,3 J. Goss.1,2

    1Surgery, Division of Abdominal Transplantation and Hepatobiliry Surgery, Baylor College of Medicine, Houston, TX; 2Surgery, Division of Abdominal Transplantation, Texas Children's Hospital, Houston, TX; 3Pediatric Medicine, Intensive Care, Texas Children's Hospital, Houston, TX.

    Acute exacerbations of chronic liver failure in the pediatric population require advanced ICU care in order to survive to transplantation (OLT). Often, the patients are…
  • 2016 American Transplant Congress

    Liver-Intestine Candidates Benefit from National Sharing.

    E. Edwards,1 A. Harper, D. Sudan.

    1United Network for Organ Sharing, Richmond, VA; 2Duke University Hospital, Durham, NC.

    Introduction. On June 18, 2013, the OPTN implemented regional sharing of adult donor livers for candidates with allocation MELD/PELD scores of 35 and greater. As…
  • 2016 American Transplant Congress

    99% and 100% CPRA Patients Since KAS: A Substantial Increase in Transplants with Strong Evidence of a Bolus Effect.

    A. Kucheryavaya,1 M. Aeder,2 N. Turgeon,3 D. Klassen,1 D. Stewart.1

    1UNOS, Richmond, VA; 2Univ Hosp Case Med Ctr, Cleveland, OH; 3Emory Univ Hosp, Atlanta, GA.

    Background: The Kidney Allocation System (KAS), implemented on 12/4/14, increased allocation priority for candidates with CPRA of 99-100%. Analyses performed on behalf of the OPTN…
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