Articles tagged "Ethics"

2022 American Transplant Congress
Adding Epitope Compatibility To Deceased Donor Kidney Allocation Criteria: Recommendations From An Online Public Deliberation
L. Edwards¹, R. Sapir-Pichhadze², P. Keown³, S. Bryan¹
¹School of Population and Public Health, University of British Columbia, Vancouver, BC, Canada, ²McGill University, Montreal, QC, Canada, ³Department of Medicine, University of British Columbia, Vancouver, BC, Canada
*Purpose: With increasing demand for kidneys and a scarce supply, ways to reduce rejection and improve transplant outcomes are needed. One possibility is using epitope…
2022 American Transplant Congress
The Impact of Having Potential Living Donors on Patients’ Access to Kidney Transplantation
E. J. Gordon¹, J. Lee¹, R. Kang¹, J. Caicedo²
¹Northwestern University Feinberg School of Medicine, Chicago, IL, ²Northwestern University, Chicago, IL
*Purpose: Racial/ethnic disparities persist in patients’ access to living donor kidney transplantation (LDKT). Little is known about the relationship between number of potential living donors…
2022 American Transplant Congress
Moral Distress Among Palliative Care and Transplant Clinicians in the Context of Transplant Care
K. Ladin¹, E. Park², J. Perugini², K. Aufort², T. Porteny²
¹Tufts University, Medford, MA, ²REACH Lab, Tufts University, Medford, MA
*Purpose: Despite benefits of palliative care referrals and early advance care planning for patients with end-stage organ disease and recipients experiencing graft failure, few patients…
2022 American Transplant Congress
Barriers to Completing the Transplant Evaluation Process: A Mixed-Methods Study
E. J. Gordon¹, J. J. Uriarte¹, A. N. McLagan¹, B. Kuramitsu¹, J. Gacki-Smith¹, M. Shumate², L. McElroy³, J. Caicedo¹
¹Northwestern University Feinberg School of Medicine, Chicago, IL, ²Northwestern University, Evanston, IL, ³Duke University, Durham, NC
*Purpose: Little is known about patient-reported factors affecting patients’ access to the kidney transplant waitlist after starting evaluation. We qualitatively assessed patients’ perceived barriers to…
2022 American Transplant Congress
Cognitive Bias in Transplant Surgery: A Qualitative Study of Transplant Clinicians in the United States
K. Ladin¹, J. Perry², C. Eiduson³
¹REACH Lab, Tufts University, Medford, MA, ²Harvard University, Cambridge, MA, ³University of Rochester School of Medicine & Dentistry, Rochester, NY
*Purpose: Clinicians’ judgments about patients’ social support often affect whether patients are listed for transplantation. Decision-making is thought to be based on two systems of…
2022 American Transplant Congress
Development of a Culturally Sensitive Chatbot to Inform Living Donor Candidates of African Ancestry About Apol1 Genetic Testing
E. J. Gordon¹, P. Waite², J. Gacki-Smith², D. Duquette³, A. Agrawal¹, J. Friedewald¹, S. Savage⁴, E. Simmons⁵, M. Cooper⁶, A. Gilbert⁶, C. Wicklund⁷
¹Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, ²Center for Health Services and Outcomes Research, Northwestern University Feinberg School of Medicine, Chicago, IL, ³Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, ⁴Invitae, Inc, San Francisco, CA, ⁵Invitae, San Francisco, CA, ⁶Surgery, Georgetown University Medical Center, Washington, DC, DC, ⁷Obstetrics and Gynecology, Northwestern University Feinberg School of Medicine, Chicago, IL
*Purpose: Living kidney donor candidates of African ancestry are increasingly asked to undergo Apolipoprotein L1 (APOL1) genetic testing to better understand their risk of kidney…
2022 American Transplant Congress
Patient Definitions of Transplant Success of Upper Extremity VCA
M. Downey¹, B. Kuramitsu², J. Gacki-Smith², K. Vanterpool¹, M. Luken³, M. Nordstrom³, T. Riggleman³, C. Cooney¹, M. Levan¹, S. Tintle³, G. Brandacher¹, S. Jensen², G. Dumanian², E. Gordon²
¹Johns Hopkins University, Baltimore, MD, ²Northwestern University, Chicago, IL, ³Walter Reed National Military Medical Center, Bethesda, MD
*Purpose: Little is known about how to measure "success" of upper extremity (UE) vascularized composite allotransplantation (VCA) given its relative novelty and low frequency. While…
2022 American Transplant Congress
Consent to Organ Offers from Public Health Service Increased Risk Donors Decreases Time to Transplant and Waitlist Mortality
Y. Kelly, A. Zarinsefat, M. Tavakol, A. Shui, C. Huang, J. P. Roberts
University of California, San Francisco, San Francisco, CA
*Purpose: The Public Health Service Increased Risk designation identified organ donors at increased risk of transmitting hepatitis B, hepatitis C, and human immunodeficiency virus. Despite…
2022 American Transplant Congress
Survey of Current Transplant Center Practices Regarding Covid-19 Vaccine Mandates in the United States
B. E. Hippen¹, D. Axelrod², K. Maher³, R. Xi³, D. Kumar⁴, M. Schnitzler³, K. Lentine³
¹Head of Transplant Medicine, Fresenius Medical Care, Charlotte, NC, ²University of Iowa Transplant Clinic, Iowa City, IA, ³St. Louis University School of Medicine, St. Louis, MO, ⁴Ajmera Transplant Centre, Toronto, ON, Canada
*Purpose: We surveyed current policies of transplant centers regarding a COVID-19 vaccine mandate, and rationales for or against a mandate policy.*Methods: An electronic survey was…
2022 American Transplant Congress
Phenotypes of Non-Citizen Kidney Transplant Recipients in the United States by Machine Learning Consensus Clustering
P. Vaitla¹, C. Thongprayoon², C. Jadlowiec³, N. Leeaphorn⁴, S. Mao², M. Mao², A. Prakrati⁵, M. Cooper⁶, W. Cheungpasitporn²
¹University of Mississippi Medical Center, Jackson, MS, ²Mayo Clinic, Rochestor, MN, ³Mayo Clinic, Phoenix, AZ, ⁴Saint Luke, Kansas City, MO, ⁵Texas Tech, El Paso, TX, ⁶Georgetown Transplant Institute, Washington, DC
*Purpose: Health care policies and coverage for non-US citizens vary significantly across the country. Kidney transplant outcomes in non-US citizens are at par or better…