Articles tagged "Public policy"

2018 American Transplant Congress
Large Decrease in Liver Waiting List Dropout Rate for MELD > 14
D. Schladt,¹ J. Pyke,¹ A. Israni,¹ W. Kim,² J. Lake,³ J. Snyder.¹
¹SRTR, Minneapolis; ²Stanford University, Stanford; ³Univ of Minnesota, Minneapolis.
Median MELD at transplant has increased steadily over the past 10 years. One possible mechanism is decreased waitlist dropout rates, particularly among liver candidates with…
2018 American Transplant Congress
Organ Donation and Transplantation in US States and Europe – Is There a Benefit to Opting Out?
R. J. Vela,¹ J. Pruszynski,¹ T. Mone,³ P. Niles,² M. Peltz.¹
¹Cardiovascular & Thoracic Surgery, The University of Texas Southwestern Medical Center, Dallas, TX; ²Southwest Transplant Alliance, Dallas, TX; ³OneLegacy, Los Angeles, CA.
European reports suggest improved transplant rates in countries with Opt-out or presumed consent donation. Legislation to adopt Opt-out donation has been introduced in several US…
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…
2018 American Transplant Congress
Effect of Kidney Allocation System on a Solitary, Isolated, Rural Transplant Program
K. Brown,² S. Hill,² L. Lipscomb,² A. Jones,² J. Africa.¹
¹Glickman Institute, Cleveland Clinic, Cleveland, OH; ²Urology and Renal Transplant, Charleston Area Medical Center, Charleston, WV.
The new kidney allocation system (KAS) was expected to create an impact on smaller, rural and geographically isolated centers.Methods. We examined the changes by the…
2018 American Transplant Congress
Geographic Variation in the Survival Benefit of Heart Transplantation
W. Parker,¹ R. Gibbons,¹ M. Churpek,¹ A. Anderson.²
¹University of Chicago, Chicago, IL; ²Northwestern University, Chicago, IL.
Purpose: Heart transplant candidate selection and treatment practices vary substantially across the US. We aimed to determine if transplant center practices modify the survival benefit…