Articles tagged "Public policy"

2019 American Transplant Congress
Patterns Of Anti-retroviral Use Among U.s. Liver Transplant Candidates With Hiv
A. A. Shaffer¹, A. G. Thomas², D. L. Segev³
¹Johns Hopkins University, Baltimore, MD, ²Epidemiology, University of North Carolina, Chapel Hill, NC, ³Surgery & Epidemiology, Johns Hopkins University, Baltimore, MD
*Purpose: There is a high burden of liver disease among HIV-infected (HIV+) individuals, and the class of antiretroviral therapy (ART) used for their treatment may…
2019 American Transplant Congress
Opioid Use Policies and Practices in Liver Transplant and Lung Transplant Candidates: A Comparison of National Surveys
H. Bruschwein¹, V. Andersen¹, H. Patel², S. S. Rogal³, J. N. Fleming⁴
¹University of Virginia, Charlottesville, VA, ²University of North Carolina, Chapel Hill, NC, ³University of Pittsburgh, Pittsburgh, PA, ⁴Medical University of South Carolina, Charleston, SC
*Purpose: Pre-transplant opioid use has been associated with increased risk of morbidity and mortality. Alternatively, opioid substitution therapy (OST) has been proven to be a…
2019 American Transplant Congress
Unfair Waiting Time Calculation? Impact of Accumulated Wait Time Restart with a Decrease in Status from 1A to 1B or 2 on Mortality of Heart Transplant Candidates
S. Yu, M. Kosztowski, M. Waldram, D. L. Segev, A. B. Massie
Department of Surgery, Johns Hopkins, Baltimore, MD
*Purpose: Between two heart transplant (HT) candidates listed at the same status, the candidate with longer accumulated wait time receives higher waitlist priority; under current…
2019 American Transplant Congress
Cost-Effectiveness Analysis of Renal Replacement Therapy Strategies in Haiti
J. S. Pyda¹, L. James², J. J. Kim², K. Khwaja¹, M. Shrime³
¹Department of Surgery, Beth Israel Deaconess Medical Center, Boston, MA, ²Center for Health Decision Science, Harvard T.H. Chan School of Public Health, Boston, MA, ³Program in Global Surgery and Social Change, Harvard Medical School, Boston, MA
*Purpose: Kidney transplantation (KT) is the optimal renal replacement therapy (RRT) for patients with end-stage renal disease (ESRD) in high-income countries (HICs) conferring the highest…
2019 American Transplant Congress
Variation in Living Donor Kidney Transplantation and the Impact of Medicaid Expansion
T. A. Melanson¹, S. Pastan², R. Patzer¹
¹Department of Surgery, Emory University, Atlanta, GA, ²SOM: Medicine: Nephrology, Emory University, Atlanta, GA
*Purpose: Living donor kidney transplant (LDKTx) is the preferred treatment for end-stage renal disease (ESRD). Medicaid Expansion increased insurance coverage and this influx of insured…
2019 American Transplant Congress
Neighborhood Deprivation is Associated with Decreased Rates of Organ Donor Designation
S. I. Wadhwani¹, J. Bucuvalas², C. Brokamp¹, M. A. Bhuiyan¹, J. C. Lai³, A. Beck¹
¹Cincinnati Children's Hospital Medical Center, Cincinnati, OH, ²Icahn School of Medicine at Mount Sinai, New York, NY, ³University of California San Francisco, San Francisco, CA
*Purpose: Only half of adults in the United States are designated as organ donors on their state driver’s license or identification card. We leveraged data…
2019 American Transplant Congress
Attitude towards Organ Donation among Medical Students: Relationship to Knowledge and Beliefs
A. Cerrato, M. Salifu, M. Markell
Nephrology/Medicine, SUNY Downstate Medical Center, Brooklyn, NY
*Purpose: Lack of knowledge or misunderstanding of organ donation may underlie physician unwillingness to refer patients for organ donation. We examined baseline knowledge and beliefs…
2019 American Transplant Congress
Do Reimbursement Programs Increase The Number Of Living Organ Donations?
A. Siddique¹, J. Ortiz², S. Fry-Revere², V. Apte², Y. Jin³, N. Koizumi¹
¹Schar School of Policy and Government, George Mason University, Arlington, VA, ²University of Toledo Hospital, Toledo, OH, ³The State University of New Jersey, New Brunswick, NJ
*Purpose: Living-donor kidney transplantation is the gold standard treatment for the end-stage renal disease. However, living donors worldwide face significant financial and logistic barriers. To…
2019 American Transplant Congress
Twin Epidemics: Drug Overdoses And Suicides Are Increasingly Fueling The United States Donor Liver Supply
M. Goss¹, M. Kueht¹, N. Galvan¹, J. Reece², A. Rana¹
¹Baylor College of Medicine, Houston, TX, ²Southwest Transplant Alliance, Dallas, TX
*Purpose: In 2010, 6893 donor livers were procured for United States (U.S.) transplant. A reduction from the former pinnacle of U.S. liver transplant in 2006,…
2019 American Transplant Congress
Modeling the Effect of Presumed Consent on Waitlist Candidate Quantities
L. DeRoos¹, W. Marrero¹, M. Lavieri¹, D. Hutton², N. Parikh³
¹Industrial and Operations Engineering, University of Michigan, Ann Arbor, MI, ²School of Public Health, University of Michigan, Ann Arbor, MI, ³Department of Internal Medicine, University of Michigan, Ann Arbor, MI
*Purpose: Organ transplantation is a life-saving and cost-effective treatment for patients with end-organ failure. However, the current supply of donors is unable to match demand,…