ATC Abstracts

American Transplant Congress abstracts

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Articles tagged "Allocation"

  • 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…
  • 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…
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