Articles tagged "Allocation"

2016 American Transplant Congress
Informing Informed Consent for High KDPI Kidneys.
A. Nishio Lucar, D. Keith, G. Vranic.
Medicine, University of Virginia, Charlottesville, VA.
The standard approach to informed consent for high KDPI (KDPI 86-100%) deceased donor kidneys (DDK) relies on anticipated graft half-life and may not provide candidates…
2016 American Transplant Congress
Trends in Liver Transplant Rates and Waitlist Survival.
M. Bowring, A. Massie, X. Luo, L. Kucirka, E. Chow, A. Cameron, D. Segev.
JHU, Baltimore.
Long term changes in access to deceased-donor liver transplantation(DDLT) due to persistent growth of the waitlist, stagnant organ availability, and intermittent allocation policy changes have…
2016 American Transplant Congress
Virtual Crossmatching Under the New KAS: Safely Bypassing a Physical Crossmatch When Allocating Kidneys to Highly Sensitized Candidates.
R. Bray,¹ R. Parsons,² N. Turgeon,² H. Gebel.¹
¹Pathology, Emory University, Atlanta, GA; ²Emory Transplant Center, Emory University, Atlanta, GA.
AIM: On 12/4/2014, the OPTN implemented a new KAS for deceased donor(DD) transplants which, among many changes, increased priority for highly sensitized (HS) candidates (cPRA>98%).…
2016 American Transplant Congress
A Visualization Software Platform for Managing a Kidney Paired-Donation Program.
M. Bray,¹ W. Wang,¹ M. Rees,² P. Song,¹ A. Leichtman,³ V. Ashby,¹ J. Kalbfleisch.¹
¹University of Michigan, Ann Arbor, MI; ²University of Toledo, Toledo, OH; ³Arbor Research, Ann Arbor, MI.
A kidney paired-donation (KPD) program's aim is typically to maximize the number of transplants achieved via cycles among incompatible donor-candidate pairs, as well as chains…
2016 American Transplant Congress
Traditionally Unacceptable Organs Promote Liver Transplantation in Patients with Long Waiting Times in the Share 35 Era.
E. Siskind,¹ T. MacDonald,² R. Barth,¹ J. LaMattina,¹ D. Bruno,¹ S. Hanish.¹
¹Department of Surgery, University of Maryland School of Medicine, Baltimore, MD; ²University of Maryland Medical Center, Baltimore, MD.
Hepatocellular carcinoma (HCC) remains the most commonly granted MELD exception (M/E). Share 35 has disadvantaged this population. We have developed a strategy to use traditionally…
2016 American Transplant Congress
KDPI Outcomes and Discard Rates – The Contradiction of the U.S. and European Approach.
L. Lehner, A. Kleinsteuber, F. Halleck, D. Khadzhynov, M. Duerr, K. Budde, O. Staeck.
Dept. of Nephrology CCM, Charite Berlin, Berlin, Germany.
Introduction: Only a few data exist on the KDPI in European patients (pts). We evaluated the influence of donor factors assessed by the KDPI on…
2016 American Transplant Congress
Does Rising MELD Score Convey Worse Liver Transplant Outcome?
A. Rahnemai-Azar, J. Perkins, M. Montenovo, T. Pearson, R. Bakthavatsalam, S. Rayhill, A. Dick, J. Reyes, L. Sibulesky.
Surgery, University of Washington, Seattle, WA.
Since February 2002, the Model for End-Stage Liver Disease (MELD) score has been used to allocate liver allografts in the U.S. The aim of this…
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…