Articles tagged "Public policy"

2018 American Transplant Congress
The Effect of an Organ Procurement Experience on Preclinical Medical Student Perceptions of Transplant Surgery
M. Feinstein, S. Marcus, D. Amara, B. Durcanova, G. Roll, B. Orandi.
University of California, San Francisco, San Francisco.
PurposeTo evaluate the effect of an Organ Procurement Experience elective on preclinical medical students' perceptions regarding Transplant Surgery.Material and MethodsOver one year, preclinical medical students'…
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…
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…
2017 American Transplant Congress
Reduction in Kidney Offer Acceptance at Centers Undergoing Systems Improvement Agreements.
M. Bowring, L. Nicholas, A. Massie, D. Segev.
JHU, Baltimore
Kidney transplant centers flagged twice by CMS for poor outcomes enter a Systems Improvement Agreement (SIA) if they fail to demonstrate mitigating factors. Motivated to…