Articles tagged "Public policy"

2020 American Transplant Congress
Traveling For Transplant: A Comparison of Singly Listed, Multiply Listed, and Non-Citizen Non-Resident Liver Transplant Candidates
H. J. Braun¹, D. Amara¹, A. Shui¹, C. Huang¹, P. G. Stock¹, R. Hirose¹, F. L. Delmonico², N. L. Ascher¹
¹University of California, San Francisco, San Francisco, CA, ²Harvard Medical School, Boston, MA
*Purpose: Multiply listed (ML) and non-citizen non-resident (NCNR) patients comprise approximately 8% of the liver transplant (LT) waitlist (WL) and approximately 4% of LT recipients.…
2020 American Transplant Congress
Impact of the 2015 LAS Revisions on Lung Candidates with Pulmonary Vascular Disease
K. Lindblad¹, R. Goff¹, K. Chan²
¹UNOS, Richmond, VA, ²University of Michigan, Ann Arbor, MI
*Purpose: On February 19, 2015 a major revision to the Lung Allocation Score (LAS) was implemented with the goal of more accurately reflecting waitlist urgency…
2020 American Transplant Congress
A Comparison of Kidney Paired Donation Education Delivery Across 68 National Kidney Registry-Affiliated Centers
A. Waterman¹, E. H. Wood¹, O. N. Ranasinghe¹, J. L. Beaumont², S. McGuire³, K. Miller⁴, V. Chipman⁵, J. Sinacore⁶, M. Cooper⁷
¹Division of Nephrology, David Geffen School of Medicine, Los Angeles, CA, ²Terasaki Research Institute, Los Angeles, CA, ³UCLA Kidney and Pancreas Transplant Programs, Los Angeles, CA, ⁴UW Health, Madison, WI, ⁵UCSF Medical Center, San Francisco, CA, ⁶National Kidney Registry, Babylon, NY, ⁷Medstar Georgetown Transplant Institute, Washington, DC
*Purpose: To understand the kidney paired donation (KPD) educational delivery process and variation across centers affiliated with the National Kidney Registry (NKR) we surveyed transplant…
2020 American Transplant Congress
Is Total Ischemic Time a Measure of OPTN Efficiency? Monitoring the Impact of Lung Allocation Policy on Ischemic Time
A. M. Placona¹, R. R. Goff¹, P. Shay², B. Carrico¹
¹United Network for Organ Sharing, Richmond, VA, ²Health Administration, Trinity University, San Antonio, TX
*Purpose: There is concern that the shift to circle based organ allocation policy may increase coordination costs. Within both public comment and the peer reviewed…
2019 American Transplant Congress
Simulated Tier Variability
N. Salkowski, A. Wey, J. Snyder
SRTR, Minneapolis, MN
*Purpose: The Scientific Registry of Transplant Recipients semi-annually assigns transplant programs to one of five performance tiers for 1-year graft survival in its program-specific reports…
2019 American Transplant Congress
Mortality around the One-Year Survival Metric after Liver Transplantation in the United States
C. Blebea¹, P. Chatterjee², A. Nathan¹, J. Diamond¹, H. J. Goldberg², A. Courtwright¹
¹Hospital of the University of Pennsylvania, Philadelphia, PA, ²Brigham and Women’s Hospital, Boston, MA
*Purpose: Liver transplant programs in the United States are evaluated on one-year survival, among other factors. This may create an unintended incentive to continue life-sustaining…
2019 American Transplant Congress
Costs of Kidney Recoveries Varies Dramatically across Organ Procurement Organizations
J. P. Roberts¹, J. Bragg-Gresham², P. J. Held³
¹Univ of California-San Francisco, San Francisco, CA, ²University of Michigan, Ann Arbor, MI, ³Stanford, Stanford, CA
*Purpose: Report on the wide variation across OPOs in the cost of kidney recovery from deceased donors.*Methods: Cost reports (CMS 216-94 Form) from 52 Independent…
2019 American Transplant Congress
Association between Medicaid Expansion under the Affordable Care Act and Preemptive Kidney Transplantation of Low-Income Medicaid Beneficiaries
M. N. Harhay¹, R. McKenna²
¹Medicine, Drexel University College of Medicine, Philadelphia, PA, ²Health Management and Policy, Drexel University Dornsife School of Public Health, Philadelphia, PA
*Purpose: The lack of affordable health insurance options is a known barrier to preemptive kidney transplantation (KT) among low-income individuals with non-dialysis dependent chronic kidney…
2019 American Transplant Congress
Beyond Medication Education: Opportunities for Improvement in Health Education of Solid Organ Transplant Recipients
Y. J. Bababekov, Y. Hsu, C. G. Rickert, Y. Hung, J. A. Fishman, J. F. Markmann, L. Dageforde, D. C. Chang, H. Yeh
Department of Surgery, Massachusetts General Hospital, Boston, MA
*Purpose: As immunosuppressive medications are crucial to graft and patient survival, transplant centers dedicate significant resources to medication education. However, patient outcomes also depend on…
2019 American Transplant Congress
Associations between State-Level Donor Designation Rate and Organ Procurement Organization Characteristics and Outcomes
J. Bragg-Gresham¹, P. Held², J. P. Roberts³
¹Kidney Epidemiology and Cost Center, Univ of Michigan, Ann Arbor, MI, ²Stanford University, Stanford, CA, ³University of California San Francisco, San Francisco, CA
*Purpose: The impact of “Donor Designation (DDSR)”, a pledge to donate with state drivers licensing authority, has not been explored. This work focusses on estimating…