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Articles tagged "Allocation"

  • 2022 American Transplant Congress

    Transplant Rates Increased with Broader Distribution of Deceased Donor Kidneys

    A. Robinson1, K. Gauntt1, A. Wilk1, J. Kim2, V. Casingal3, N. Turgeon4, M. Pavlakis5

    1UNOS, Richmond, VA, 2Surgery, Keck Medicine of USC, Los Angeles, CA, 3Carolinas Medical Center, Charlotte, NC, 4Dell Seton Medical Center at The University of Texas, Austin, TX, 5Beth Israel Deaconess Med Ctr, Boston, MA

    *Purpose: The OPTN Kidney Transplantation Committee implemented a policy removing donation service area (DSA) and OPTN region from kidney allocation on 3/15/2021. In addition to…
  • 2022 American Transplant Congress

    Allocation Based on Acuity Circles Decreases Waiting Time for Liver Transplant Patients

    M. H. Kim, K. Sasaki, A. Gallo, T. Pham, M. L. Melcher, S. Busque, C. Esquivel, C. Bonham

    Stanford University, Stanford, CA

    *Purpose: In February, 2020, UNOS implemented a new liver allocation system incorporating a combination of acuity based on MELD/PELD score and distance from the donor…
  • 2022 American Transplant Congress

    Post-Transplant Outcomes and Financial Burden in Donation After Cardiac Death Donor Liver Transplant After the Implementation of Acuity Circle Allocation Policy

    S. Shimada, T. Shamaa, T. Ivanics, T. Kitajima, M. Adhnan, K. Collins, M. Rizzari, A. Yoshida, M. Abouljoud, S. Nagai

    Division of Transplant and Hepatobiliary Surgery, Henry Ford Hospital, Detroit, MI

    *Purpose: The use of donation after cardiac death (DCD) donor liver grafts has been increasing in many transplant centers after introducing the acuity circles (AC)…
  • 2022 American Transplant Congress

    Impact of the Weekend Effect on Adult and Pediatric Liver or Kidney Offer Acceptance

    T. Yamamoto, M. Fruscione, A. Shah, L. Dageforde, S. Kimura, H. Yeh, N. Elias, T. Kawai, J. F. Markmann

    Transplant Surgery, Massachusetts General Hospital/Harvard Medical School, Boston, MA

    *Purpose: Weekends may impose resource and manpower constraints on hospitals. Studies using data from prior allocation schemas showed increased adult organ discards on weekends. We…
  • 2022 American Transplant Congress

    Access to Pediatric Kidney Transplant: The Impact of Mental Health Diagnoses and Social Determinants of Health

    E. Blanchette1, E. Benz1, J. Armendariz1, K. McKinnon1, M. Chandran2, E. S. Christofferson1, M. Bisek1, M. Bock1

    1Children's Hospital Colorado, Aurora, CO, 2Pharmacy, UNC Hospitals, Chapel Hill, NC

    *Purpose: Limited and delayed access to kidney transplant (KT) has been associated with characteristics of adult KT candidates, including mental health (MH) diagnoses, negative social…
  • 2022 American Transplant Congress

    Implications of Accumulated Cold Time for US Kidney Transplantation Offer Acceptance

    M. Barah1, V. Kilambi2, J. Friedewald1, S. Mehrotra1

    1Industrial Engineering and Management Sciences, Northwestern University, Evanston, IL, 2Department of Engineering and Applied Sciences, RAND Corporation, Arlington, VA

    *Purpose: Reducing discard is a current focus in US transplantation of deceased donor kidneys. One cause for the discards is the avoidance of protracted cold…
  • 2022 American Transplant Congress

    Complex Donor Transfer and Organ Procurement Organization Collaboration to Reduce Ischemia Time in Combined Face and Bilateral Hand Transplant

    J. Trilles1, D. Boczar1, B. F. Chaya1, Z. P. Berman1, G. K. Diep1, R. Rodriguez Colon1, D. J. Ceradini1, E. D. Rodriguez1, B. E. Gelb2

    1Hansjörg Wyss Department of Plastic Surgery, NYU Langone Health, New York, NY, 2Transplant Institute, NYU Langone Health, New York, NY

    *Purpose: We present a complex donor transfer protocol that places the donor at the recipient hospital prior to allograft procurement in order to reduce ischemia…
  • 2022 American Transplant Congress

    Comparative Analysis of Liver Organ Offers Pre- and Post- Acuity Circle Policy Change in the US

    V. Reddy1, R. Ruiz2, H. Fernandez3, J. Bayer3, E. Martinez3, A. Gupta3, G. McKenna4, N. Onaca3, S. Lee3, T. Ma3, G. Testa3, A. Wall3

    1Baylor Scott and White Research Institute, Allen, TX, 2Baylor University Medical Center, Fort Worth, TX, 3Baylor University Medical Center, Dallas, TX, 4Baylor Simmons Transplant Inst, Dallas, TX

    *Purpose: With the intended goal of reducing geographic inequities, the United Network for Organ Sharing (UNOS) and Organ Procurement and Transplantation Network (OPTN) transitioned to…
  • 2022 American Transplant Congress

    Early Evaluation Of The Impact Of Change In UNet Organ Refusal Code Reasons On Us Transplant Center Organ Offers

    S. Noreen1, C. Martinez1, S. Mohan2, K. McCharen1, A. Placona1, R. Patzer3

    1United Network for Organ Sharing, Richmond, VA, 2Columbia University Medical Center, New York, NY, 3Emory University, Atlanta, GA

    *Purpose: On December 2, 2021 a new set of organ refusal codes was implemented in DonorNet. These new codes were meant to provide more relevant…
  • 2022 American Transplant Congress

    Liver and Kidney Transplantation from Donation After Circulatory Death Heart Donors in the US: Better Early Outcomes with Normothermic Regional Perfusion versus Cold Flush

    M. Rosenzweig1, R. Ruiz2, E. Martinez1, A. Gupta1, H. Fernandez1, S. Lee1, N. Onaca1, J. Bayer1, G. J. McKenna1, T. Ma1, G. Testa3, A. Wall1

    1Baylor University Medical Center, Dallas, TX, 2Baylor University Medical Center, Fort Worth, TX, 3Baylor Dallas, Dallas, TX

    *Purpose: Donation after circulatory death (DCD) heart donation is increasingly common in the US. The two methods for DCD heart donation are normothermic regional perfusion…
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