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Articles tagged "Allocation"

  • 2015 American Transplant Congress

    Discard of Kidneys at the Margin: ECD Versus KDPI Era

    S. Bae, A. Massie, D. Segev.

    Johns Hopkins, Baltimore, MD.

    BACKGROUND: Since 3/26/2012, the Kidney Donor Profile Index (KDPI), a percentile score reflecting donor-associated risk, has been provided with all deceased-donor kidney offers. We investigated…
  • 2015 American Transplant Congress

    Regional Variations: Liver Transplant Tourism Within the US

    C. Frenette,1 A. Harper,2 R. Schaffer,1 J. Fisher,1 A. Baquerizo,1 C. Marsh.1

    1Department of Organ Transplantation, Scripps Clinic/Green Hospital, La Jolla, CA; 2United Network for Organ Sharing, Richmond, VA.

    Aim: Given the current geographic disparities in average MELD scores at liver transplantation (OLT), there is increasing interest in patients who travel for OLT and…
  • 2015 American Transplant Congress

    Comparative Survival Benefits and Costs of an Eplet and Broad Antigen Based Matching System in Deceased Donor Kidney Transplant Allocation Among Indigenous Australians

    H. Do Nguyen,1 G. Wong,2,3 J. Chapman,2 J. Craig,2,3 L. D'Orsogna,4 W. Lim.1,5

    1School of Medicine and Pharmacology, University of Western Australia, Crawley, Western Australia, Australia; 2Nephrology, The Children's Hospital at Westmead, Sydney, New South Wales, Australia; 3School of Medicine, University of New South Wales, Sydney, New South Wales, Australia; 4Clinical Immunology, Royal Perth Hospital, Perth, Western Australia, Australia; 5Renal Medicine, Sir Charles Gairdner Hospital, Nedlands, Western Australia, Australia.

    Aim: To compare the benefits and costs of incorporating an eplet-based matching algorithm to the current allocation of deceased donor kidneys to indigenous Australians.Background: The…
  • 2015 American Transplant Congress

    Arterial Blood Pressure at Time of Liver Transplant (LT) Evaluation Correlates With Kidney Biopsy Findings in LT Candidates With Renal Dysfunction

    H. Wadei, A. Peguero, A. Alsaad, M. Mai, K. Oshel, T. Gonwa, C. Taner, A. Keaveny.

    Transplant, Mayo Clinic, Jacksonville, FL.

    Renal dysfunction is common in LT candidates; however, predicting post-LT renal recovery is sometimes difficult. Kidney biopsy is helpful in identifying reversible renal injury but…
  • 2015 American Transplant Congress

    A Relative Survival Model to Compare the Risk of Mortality in Patients Awaiting Kidney Transplantation Versus Already Transplanted Patients

    M. Lorent,1,2 K. Trébern-Launay,2,1 C. Legendre,4 H. Kreis,4 G. Mourad,5 V. Garrigue,5 L. Rostaing,6 N. Kamar,6 M. Kessler,7 M. Ladrière,7 E. Morelon,8 F. Buron,8 M. Giral,2,3 Y. Foucher.1,2

    1EA 4275 - SPHERE bioStatistics, Pharmacoepidemiology and Human Sciences Research, Nantes University, Nantes, France; 2Institut de Transplantation, Urologie, Néphrologie (ITUN), Inserm U1064, CHU de Nantes, Nantes, France; 3CIC Biotherapy, CHU Nantes, Nantes, France; 4Service de Transplantation Rénale et de Soins Intensifs, Hôpital Necker, APHP Paris, Paris, France; 5Service de Néphrologie-Transplantation, Hôpital Lapeyronie, Montpellier, France; 6Service de Néphrologie, HTA, Dialyse et Transplantation d'Organes, CHU Rangueil, Toulouse, France; 7Service de Transplantation Rénale, CHU Brabois, Nancy, France; 8Service de Néphrologie, Transplantation et Immunologie Clinique, Hôpital Edouard Herriot, Lyon, France.

    Introduction: It would be useful for physicians in some specific cases to identify whom patients could not benefit of kidney transplantations.Patients and method: To answer…
  • 2015 American Transplant Congress

    An Analysis of Health-Related Quality of Life in Liver Transplantion for Hepatocellular Carcinoma

    C. Kensinger, H. O'Dell, D. LaNeve, L. Simmons, I. Feurer, D. Moore.

    Vanderbilt Transplant Center, Vanderbilt University Medical Center, Nashville, TN.

    Background:There is a disproportionate waiting time and an unclear survival benefit between hepatocellular carcinoma (HCC) versus non-HCC liver transplant recipients. However, there is paucity of…
  • 2015 American Transplant Congress

    UNOS KDPI Score Is Significantly Overestimated for Pediatric En-Bloc Kidneys

    L. Preczewski, K. Howes, N. Iovenette, A. Needham, B. Gallay.

    Transplant Center, University of California, Davis, Sacramento, CA.

    When Rao, et al, published the Kidney Donor Risk Index model (KDRI) (Transplantation 2009;88:231-236), they found coefficients for HLA match, cold ischemic time, en-bloc (EB)…
  • 2015 American Transplant Congress

    Low Expanded Criteria Donor Listing Rates by Organ Procurement Organization Is Associated With Increased Differential in Waiting Time for Candidates Willing to Accept Marginal Organs in the US

    D. Keith, A. Nishio Lucar, G. Vranic.

    Medicine, University of Virginia, Charlottesville, VA.

    Organ procurement organization (OPO) listing rates for expanded criteria donor (ECD) kidneys vary greatly across the US. The goal of ECD listing is to shorten…
  • 2015 American Transplant Congress

    A Single Center Study of the Implementation Costs of the New Kidney Allocation System

    C. Bostic, T. Stern, S. Niederhaus, J. Bromberg, D. Leeser.

    Transplantation, University of Maryland Medical Center, Baltimore, MD.

    Background: Changes to the Kidney Allocation System (KAS) required transplant programs to utilize resources to prepare for its implementation. A complex strategy was developed which…
  • 2015 American Transplant Congress

    Integrated Clinical-Histological (ICH) Score System for the Evaluation of “Marginal” Donors in Kidney Transplantation

    M. Fiorentino,1 M. Rossini,1 P. Gallo,1 G. Castellano,1 A. Schena,1 G. Grandaliano,2 P. Ditonno,3 M. Bataglia,3 L. Gesualdo.1

    1Department of Emergency and Organ Transplantation, Nephrology, Dialysis and Transplantation Unit, University of Bari, Bari, Italy; 2Department of Medical and Surgical Sciences, Nephrology, Dialysis and Transplantation Unit, University of Foggia, Foggia, Italy; 3Department of Emergency and Organ Transplantation, Andrology, Urology and Renal Transplantation Unit, University of Bari, Bari, Italy.

    INTRODUCTION: The organ shortage has led to increase the procurement of kidney from “marginal” donors and to improve the strategies to better evaluate the quality…
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