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Articles tagged "Allocation"

  • 2016 American Transplant Congress

    Difficult to Place Livers: Implications for Expanding the Donor Pool.

    E. Edwards,1 A. Harper,1 J. Rosendale,1 J. Eason.

    1United Network for Organ Sharing, Richmond, VA; 2Methodist University Hospital, Memphis, TN.

    Introduction. The primary strategic goal for the OPTN is to increase the number of transplants. To that end, we analyzed the characteristics of donors from…
  • 2016 American Transplant Congress

    Risk Factors for Short and Long Term Mortality in High MELD Recipients.

    A. Bertacco,1,2 M. Rodriguez-Davalos,1 M. Schilsky,3 P. Yoo,1 S. Kulkarni,1 B. Fortune,3 A. Liapakis,3 S. Emre,1 D. Mulligan.1

    1Surgery, Yale University, New Haven; 2Dipartimento di Scienze Chirurgiche Oncologiche e Gastroenterologiche - DiSCOG, Padova University, Padova, Italy; 3Yale New Haven Transplant Center, Yale University, New Haven.

    The model for end-stage disease (MELD) score is used to stratify candidates for liver transplant (LT) based on objective measures. Since June 2013 with changes…
  • 2016 American Transplant Congress

    Optimizing CPRAs for Sensitized Kidney Waitlist Candidates: The Devil Is in the KAS Details.

    J. Houp,1 R. Vega,1 B. Lonze,2 N. Desai,2 R. Montgomery,2 A. Jackson.1

    1Medicine, Johns Hopkins University, Baltimore, MD; 2Surgery, Johns Hopkins University, Baltimore, MD.

    The new kidney allocation system (KAS) has increased transplant rates for highly sensitized candidates. We hypothesized that increasing unacceptable antigens to transition candidates from 80-98%…
  • 2016 American Transplant Congress

    The Finances of Broader Sharing of Livers Following Share 35.

    A. Harper,1 E. Edwards,1 R. Gilroy,2 W. Chapman,3 D. Mulligan,4 G. Klintmalm.5

    1Research, UNOS, Richmond, VA; 2Univ.of Kansas Med Ctr, Kansas City, KS; 3Washington Univ, St Louis, MO; 4Yale Med Ctr, New Haven, CT; 5Baylor Univ, Houston, TX.

    Background. After implementation of the “Share 35” policy in 2013, many centers and OPOs reported increased costs associated with broader sharing. The OPTN Liver and…
  • 2016 American Transplant Congress

    When Living Donor Liver Allografts Fail: Exploring the Pitfalls of Retransplantation Using Deceased Donor Organs.

    T. Bittermann,1 A. Shaked,2 K. Lloyd,2 D. Goldberg.1

    1Gastroenterology and Hepatology, University of Pennsylvania, Philadelphia, PA; 2Transplant Surgery, University of Pennsylvania, Philadelphia, PA.

    Background: In the US, living donor liver transplantation (LDLT) is associated with increased long-term graft and patient survival compared to deceased donor liver transplantation (DDLT).…
  • 2016 American Transplant Congress

    Does DCD Donor Time-to-Death After Withdrawal of Support Affect Recipient Outcomes? Implications of Time-to-Death at a High-Volume Center in the United States.

    J. Scalea, L. Fernandez, A. D'Alessandro, M. Anderson, D. Foley, J. Mezrich.

    Surgery, University of Wisconsin, Madison, WI.

    Introduction: Donation after circulatory death (DCD) kidneys represent 15% of the deceased donor kidneys transplanted in the United States. A majority of transplant centers will…
  • 2016 American Transplant Congress

    Gender Mismatch in the UNOS Heart Transplant Database: Not a Factor in Younger Heart Transplant Patients.

    J. Kobashigawa, M. Kittleson, L. Czer, T. Aintablian, E. Passano, D. Chang, F. Esmailian, J. Patel.

    Cedars-Sinai Heart Institute, Los Angeles, CA.

    Purpose: Through several registries, it has been found that gender mismatch, female donor-to-male recipient (F/M) compared to male donor-to-male recipient (M/M) has lower survival. These…
  • 2016 American Transplant Congress

    Systematic Review and Meta-Analysis of the Impact of Computed Tomography Assessed Skeletal Muscle Mass on Outcome in Patients Awaiting or Undergoing Liver Transplantation.

    J. van Vugt,1 S. Levolger,1 R. de Bruin,1 J. van Rosmalen,2 H. Metselaar,3 J. IJzermans.1

    1Surgery, Erasmus University Medical Center, Rotterdam, Netherlands; 2Biostatistics, Erasmus University Medical Center, Rotterdam, Netherlands; 3Gastroenterology and Hepatology, Erasmus University Medical Center, Rotterdam, Netherlands.

    BackgroundAlthough liver transplant outcome has improved significantly, the shortage of human organs remains prevalent. Therefore, strict patient selection is of paramount importance. Recently, low CT-assessed…
  • 2016 American Transplant Congress

    Impact of New Kidney Allocation System on Transplant Rates for Highly Sensitized Patients-Center Specific Study.

    X. Zhang, M. Naim, A. Vo, S. Jordan, N. Reinsmoen.

    Comprehensive Transplant Center, Cedars-Sinai Medical Center, Los Angeles, CA.

    Aim: Our renal transplant program promotes transplant of highly sensitized patients (pts) through desensitization and listing only strong antibodies as unacceptable antigens (UAs). UNOS implemented…
  • 2016 American Transplant Congress

    Share35 Liver Allocation Is Associated with Increased Early Graft Failure Rate.

    T. Wong,1 N. Koizumi,2 J. Ortiz.3

    1Maricopa Medical Center, Phoenix, AZ; 2George Mason University, Arlington, VA; 3University of Toledo, Toledo, OH.

    Background: The implementation of Share35 liver allocation policy in June 2013 facilitated the increase in number of transplanted livers with less organ discards. Early analysis…
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