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Articles tagged "Allocation"

  • 2022 American Transplant Congress

    Survival Comparison of Simultaneous Pancreas-Kidney Transplant with Pancreas After Living-Donor Kidney Transplant by Wait Time and Organ Quality

    G. R. Lyden1, E. S. Helgeson2, E. B. Finger3, A. J. Matas3, J. J. Snyder4, D. M. Vock2

    1Scientific Registry of Transplant Recipients, Hennepin Healthcare Research Institute; Division of Biostatistics, University of Minnesota, Mpls, MN, 2Div Biostatistics U MN, Mpls, MN, 3Dept Surg U MN, Mpls, MN, 4Hennepin Healthcare Research Institute, Mpls, MN

    *Purpose: The survival benefit of simultaneous pancreas-kidney (SPK) compared to pancreas after living-donor kidney (PALK) transplant is controversial. Wait times for SPK and donor risk…
  • 2022 American Transplant Congress

    Meld 3.0 for Liver Allocation: Results From the Liver Simulated Allocation Model

    A. Kwong1, T. Weaver2, D. Schladt2, A. Wey2, K. Audette2, S. Biggins3, J. Snyder2, A. Israni2, J. Lake4, W. Kim1

    1Stanford University, Stanford, CA, 2Hennepin Healthcare Research Institute, Minneapolis, MN, 3University of Washington, Seattle, WA, 4University of Minnesota, Minneapolis, MN

    *Purpose: Priority on the US liver transplant waitlist is determined by the model for end-stage liver disease (MELD), a score composed of serum bilirubin, creatinine,…
  • 2022 American Transplant Congress

    The Higher Cost of Donation After Circulatory Death Liver Transplantation Starts with Acquisition Costs: A Single Center Comparison Liver Acquisition Fees by Donor Type

    V. Reddy1, S. Asrani2, J. Trotter2, R. Ruiz3, S. Lee2, E. Martinez2, N. Onaca2, G. McKenna4, A. Gupta2, H. Fernandez2, J. Bayer2, G. Testa2, A. Wall2

    1Baylor Scott and White Research Institute, Allen, TX, 2Baylor University Medical Center, Dallas, TX, 3Baylor University Medical Center, Fort Worth, TX, 4Baylor Simmons Transplant Inst, Dallas, TX

    *Purpose: Donation after circulatory death (DCD) donors are an increasing proportion of deceased donor population in the US. One drawback of DCD donors is that…
  • 2022 American Transplant Congress

    A Single Center Analysis of Organ Offers and Workload for Liver and Kidney Allocation

    V. Reddy, T. Ma, R. Ruiz, H. Fernandez, J. Bayer, N. Onaca, E. Martinez, A. Gupta, S. Lee, G. J. McKenna, G. Testa, A. Wall

    Baylor University Medical Center, Dallas, TX

    *Purpose: UNOS/OPTN transitioned to Acuity Circles allocation for kidneys and livers which has increased the complexity of the network of organ procurement organizations (OPOs) and…
  • 2022 American Transplant Congress

    Impact of Donor-to-Recipient Body Surface Area Ratio on Graft Survival and Mortality Following Deceased Donor Liver Transplants

    S. Radomski, L. Zeiser, A. Massie, S. Ottmann, D. Segev, E. King

    Surgery, Johns Hopkins University, Baltimore, MD

    *Purpose: The impact of size mismatch on graft survival in living donor liver transplant is well established but is not a common concern in deceased…
  • 2022 American Transplant Congress

    Low-Quality Kidney Allograft Use in Kidney Transplantation is Associated with a Prolonged Post-Transplant Length of Stay

    J. A. Kahla1, C. R. Goff1, J. A. Goss2, A. A. Rana2

    1Department of Student Affairs, Baylor College of Medicine, Houston, TX, 2Division of Abdominal Transplantation, Michael E DeBakey Department of General Surgery, Baylor College of Medicine, Houston, TX

    *Purpose: The purpose of this study is to determine the effect of low-quality kidney allografts on recipient hospital length of stay following transplant using five…
  • 2022 American Transplant Congress

    Status Exception Use in the New Seven-Tiered Heart Allocation System

    A. Plana1, A. Kanelidis1, W. F. Parker2, V. Jeevanandam3, C. Salerno3, B. Smith1, S. Kalantari1, S. Pinney1, J. Grinstein1

    1Cardiology, University of Chicago, Chicago, IL, 2Pulmonary/Critical Care, University of Chicago, Chicago, IL, 3Cardiac Surgery, University of Chicago, Chicago, IL

    *Purpose: The revised seven-tiered US heart allocation policy aimed to improve risk stratification to lower exception status use. However, recent literature has demonstrated that exceptions…
  • 2022 American Transplant Congress

    The Acuity Circle Allocation Policy is Associated with Worse Graft Survival After Liver Transplant with Donation After Circulatory Death Donors in Low-MELD Centers

    T. Kitajima1, T. Ivanics2, D. Moonka1, M. Shamaa1, A. Mohamed3, S. Shimada1, K. Collins4, M. Rizzari1, A. Yoshida1, M. Abouljoud4, S. Nagai1

    1Henry Ford Hospital, Detroit, MI, 2Surgery, Henry Ford Hospital, Detroit, MI, 3Department of Transplant and Hepatobiliary Surgery, Henry Ford Hospital, Detroit, MI, 4Henry Ford Transplant Institute, Detroit, MI

    *Purpose: Liver allocation in the United States was updated in February of 2020, with introduction of the acuity circle (AC) model. However, the effect of…
  • 2022 American Transplant Congress

    Center-Level Variation in Transplantation Practice Following Acuity Circles Policy Change

    A. Burton1, D. Goldberg2

    1University of Miami Miller School of Medicine, Miami, FL, 2Department of Gastroenterology, University of Miami Miller School of Medicine, Miami, FL

    *Purpose: Although early studies suggest that the Acuity Circles (AC) allocation policy has reduced disparities in access to deceased donor liver transplants (DDLTs), changes in…
  • 2022 American Transplant Congress

    What If Only Days After Dialysis Counted Towards Kidney Candidates’ Qualified Waiting Times?

    G. R. Vece, K. Lindblad, M. Stuart, B. Carrico, D. Stewart, D. Klassen, S. Diallo

    Research, United Network for Organ Sharing, Richmond, VA

    *Purpose: Current kidney policy allows patients who have not yet initiated dialysis to qualify for allocation priority based on the time since a recorded eGFR…
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