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Articles tagged "Prediction models"

  • 2022 American Transplant Congress

    Meld 3.0 for Liver Allocation: Results From the Liver Simulated Allocation Model

    A. Kwong1, T. Weaver2, D. Schladt2, A. Wey2, K. Audette2, S. Biggins3, J. Snyder2, A. Israni2, J. Lake4, W. Kim1

    1Stanford University, Stanford, CA, 2Hennepin Healthcare Research Institute, Minneapolis, MN, 3University of Washington, Seattle, WA, 4University of Minnesota, Minneapolis, MN

    *Purpose: Priority on the US liver transplant waitlist is determined by the model for end-stage liver disease (MELD), a score composed of serum bilirubin, creatinine,…
  • 2022 American Transplant Congress

    Evaluating the Performance and External Validity of Machine Learning-Based Prediction Models in Liver Transplantation: An International Study

    T. Ivanics1, D. So2, M. P. Claasen3, D. Wallace4, M. Patel5, A. Gravely6, K. Walker7, T. Cowling7, L. Erdman8, G. Sapisochin3

    1University of Toronto - University Health Network, Toronto, ON, Canada, 2The Centre for Computational Medicine, The Hospital for Sick Children, Toronto, ON, Canada, 3Multi-organ transplant program, University Health Network, Toronto, ON, Canada, 4Department of Health Services Research and policy, London School of Hygiene and Tropical Medicine, London, United Kingdom, 5Division of Surgical Transplantation, University of Texas Southwestern Medical Center, Dallas, TX, 6Multi-organ transplant program, University of Toronto - University Health Network, Toronto, ON, Canada, 7Department of Health Services Research and Policy, London School of Hygiene and Tropical Medicine, London, United Kingdom, 8The Centre of Computational Medicine, The Hospital for Sick Children, Toronto, ON, Canada

    *Purpose: National liver transplant (LT) registries are curated in many countries. We compared data from three national registries and developed machine learning algorithm (MLA)-based models…
  • 2022 American Transplant Congress

    Computer vs Human-Based Prediction and Stratification of the Risk of Long-Term Kidney Allograft Failure

    G. Divard1, M. Raynaud1, V. Tataputii2, B. Abdalla3, C. Legendre1, C. Lefaucheur1, O. Aubert1, A. Loupy1

    1Paris Transplant Group, Paris, France, 2NYU Langone Health, New York, NY, 3UCLA, Los Angeles, CA

    *Purpose: Clinical decision-making process after transplantation is mainly driven by patient individual risk of allograft failure prediction assessed by physicians. However, this task remains difficult…
  • 2022 American Transplant Congress

    A Hybrid Model Combining Survival Analysis, Knapsack Optimization and Supervised Learning to Extrapolate the Evolution of Kidney Transplantation Patients from Donors with Expanded Criteria After Controlled Circulatory Death

    F. Santos Arteaga1, D. Di Caprio2, O. Bestard3, N. Montero4, F. Moreso3, M. Crespo5, C. Facundo6, J. Reinoso-Moreno7, D. Cucchiari7, B. Bayes7, E. Poch7, J. M. Campistol7, F. Oppenheimer7, F. Diekmann7, I. Revuelta7

    1Faculty of Economics and Management, Universidad Complutense de Madrid, Madrid, Spain, 2Department of Economics and Management, University of Trento, Trento, Italy, 3Department of Nephrology and Kidney Transplant, Hospital Universitari Vall Hebrón, Barcelona, Spain, 4Department of Nephrology and Kidney Transplant, Hospital Universitari de Bellvitge, Barcelona, Spain, 5Department of Nephrology and Kidney Transplant, Hospital del Mar, Barcelona, Spain, 6Department of Nephrology and Kidney Transplant, Fundació Puigvert, Barcelona, Spain, 7Department of Nephrology and Kidney Transplant, Hospital Clinic, Barcelona, Spain

