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…
2018 American Transplant Congress
Meeting OPTN Requirements for Living Kidney Donation Follow-Up: Findings from the KDOC Study
J. Rodrigue,¹ C. Sokas,¹ A. Fleishman,¹ J. Schold,² P. Morrissey,³ J. Whiting,⁴ J. Vella,⁴ L. Kayler,⁵ D. Katz,⁶ J. Jones,⁶ B. Kaplan,⁷ M. Pavlakis,¹ D. Mandelbrot.⁸
¹Beth Israel Deaconess Medical Center, Boston; ²Cleveland Clinic, Cleveland; ³Rhode Island Hospital, Providence; ⁴Maine Medical Center, Portland; ⁵Erie County Medical Center, Buffalo; ⁶University of Iowa, Iowa City; ⁷Mayo Clinic, Scottsdale; ⁸University of Wisconsin, Madison.
The Organ Procurement and Transplantation Network (OPTN) requires programs to submit complete, accurate and timely clinical information for 80% and laboratory data for 70% of…
2018 American Transplant Congress
Critical Care Management of Organ Donors with Uncertain Consent Status
M. Varma, J. LaRosa.
Department of Medicine, Newark Beth Israel Medical Center, Newark, NJ.
Introduction: Donor management is a foundation of organ transplantation. It requires professionalism, compassion, and collaboration between intensive care unit (ICU) staff, organ procurement organizations (OPOs),…
2018 American Transplant Congress
Medical Crowdfunding for Organ Transplant Patients
W. Durand,¹ J. Peters,¹ A. Eltorai,¹ S. Kalagara,¹ A. Osband,² A. Daniels.³
¹Alpert Medical School, Brown University, Providence, RI; ²Division of Transplant Surgery, Department of Surgery, Alpert Medical School, Brown University, Providence, RI; ³Division of Spine Surgery, Department of Orthopaedics, Alpert Medical School, Brown University, Providence, RI.
BACKGROUND: An increasing number of patients and families are utilizing online crowdfunding to support their medical expenses related to organ transplantation. The factors that influence…
2018 American Transplant Congress
Reported Effects of the SRTR 5-Tier Rating System on US Transplant Centers
S. Rasmussen,¹ A. Thomas,¹ J. Garonzik-Wang,¹ M. Henderson,¹ S. Stith,² D. Segev,¹ L. Hersch Nicholas.¹
¹JHU, Baltimore; ²UNM, Albuquerque.
Background: The SRTR informs patients and payers about transplant center performance. Historically, transplant programs were rated on a 3-tier scale. In 2016, the SRTR introduced…
2018 American Transplant Congress
Transplant Community Perceptions of the Benefits and Drawbacks of Alternative Quality Metrics for Regulation
S. Rasmussen, S. Zhou, A. Thomas, D. Segev, L. Hersch Nicholas.
JHU, Baltimore.
Background: Quality metrics are used to regulate transplant centers, inform patients, and improve quality of care. Currently graft and patient survival are used to regulate…
2018 American Transplant Congress
Opting out and Offers of 'Alibis' for Potential Living Kidney Donors in the US
R. Iskander,¹ S. Kulkarni,² C. Thiessen.²
¹McMaster University, Hamilton, ON, Canada; ²Yale University School of Medicine, New Haven, CT.
Purpose: To delineate rates of and reasons for opting out of living kidney donation, to determine if and how transplant centers offer alibis, to assess…