2018 American Transplant Congress
Reported Effects of the SRTR 5-Tier Rating System on US Transplant Centers
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
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
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
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?
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
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?
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
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
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…2017 American Transplant Congress
Increasing Organ Supply in the US: A Systematic Review of Presumed Consent vs. Informed Consent (2006-2016).
Purpose: Literature was systematically reviewed from 2006 to 2016 to assess the effectiveness of presumed consent vs. informed consent on increasing the deceased donor organ…
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