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American Transplant Congress abstracts

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Articles tagged "Economics"

  • 2022 American Transplant Congress

    Increased Costs, Cold Ischemia Time, and Sharing Associated with Removing DSA and OPTN Region from Kidney Allocation: A Single-Center Analysis

    R. Forbes1, A. Dreher1, E. Zavala2, L. A. Hickman1, L. Smith3, J. Lawson1, D. Shaffer1, B. P. Concepcion1

    1Vanderbilt University Medical Center, Nashville, TN, 2Transplant Center, Vanderbilt University Medical Center, Nashville, TN, 3Vanderbilt Transplant Center, Nashville, TN

    *Purpose: On March 15, 2021, Donation Service Area (DSA) and OPTN Region were removed from kidney allocation and replaced with a 250 nautical mile (NM)…
  • 2022 American Transplant Congress

    Resource Expenditure in the Evaluation of Older Donors for Heart Transplant: An Impediment to Donor Pool Expansion?

    B. Wayda1, J. G. Zaroff2, N. Neidlinger3, P. Geraghty4, R. P. Wood5, J. Nieto5, T. C. Pearson6, B. Nicely7, K. K. Khush1

    1Stanford University School of Medicine, Stanford, CA, 2Kaiser Permanente Northern California, Oakland, CA, 3University of Wisconsin School of Medicine, Madison, WI, 4Donor Network of Arizona, Tempe, AZ, 5LifeGift, Houston, TX, 6Emory University School of Medicine, Atlanta, GA, 7Gift of Life Michigan, Ann Arbor, MI

    *Purpose: Using older donors for heart transplant (HT) could alleviate donor scarcity but the resource implications of this strategy - and whether evaluation of older…
  • 2021 American Transplant Congress

    Marginal Allografts in Liver Transplantation Have Very Limited Impact on Length of Stay

    C. Goff1, T. Zhang1, M. McDonald1, A. Anand1, N. Galvan2, F. Kanwal3, G. Cholankeril2, R. Hernaez3, J. A. Goss4, A. Rana2

    1Department of Student Affairs, Baylor College of Medicine, Houston, TX, 2Division of Abdominal Transplantation, Michael E DeBakey Department of General Surgery, Baylor College of Medicine, Houston, TX, 3Division of Gastroenterology and Hepatology, Department of Medicine, Baylor College of Medicine, Houston, TX, 4Liver Center, Division of Abdominal Transplantation, Department of General Surgery, Baylor College of Medicine, Houston, TX

    *Purpose: The purpose of this study was to determine the effect on recipient length of hospital stay following transplantation with marginal allografts as specified by…
  • 2021 American Transplant Congress

    Lung Transplantation After Ex-Vivo Lung Perfusion versus Static Cold Storage: A Single Institution Cost Analysis

    S. E. Halpern1, S. J. Kesseli2, S. Au1, M. K. Krischak1, D. G. Olaso1, H. Smith3, G. Tipton2, I. Jamieson3, J. C. Haney2, J. A. Klapper2, M. G. Hartwig2

    1Duke University School of Medicine, Durham, NC, 2Surgery, Duke University Medical Center, Durham, NC, 3Office of Finance, Duke Transplant Center, Durham, NC

    *Purpose: Ex-vivo lung perfusion (EVLP) allows for reconditioning of “marginal” lung grafts and extended lung preservation. However, EVLP is costlier than cold storage. We compared…
  • 2021 American Transplant Congress

    How Long is the Wait Worthwhile: Cost-Effectiveness of Accepting a Kidney from a Donor with Apolipoprotein L1 High-Risk Genotype

    K. Lentine1, D. Brennan2, M. Wang3, M. Schnitzler4, H. Xiao4, D. Axelrod5, J. Snyder6, K. Lentine4

    1Saint Louis University, St. Louis, MO, 2Johns Hopkins, Baltimore, MD, 3Washington Univ, Saint Louis, MO, 4Saint Louis Univ, Saint Louis, MO, 5Univ of Iowa, Iowa City, IA, 6SRTR, Minneapolis, MN

    *Purpose: The Apolipoprotein L1 (APOL1) Long-Term Outcomes (APOLLO) study is underway to define the impact of kidney donor renal risk variants (RRVs) on the survival…
  • 2021 American Transplant Congress

    Solid Organ Transplant Telehealth Utilization Significantly Increased During the Covid-19 Pandemic: Experience at a Single, Large Volume Center

    R. Forbes, K. Kumm, H. O'Dell, K. Smith, L. Smith, A. Dreher, H. Schaefer, B. Concepcion

    Vanderbilt University Medical Center, Nashville, TN

    *Purpose: During the COVID-19 pandemic, telehealth utilization has allowed for the delivery of healthcare while protecting patients, caregivers, healthcare workers, and the community from exposure.…
  • 2021 American Transplant Congress

    Economic and Clinical Benefit of Cmv Matching in Kidney Transplantation

    D. Axelrod1, S. Chang2, A. Olyaei3, D. Malinoski3, D. Norman3, K. Lentine4, M. Schnitzler4, D. Segev5, J. Lockridge3

    1Univ of Iowa, Iowa City, IA, 2Washington Univ, Seattle, WA, 3Oregon Health Sciences Univ, Portland, OR, 4Saint Louis Univ, Saint Louis, MO, 5Johns Hopkins, Baltimore, MD

    *Purpose: Recently, kidney transplant (KTx) centers in Oregon collaborated to preferentially allocate cytomegalovirus-seronegative (CMV D-) kidneys to seronegative recipients (CMV R-), successfully reducing high-risk CMV…
  • 2021 American Transplant Congress

    Healthcare Disparities Amongst Dialysis Patients in North Carolina: Decreased Access to Transplant in Lowest Health Rank Counties

    D. Leto1, W. Irish2, C. Haisch2, B. Tuttle2, D. Leeser2

    1Cape Fear Valley Medical Center, Fayetteville, NC, 2East Carolina University, Greenville, NC

    *Purpose: This study measured healthcare disparities amongst the counties in North Carolina with the best compared with counties with the worst healthcare outcomes, specifically the…
  • 2021 American Transplant Congress

    The Unintended Financial Consequences of Acuity Circles for Liver Allocation – Two-fold Increase in Import Fees and Higher Organ Acquisition Cost Despite Unchanged Travel Patterns

    A. Wall, S. Asrani, G. McKenna, E. Martinez, R. Ruiz, H. Fernandez, J. Bayer, A. Gupta, N. Onaca, R. Goldstein, J. Trotter, G. Testa

    Abdominal Transplant Surgery, Baylor University Medical Center, Dallas, TX

    *Purpose: The recent initiation of acuity circles (AC) as the basis for liver allocation is associated with broader sharing and potentially greater travel and increased…
  • 2021 American Transplant Congress

    Trends of Kidney Transplant Volume During Covid-19 Era

    G. Rajashekar1, S. Chang1, K. Lentine2, J. Wellen1, T. Alhamad1, M. Merzkani1, H. Murad1

    1Nephrology, Washington University in St. Louis, Saint louis, MO, 2Nephrology, SSM Saint Louis University, Saint louis, MO

    *Purpose: The emergence of SARS-CoV-2 and the clinical syndrome of COVID-19 have significantly disrupted routine healthcare and life-saving procedures, including solid organ transplantation. This resulted…
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