Articles tagged "Allocation"

2016 American Transplant Congress
Should HLA DR and DQ Eplet Mismatching Replace Traditional DR and DQ Mismatching for Deceased Donor Offers in Pediatric Renal Transplantation?
C. Bryan, V. Chadha, B. Warady.
Midwest Transplant Network, Kansas City, KS; Nephrology, Childrens Mercy Hospital, Kansas City, MO; Nephrology, Childrens Mercy Hospital, Kansas City, MO.
Introduction. It is now appreciated that greater HLA DR mismatching of the first pediatric kidney transplantation is associated with higher degrees of sensitization, lower rates…
2016 American Transplant Congress
Understanding the Drivers Behind an Early Post-KAS Rise in Delayed Graft Function (DGF) Rates.
D. Stewart, A. Kucheryavaya, D. Klassen.
UNOS, Richmond, VA.
Background: DGF among solitary deceased donor kidney transplants (tx) increased by 22% (p<0.0001) -- from 24.6% to 30.1% -- during the first 6 months of…
2016 American Transplant Congress
Utility of Six-Minute-Walk Distance in Predicting Lung Transplant Benefit in the Lung Allocation Score Era.
S. Shah,¹ D. Tumin,³ B. Whitson,² A. Pope-Harman,¹ S. Kirkby,¹ A. Kilic,² P. Lee,² D. Hayes.^1,3
¹Pulmonary and Critical Care, Ohio State University Wexner Medical Center, Columbus, OH; ²Division of Cardiac Surgery, Ohio State University Wexner Medical Center, Columbus, OH; ³Pediatrics, Ohio State University, Columbus, OH.
Transplant physicians evaluate patients for lung transplant (LTx) who are on ventilators and ECMO with high lung allocation scores (LAS). Six-minute walk distance (6MWD) predicts…
2016 American Transplant Congress
Financial Cost of Cold Ischemia Time in Kidney Transplantation.
O. Serrano,¹ D. Vock,² W. Payne,¹ T. Dunn,¹ S. Chinnakotla,¹ R. Kandaswamy,¹ T. Pruett,¹ A. Matas,¹ R. Feldman,³ E. Finger.¹
¹Surgery, Univ. of Minnesota, Minneapolis, MN; ²Biostatistics, University of Minnesota, Minneapolis, MN; ³Health Policy & Management, Univ. of Minnesota, Minneapolis, MN.
PURPOSE: A new kidney allocation system (KAS) was implemented in December 2014 using the kidney donor profile index (KDPI), which prioritizes historically-disadvantaged populations. While KAS…
2016 American Transplant Congress
Validation of the Kidney Donor Risk Index (KDRI) in the Australian and New Zealand Kidney Transplant Population.
P. Clayton,^1,2,3 S. White,^1,4 S. McDonald,^1,2,3 S. Chadban.^1,4,5
¹Australia and New Zealand Dialysis and Transplant (ANZDATA) Registry, Royal Adelaide Hospital, Adelaide, SA, Australia; ²Central Northern Adelaide Renal and Transplantation Service, Royal Adelaide Hospital, Adelaide, SA, Australia; ³School of Medicine, University of Adelaide, Adelaide, SA, Australia; ⁴Sydney Medical School, University of Sydney, Sydney, NSW, Australia; ⁵Renal Medicine, Royal Prince Alfred Hospital, Sydney, NSW, Australia.
Purpose: The kidney donor risk index (KDRI), developed by the United States Scientific Registry of Transplant Recipients (SRTR), was designed to quantify donor kidney quality.…
2016 American Transplant Congress
National Trends in Liver Discards: The Weekend Effect.
D. Carpenter,¹ S. Mohan,² K. Halazun,³ E. Verna,⁵ M. Chiles,² G. Charak,¹ L. Ratner.⁴
¹Surgery, Columbia University Medical Center, New York City, NY; ²Medicine, Division of Nephrology, Columbia University Medical Center, New York City, NY; ³Department of Surgery, Division of Transplantation, Weill Cornell Medical Center, New York City, NY; ⁴Department of Surgery, Division of Transplantation, Columbia University Medical Center, New York City, NY; ⁵Department of Medicine, Center for Liver Disease and Transplantation, Division of Digestive and Liver Diseases, Columbia University Medical Center, New York City, NY.
Overall organ discard rates have increased over the last decade. Given the current organ shortage, understanding factors that contribute to the discard of livers is…
2016 American Transplant Congress
Pediatric Kidney Transplantation and Mortality: Distance to Transplant Center Matters.
J. Adler, Y. Bababekov, J. Markmann, D. Chang, H. Yeh.
Surgery, Massachusetts General Hospital, Boston, MA.
INTRODUCTION: The distance traveled by adults to kidney transplant centers contributes to disparities in access and outcomes. We hypothesized that distance would adversely affect the…
2016 American Transplant Congress
Early Post-Transplant Patient, Graft Survival and Rejection Rates Under KAS.
A. Kucheryavaya, D. Stewart, D. Klassen.
UNOS, Richmond.
Background: KAS, implemented on 12/4/14, resulted in changes in recipient, donor/recipient and tx characteristics that have the potential to affect post-tx outcomes.Data and Methods: We…
2016 American Transplant Congress
Thoracic Simulation Allocation Modeling (TSAM) of a 6-Tier Allocation Strategy.
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; ²UNOS, Richmond; ³Florida Hospital Transplant Inst, Orlando; ⁴Nemours/AI duPont Hosp for Children, Wilmington; ⁵Columbia Univ Medical Center, New York; ⁶Duke Univ, Durham.
Heart allocation policy (OPTN policy 6) is in development. To stratify medical urgency, the Heart Subcommittee of the OPTN Thoracic Committee developed a 6-tier algorithm…
2016 American Transplant Congress
Global Kidney Exchange.
M. Rees,¹ T. Dunn,¹ S. Rees,¹ J. Rogers,¹ L. Reece,¹ A. Roth,² C. Kuhr,¹ O. Ekwenna,¹ D. Fumo,¹ K. Krawiec,³ S. Jain,¹ C. Marsh,¹ M. Tan,¹ S. Paloyo.⁴
¹Alliance for Paired Kidney Donation, Perrysburg; ²Stanford University, Palo Alto; ³Duke University, Durham; ⁴Philippine General Hospital, Manila, Philippines.
Introduction: Instead of thinking of the developing world as a place where there are desperate people who will sell their kidneys for money, we propose…