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Articles tagged "Allocation"

  • 2016 American Transplant Congress

    Assessing the Impact of the Share35 Liver Allocation Policy: Survival Outcomes Among Liver Re-Transplant Recipients.

    J. Ortiz,1 N. Koizumi,2 C. Kwon,2 Y. Zhang,2 C. Ortiz.3

    1Department of Surgery, University of Toledo, Toledo, OH; 2George Mason University, Fairfax, VA; 3Bucknell University, Lewisburg, PA.

    Liver retransplantation (reLTx) is the only treatment option for those who experienced graft loss after primary liver transplantation (LTx). Yet, in an era of increasing…
  • 2016 American Transplant Congress

    Pediatric Access to Kidney Transplantation Under KAS.

    W. Cherikh,1 D. Stewart,1 A. Kucheryavaya,1 M. Aeder,2 E. Brewer.3

    1UNOS, Richmond, VA; 2Univ. Hosp. Case Med Ctr, Cleveland, OH; 3Texas Children's Hosp/Baylor College Medicine, Houston, TX.

    Background. Under the kidney allocation system (KAS) implemented on Dec 4, 2014, pediatric (ped) priority is now based on Kidney Donor Profile Index (KDPI) <35%…
  • 2016 American Transplant Congress

    Evaluation of Scoring Systems Predicting Patient Survival at Time of Kidney Transplantation.

    O. Staeck, D. Khadzhynov, A. Kleinsteuber, L. Lehner, M. Duerr, K. Budde, F. Halleck.

    Nephrology, Charite, Berlin, Germany.

    Introduction:Estimating life expectancy in kidney transplant recipients (KTR) at time of transplantation is important to achieve the best functional match between patient and graft survival.…
  • 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…
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