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Articles tagged "Allocation"

  • 2022 American Transplant Congress

    Impact of Cold Ischemia Times on 1 Year Kidney Transplant Outcomes

    T. Fletchinger, L. Burdine

    Department of Surgery, University of Arkansas for Medical Sciences, Little Rock, AR

    *Purpose: Recent organ allocation changes have increased travel and subsequent cold ischemia times (CIT) of kidney allografts. We sought to investigate the impact of prolonged…
  • 2022 American Transplant Congress

    The Effect of Adoption of Acuity Circles on Hepatocellular Carcinoma Transplantation Rates at a Single High Acuity Center

    D. W. Victor III, J. Corkrean, S. Kodali

    Sherrie and Allan Conover Center for Liver disease and Transplantation, Houston Methodist Hospital, Houston, TX

    *Purpose: Transplantation for selected patient with HCC has been prioritized with a MELD exception since 2002. Further changes have decreased the maximum exception for HCC.…
  • 2022 American Transplant Congress

    Increase in Exception and Extension Requests for Higher-Urgency Patients Under the New Heart Allocation Policy

    J. R. Golbus1, Y. Ahn2, B. K. Nallamothu1, M. N. Walsh3, D. Zaun2, A. Israni2, M. Colvin1

    1University of Michigan, Ann Arbor, MI, 2Hennepin Healthcare Research Institute, Minneapolis, MN, 3Ascension St. Vincent Heart Center, Carmel, IN

    *Purpose: In October 2018, a new heart allocation policy was introduced that expanded the number of listing statuses and established a national review board, abolishing…
  • 2022 American Transplant Congress

    Kidney Allograft Loss After Simultaneous Liver Kidney (SLK) Transplant Before and After the New SLK Allocation Criteria Implementation

    A. P. Bregman1, S. Jackson2, N. Lim1, J. Lake1, S. Riad1

    1Medicine, University of Minnesota, Minneapolis, MN, 2Analytics, Mhealth-Fairview, Minneapolis, MN

    *Purpose: On August 10, 2017 UNOS/OPTN implemented new allocation criteria for simultaneous liver-kidney (SLK) transplants. We sought to examine the association between the new allocation…
  • 2022 American Transplant Congress

    Meld/Peld Exception Policy and Outcomes in Children with Hepatopulmonary Syndrome Requiring Liver Transplantation in the United States

    M. H. Raza1, P. Kobierski1, A. Misra2, A. Lim3, C. Goldbeck2, K. Etesami2, R. Kohli4, J. Emamaullee2

    1Keck School of Medicine of USC, Los Angeles, CA, 2Surgery, University of Southern California, Los Angeles, CA, 3University of Southern California, Los Angeles, CA, 4Liver Transplant Program, Children's Hospital-Los Angeles, Los Angeles, CA

    *Purpose: Hepatopulmonary syndrome (HPS) is associated with increased waitlist mortality in liver transplant (LT) candidates. Children with HPS are currently granted MELD/PELD exception for LT…
  • 2022 American Transplant Congress

    Process Evaluation of the Ascent Study: A Hybrid Type 1 Effectiveness-Implementation Trial of a Multi-Level Intervention to Improve Dialysis Provider Knowledge of Kidney Allocation Policy Changes and Increase Kidney Transplant Waitlisting

    M. A. Urbanski1, Y. Lee1, M. Basu1, C. Escoffery2, R. Hamoda1, L. Plantinga3, S. O. Pastan1, R. E. Patzer1

    1Division of Transplantation, Emory University School of Medicine, Emory University, Atlanta, GA, 2Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, Atlanta, GA, 3Division of Geriatrics and Gerontology, Emory University School of Medicine, Emory University, Atlanta, GA

    *Purpose: Kidney transplant is the optimal treatment for end-stage kidney disease, yet only a fifth of patients are on the waitlist and inequities in access…
  • 2022 American Transplant Congress

    The Role of Donor Sex in Females Undergoing Repeat Kidney Transplant: Does Prior Donor Sex Matter?

    S. Craig1, K. Tennankore2, A. J. Vinson2

    1Dalhousie University, Halifax, NS, Canada, 2Nova Scotia Health Authority, Halifax, NS, Canada

    *Purpose: Female recipients of male donor kidneys are at increased risk for graft failure compared with all other donor-recipient sex pairings. The presumed mechanism relates…
  • 2022 American Transplant Congress

    Does the New Kidney Transplant Allocation System Impact Delayed Graft Function Rates After Kidney Transplantation?

    P. N. Chotai1, F. Siddiqui2, A. Logan3, K. Washburn4, A. Schenk5, A. Limkemann3

    1Division of Transplantation, Department of General Surgery, The Ohio State University Wexner Medical Center, Columbus, OH, 2Ohio State University, Bloomfield, NJ, 3The Ohio State University Wexner Medical Center, Columbus, OH, 4The Ohio State University, Columbus, OH, 5Ohio State University Wexner Medical Center, Bexley, OH

    *Purpose: The Organ Procurement and Transplantation Network (OPTN) implemented a new, distance based, kidney transplant allocation system (nKAS) for recipients of deceased donor kidney transplant…
  • 2022 American Transplant Congress

    Escalating Waitlist Mortality Above MELD 40: A Rationale to Uncap MELD 3.0?

    A. Kwong, A. Mannalithara, W. Kim

    Division of Gastroenterology and Hepatology, Stanford University, Stanford, CA

    *Purpose: MELD 3.0 is a recently proposed model that improves upon MELD-Na, incorporating sex and albumin as additional variables, updating existing coefficients and adding relevant…
  • 2022 American Transplant Congress

    Impact of Removing DSA and OPTN Region from Pancreas Allocation

    S. E. Booker1, A. Robinson1, K. Gauntt1, J. White1, S. Niederhaus2, O. Olaitan3, R. Forbes4

    1UNOS, Richmond, VA, 2University of Maryland School of Medicine, Baltimore, MD, 3Rush University Medical Center, Chicago, IL, 4Vanderbilt University Medical Center, Nashville, TN

    *Purpose: Donation Service Area (DSA) and OPTN Region were removed from pancreas allocation on 3/15/21 and replaced with a 250 nautical mile (NM) fixed circle…
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