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Articles tagged "Allocation"

  • 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…
  • 2015 American Transplant Congress

    Does DSA Market Competition Influence OPO Performance?

    J. Adler,1 H. Yeh,1 J. Markmann,1 L. Nguyen,2 D. Axelrod.3

    1Surgery, Massachusetts General Hospital, Boston, MA; 2Surgery, Brigham and Women's Hospital, Boston, MA; 3Surgery, Dartmouth Hitchcock Medical Center, Lebanon, NH.

    INTRODUCTION: Increased market competition within a Donor Service Area (DSA) is associated with a greater number of liver and kidney transplants, but its effect on…
  • 2015 American Transplant Congress

    Artificial Neural Networks in Kidney Allocation in Patients With Dual Organ (Liver-Kidney) Failure

    V. Rao,1 R. Behara.2

    1Transplant Nephrology, Methodist University Hospital Transplant Institute, Memphis, TN; 2Dept of IT & Operations Management, Florida Atlantic University, Boca Raton, FL.

    Background: Simultaneous liver / kidney transplantation has increased after the adoption of the Model for End-Stage Liver Disease score in 2002 by the United Network…
  • 2015 American Transplant Congress

    Should Only Active Candidates Define the EPTS Top 20% in the New Kidney Allocation System (KAS)?

    D. Stewart,1 A. Kucheryavaya,1 G. Boyle,1 M. Aeder,2 R. Formica.3

    1UNOS, Richmond, VA; 2Univ Hosp Case Med Ctr, Cleveland, OH; 3Yale, New Haven, CT.

    Background: The 20% of kidney candidates with the highest Estimated Post-Transplant Survival (EPTS) receive priority for a high longevity kidney in the Organ Procurement and…
  • 2015 American Transplant Congress

    Emerging Strategies to Screen Kidney Offers Based on the Kidney Donor Profile Index (KDPI)

    D. Stewart,1 A. Kucheryavaya,1 G. Boyle,1 R. Metzger,2,3 M. Aeder,4 R. Formica.5

    1UNOS, Richmond, VA; 2Florida Hosp, Orlando, FL; 3Translife, Orlando, FL; 4Univ Hosp Case Med Ctr, Cleveland, OH; 5Yale Univ, New Haven, CT.

    Background: In the Organ Procurement and Transplantation Network's (OPTN) new kidney allocation system, kidney offers are screened by setting for each candidate a maximum acceptable…
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