Articles tagged "Public policy"

2019 American Transplant Congress
Creating Geographic Catchment Areas for Solid Organ Transplant Centers
K. Ross¹, R. Patzer², D. Axelrod³
¹Emory University, Emory Transplant Center, Georgetown, TX, ²Emory University, Emory Transplant Center, Georgetown, GA, ³Dept of Surgery, University of Iowa, Iowa City, IA
*Purpose: While measurement of transplant center performance has traditionally begun at listing, there is a significant population of potential candidates who may benefit from transplant…
2019 American Transplant Congress
The Impact of Changes in OPTN Oversight of Kidney Programs on Organ Yield and Offer Acceptance Practices
A. Wey¹, N. Salkowski¹, B. Carrico², S. Sheppard², B. Kasiske¹, B. Thompson¹, A. Israni¹, J. Snyder¹
¹SRTR, Minneapolis, MN, ²OPTN, Richmond, VA
*Purpose: In March 2017, the Membership and Professional Standards Committee (MPSC) of the Organ Procurement and Transplantation Network implemented an operational rule to increase the…
2019 American Transplant Congress
Differences in the Cost of Kidney Organ Recovery by Organ Procurement Organization Size
P. J. Held¹, J. Bragg-Gresham², J. P. Roberts³
¹Stanford University, Stanford, CA, ²Univ of Michigan, Michigan, MI, ³Univ of California-San Francisco, San Francisco, CA
*Purpose: Economic theory suggests that there should be an initial decrease in costs of products as production levels increase. Using data from independent OPOs we…
2019 American Transplant Congress
Wide Geographic Variability in the Proportion of Donors with Cardiac Death – Lost Opportunities for Organ Donation?
E. M. Sonnenberg¹, D. S. Goldberg², J. Y. Hsu³, P. P. Reese², P. L. Abt¹
¹Department of Surgery, University of Pennsylvania, Philadelphia, PA, ²Department of Medicine, University of Pennsylvania, Philadelphia, PA, ³Biostatistics and Epidemiology, University of Pennsylvania, Philadelphia, PA
*Purpose: Donation after cardiac death (DCD) donors are largely not considered by organ procurement organization (OPO) metrics, as DCD donors are only counted in donor…
2019 American Transplant Congress
Liver Waitlist Dropout and Transplant Rates for Metropolitan vs. Non-Metropolitan Candidates
D. Schladt¹, T. Weaver¹, J. Pyke¹, A. Herreid¹, B. Thompson¹, B. Kasiske¹, J. Snyder¹, W. Kim², J. Lake³, A. Israni¹
¹SRTR, Minneapolis, MN, ²Stanford Univ, Stanford, CA, ³Univ of Minnesota, Minneapolis, MN
*Purpose: Rural candidates may be disadvantaged on the liver waiting list. We evaluated rates and hazards of waitlist dropout and transplant by urbanicity.*Methods: We selected…
2019 American Transplant Congress
Differences in the Cost of Recovering Organs over Time
J. P. Roberts¹, J. Bragg-Gresham², P. Held³
¹Univ of California-San Francisco, San Francisco, CA, ²Univ of Michigan, Ann Arbor, CA, ³Stanford University, Stanford, CA
*Purpose: To report on the level and changes over time in the OPOs’ cost of recovering deceased donor organs (kidneys; livers; hearts; and lungs).*Methods: Cost…
2019 American Transplant Congress
A 15-year Experience With Kidney Transplant In Undocumented Immigrants: Outcomes And An Argument For Transplantation
M. G. Janeway¹, A. Foster², S. De Geus¹, K. Curreri¹, T. Dechert¹, M. Nuhn¹, M. Nuhn¹
¹Surgery, Boston Medical Center, Boston, MA, ²Boston University School fo Medicine, Boston, MA
*Purpose: We investigated whether undocumented immigrants have similar outcomes after renal transplant compared to documented recipients.*Methods: We retrospectively analyzed records of adult renal transplant recipients…
2019 American Transplant Congress
A Video Intervention to Increase Organ Donor Registration (ODR) at the Department of Motorized Vehicles (DMV)
D. A. DuBay¹, T. Morinelli¹, D. Redden², N. Ivankova², I. Herbey³, C. L. Holt⁴, L. Siminoff⁵, M. Fouad², Z. Su⁶, M. Martin⁷
¹Surgery, Medical University of South Carolina`, Charleston, SC, ²University of Alabama at Birmingham, Birmingham, AL, ³Surgery, University of Alabama at Birmingham, Birmingham, AL, ⁴University of Maryland, College Park, MD, ⁵Temple University, Philadelphia, PA, ⁶Medical University of South Carolina`, Charleston, SC, ⁷University of Tennessee Health Sciences Center, Memphis, TN
*Purpose: To implement a sustainable, low cost DMV-based intervention that increased ODR of DMV patrons, and secondarily, increase ODR in African Americans (AAs).*Methods: Results from…
2019 American Transplant Congress
Predicting Kidney Discards with Donor Admission Text
A. Placona, C. Martinez, B. Carrico
United Network for Organ Sharing, Richmond, VA
*Purpose: Kidney discard rates have increased in part due to technological advancements and deceased donor policy updates that allow for recovery of organs at increased…
2019 American Transplant Congress
The C-Statistic Provides No Information on the Accuracy of Program Evaluations or the Presence of Unmeasured Confounders
A. Wey, N. Salkowski, B. Kasiske, M. Skeans, S. Gustafson, A. Israni, J. Snyder
SRTR, Minneapolis, MN
*Purpose: The C-statistic of risk-adjustment models is regularly used to assess accuracy of program evaluations or determine presence of unmeasured confounding. However, the C-statistic depends…