    *Purpose: Kidney transplantation (KT) with expanded criteria donors (ECD) after controlled circulatory death (cDCD) in high-risk patients is being debated. We categorize patients via a…
  • 2022 American Transplant Congress

    Dynamic Risk Prediction of Kidney Graft Failure After Deceased Donor Transplant

    D. G. Hu1, H. Thiessen Philbrook1, S. Mohan2, I. Hall3, M. Doshi4, K. F. Kerr5, C. R. Parikh1

    1Johns Hopkins University, Baltimore, MD, 2Columbia University Medical Center, New York, NY, 3University of Utah, Salt Lake City, UT, 4University of Michigan, Ann Arbor, MI, 5University of Washington, Seattle, WA

    *Purpose: Identifying kidney transplant recipients at risk of graft failure allows for early intervention in clinical care. We developed a dynamic risk prediction model based…
  • 2022 American Transplant Congress

    Four Separate Frailty Metrics Lack Concordance and Are Non-Reflective of the Kidney Transplant Listing Outcome: A Large Single Center Review

    A. Cimeno, G. Lewis, R. Parsons

    Transplant Surgery, Emory University Hospital, Atlanta, GA

    *Purpose: It is well known that functional status has prognostic value for post-surgical outcomes, however pre-transplant patients are not required to undergo objective frailty testing.…
  • 2022 American Transplant Congress

    Development of a Radiomics-Based Model to Predict Graft Fibrosis in Liver Transplant Recipients: A Pilot Study

    F. Qazi Arisar1, E. Salinas-Miranda2, H. Ale Ali2, K. Lajkosz3, C. Chen1, A. Azhie1, G. M. Healy2, D. Deniffel2, M. A. Haider2, M. Bhat1

    1Ajmera Transplant Program, University Health Network, Toronto, ON, Canada, 2Lunenfeld Tanenbaum Research Institute, Toronto, ON, Canada, 3Department of Biostatistics, University Health Network, Toronto, ON, Canada

    *Purpose: Recurrent fibrosis complicates 40% of Liver transplants (LT), compromising long-term survival. We evaluated the ability of a model combining radiomic features on CT scans…
  • 2022 American Transplant Congress

    Factors Predicting Early Extubation After Liver Transplantation

    V. Subramanian1, O. Bishr2, J. Buggs1, N. Kemmer1, K. Dhanireddy1

    1Transplant Institute, Tampa General Hospital, Tampa, FL, 2University of South Florida, Tampa, FL

    *Purpose: Early extubation (either intraoperative or within 6 hours post operatively) is an important component of enhanced recovery pathways. The goal of the study was…
  • 2022 American Transplant Congress

    Non-Invasive Metabolite-Based Urine Signature Detects Over-Immunosuppression in Renal Transplant Recipients

    S. Raghavendra Rao1, C. Honrao1, L. O. Rodrigues1, C. Dong1, K. Sonkar1, J. Wolf1, E. M. O'Day1, D. R. Kuypers2

    1Olaris, Inc., Framingham, MA, 2Department of Nephrology and Renal Transplantation, University Hospitals, Leuven, Belgium

    *Purpose: Managing complications related to over-immunosuppression represents a growing challenge in post-transplant care, with infections accounting for the second leading cause of death with functioning…
  • 2022 American Transplant Congress

    Clinical Impact of a Modified Lung Allocation Score That Mitigates Selection Bias

    E. M. Schnellinger1, E. Cantu2, D. E. Schaubel1, S. E. Kimmel3, A. J. Stephens-Shields1

    1University of Pennsylvania, Philadelphia, PA, 2Hospital of the University of Pennsylvania, Philadelphia, PA, 3University of Florida, Gainesville, FL

    *Purpose: The U.S. lung allocation system uses the Lung Allocation Score (LAS) to prioritize lung transplant candidates. Selection bias, induced by dependent censoring of waitlisted…
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