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Articles tagged "Allocation"

  • 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…
  • 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)…
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