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Articles tagged "Allocation"

  • 2016 American Transplant Congress

    Survey Results Show Strong Support for Allowing Patients Undergoing Desensitization to Keep Their Pre-Desensitization CPRA Allocation Priority.

    A. Kucheryavaya,1 R. Bray,2 D. Tyan.3

    1UNOS, Richmond; 2Emory Univ Hosp, Atlanta; 3Stanford Univ, Palo Alto.

    Background: On the waitlist, highly sensitized kidney (KI) candidates who undergo desensitization (DS) lose allocation priority associated with pre-DS CPRA value if some unacceptable antigens…
  • 2016 American Transplant Congress

    Fifty Is the New 40? An Argument to Uncap the MELD Score.

    J. DiNorcia,1 Y. Genyk,1 K. Andreoni,4 W. Kim,3 J. Levitsky,5 D. Mulligan,6 R. Sung,7 M. Nadim.1

    1Univ of Southern California, Los Angeles, CA; 2Stanford University, Palo Alto, CA; 3Univ of Florida, Gainesville, FL; 4Northwestern Univ, Chicago, IL; 5Yale Univ, New Haven, CT; 6Univ of Michigan, Ann Arbor, MI.

    Background: The MELD score is used to prioritize patients awaiting liver transplantation (LT) and has been capped at 40 to prevent transplant futility in patients…
  • 2016 American Transplant Congress

    Projection versus Reality: KPSAM and KAS.

    S. Gustafson, A. Israni, J. Pyke, N. Salkowski, J. Snyder, B. Kasiske.

    Scientific Registry of Transplant Recipients, Minneapolis, MN.

    On December 4, 2014, the national kidney allocation system (KAS) was substantially revised. The decision to revise was based in part on results from the…
  • 2016 American Transplant Congress

    Can OPTN/UNOS Policies Be Effectively Transferred to Another Country's Healthcare System? Russian Case.

    B. Yaremin,1 A. Mironov,4 A. Kolsanov,2 A. Navasardyan,1 R. Akhmetshin,3 A. Starostina.2

    1Samara Regional Ministry of Health, Samara, Russian Federation; 2Operative Surgery Chair, Samara State Medical University, Samara, Russian Federation; 3Moscow Regional Ministry of Health, Moscow, Russian Federation; 4Samara Organ Procurement Organisation, Samara State Medical University, Samara, Russian Federation.

    US Organ Procurement System known as one of the most advanced systems all over the World. Start of new transplant program in other country always…
  • 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…
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