Articles tagged "Public policy"

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,…
2019 American Transplant Congress
Liver Circle-Based Allocation: LSAM Modeling Results
D. Schladt¹, T. Weaver¹, J. Pyke¹, A. Herreid¹, B. Thompson¹, B. Kasiske¹, J. Snyder¹, W. Kim², J. Lake³, A. Israni¹, J. Heimbach⁴
¹SRTR, Minneapolis, MN, ²Stanford Univ, Stanford, CA, ³Univ of Minnesota, Minneapolis, MN, ⁴Mayo Clinic, Rochester, MN
*Purpose: On June 25, 2018, the OPTN Board of Directors (BOD) directed the Liver and Intestinal Organ Transplantation Committee to propose changes to policy removing…
2019 American Transplant Congress
A Collaborative AI Framework to Improve the MELD Exception Request Policy Process
A. M. Placona, S. M. Noreen, R. Carrico
Research, United Network for Organ Sharing, Henrico, VA
*Purpose: A goal of organ allocation policy is to balance medical urgency with equitable access to transplant. MELD Exceptions attempt to ensure that patients’ medical…
2018 American Transplant Congress
Offer Acceptance Practices and Geographic Variability in Allocation MELD at Transplant
A. Wey,¹ S. Gentry,² J. Pyke,¹ D. Schladt,¹ T. Weaver,¹ N. Salkowski,¹ B. Kasiske,¹ A. Israni,¹ J. Snyder.¹
¹SRTR, Minneapolis; ²U.S. Navy, Anapolis.
Offer acceptance practices may cause geographic variability in allocation model for end-stage liver disease (aMELD) score at transplant and could magnify the apparent impact of…
2018 American Transplant Congress
Is Percent Exception at Transplant a Driver of MELD Inflation?
D. Schladt,¹ J. Snyder,¹ A. Israni,¹ W. Kim,² J. Lake.³
¹SRTR, Minneapolis, MN; ²Stanford University, Stanford, CA; ³Univ of Minnesota, Minneapolis, MN.
Before 2016, the proportion of deceased donor liver recipients with an exception status at liver transplant (LT) correlated strongly with median MELD at transplant (MMaT)…
2018 American Transplant Congress
Waitlist Candidates Who Travel for Liver Transplantation and the Donor Organs They Receive
J. Ge, J. Lai.
Medicine, UCSF, San Francisco, CA; Medicine, UCSF, San Francisco, CA.
Background:Geographic disparities in access to liver transplantation (LT) has led to candidates seeking LT outside their home UNOS region (“Travelers”). Little is known about their…
2018 American Transplant Congress
No Correlation between US News "Best Hospitals" Rank and Outcome of Liver or Kidney Transplantation
J. Shreve,¹ S. Markowiak,² M. Nazzal,² J. Ortiz.²
¹University of Toledo College of Medicine and Life Sciences, Toledo, OH; ²Department of Surgery, College of Medicine and Life Sciences, University of Toledo College of Medicine and Life Sciences, Toledo, OH.
Introduction:Increased need for quality and cost effective healthcare has led to lay-press rankings such as U.S. News and World Report (USN). USN's “Best Hospitals” publication…
2018 American Transplant Congress
Geographic Variation in the Treatment of Adult Heart Transplant Candidates in the US
W. Parker,¹ M. Churperk,¹ D. Hedeker,¹ E. Huang,¹ E. Garrity,¹ M. Siegler,¹ A. Anderson.²
¹University of Chicago, Chicago, IL; ²Northwestern University, Chicago, IL.
The current priority ranking system for US heart transplant candidates is based on treatment intensity which may encourage the overtreatment of relatively stable candidates. We…
2018 American Transplant Congress
The Kidney Allocation System from the Perspective of a Small Program in a Donor Service Area
K. Brown,² S. Hill,² L. Lipscomb,² A. Jones,² S. Hanna,² J. Africa.¹
¹Glickman Institute, Cleveland Clinic, Cleveland, OH; ²Urology and Renal Transplant, Charleston Area Medical Center, Charleston, WV.
This study investigated the impact of the new kidney allocation system (KAS) on a small transplant program (SP) when compared with the 3 other centers…