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Articles tagged "Public policy"

  • 2017 American Transplant Congress

    Race, Admissions, and Renal Transplant Waitlisting.

    R. Lynch, R. Zhang, R. Patzer, C. Larsen, A. Adams.

    Surgery, Emory University, Atlanta, GA

    Background: We have previously shown that increased hospitalization while listed for renal transplantation is associated with excess waitlist mortality, reduced odds of transplantation, and inferior…
  • 2017 American Transplant Congress

    The Unfunded OPTN/UNOS Mandate of Living Kidney Donor Follow-Up: Fewer Than 50% of Centers in Compliance.

    M. Henderson, A. Thomas, A. Massie, X. Luo, A. Shaffer, C. Holscher, D. Segev.

    Surgery, Johns Hopkins, Baltimore, MD

    OPTN/UNOS began requiring 2-year living donor follow-up (LDF) in 2013. Current LDF, and changes associated with the new guidelines, have not been evaluated.METHODS: Using SRTR…
  • 2017 American Transplant Congress

    Global Kidney Exchange.

    M. Rees,1 T. Dunn,2 S. Rees,3 J. Rogers,4 A. Roth,5 C. Kuhr,6 O. Ekwenna,1 K. Krawiec,7 S. Jain,1 C. Marsh,8 P. Sindhwani,1 M. Zimmerman,9 R. Forbes,10 M. Tan,11 I. Ashlagi,5 R. Correa-Rotter,12 S. Paloyo.13

    1U Toledo, Toledo, OH; 2U Minn, Minneapolis, MN; 3APD, Perrysburg, OH; 4Wake Forrest U, Winston Salem, NC; 5Stanford U, Palo Alto, CA; 6Virginia Mason, Seattle, WA; 7Duke U, Durham, NC; 8Scripps Green Hosp, La Jolla, CA; 9Froedtert Hosp, Milwaukee, WI; 10Vanderbilt U, Nashville, TN; 11Piedmont Hosp, Atlanta, GA; 12INCMNSZ, Mexico City, Mexico; 13St Luke's Hosp, Manila, Philippines

    Introduction: Innovative solutions are required to overcome the organ shortage.Methods: The cost differential between dialysis and transplantation in some countries allows the exchange of kidneys…
  • 2017 American Transplant Congress

    Cumulative Deficits Frailty Index for Transplant Candidates Predicts Candidacy for Solid Organ Transplantation.

    R. Varughese,1,2 O. Theou,3 X. Huang,1 O. Famure,1 Y. Li,1 N. Chowdhury,1 E. Renner,1,2 J. Kim,1,2 J. MacIver,1,5 S. Mathur,4 K. Rockwood,3 L. Singer.1,2

    1Toronto Multi-Organ Transplant Program, University Health Network, Toronto, ON, Canada; 2Department of Medicine, University of Toronto, Toronto, ON, Canada; 3Department of Medicine, Dalhousie University, Halifax, NS, Canada; 4Department of Physical Therapy, University of Toronto, Toronto, ON, Canada; 5Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, ON, Canada

    Introduction: Frailty is a clinical state associated with decreased function and increased vulnerability to physiologic stressors, leading to adverse medical outcomes. The cumulative deficits model…
  • 2017 American Transplant Congress

    Use of Forensic DNA Testing to Trace Unethical Organ Procurement and Organ Trafficking Practices.

    M. He,1,2 A. Corson,2 Z. Wang,3 J. Russo,2 T. Trey.2

    1Department of Pathology and Immunology, Washington University School of Medicine, St Louis, MO; 2Doctors Against Forced Organ Harvesting, Washington DC; 3World Organization To Investigate The Persecution of Falun Gong, New York, NY

    The purpose of this study is to establish a methodology, which allows to identify evidence of transplant organs originating from Falun Gong prisoners of conscience…
  • 2017 American Transplant Congress

    A Kidney Paired Donation Standard Acquisition Charge.

    M. Rees,1,2 L. Reece,2 S. Rees,2 B. Crandall,3 A. Leichtman.4

    1U of Toledo, Toledo; 2Alliance for Paired Donation, Perrysburg; 3Wake Forrest U, Winston Salem; 4Arbor Research, Ann Arbor

    Introduction: A non-profit kidney paired donation (KPD) organization undertook an Agency for Healthcare Research and Quality (AHRQ)-funded demonstration project to redesign reimbursement for the costs…
  • 2017 American Transplant Congress

    Community Health, Center Proximity, and Liver Transplant Waitlist Mortality.

    R. Lynch,1 K. Ross,1 D. Goldberg,2 R. Patzer.1

    1Surgery, Emory University, Atlanta, GA; 2Medicine, University of Pennsylvania, Philadelphia, PA

    Background: While regional organ availability is frequently discussed in allocation policy, the impact of community-level factors and access to a transplant center on waitlist mortality…
  • 2017 American Transplant Congress

    Program-Specific Offer Acceptance Behavior for Kidney Programs Across the Spectrum of KDPI.

    A. Wey, N. Salkowski, B. Kasiske, A. Israni, J. Snyder.

    Scientific Registry of Transplant Recipients, Minneapolis, MN

    Little is known about the offer acceptance behavior of kidney transplant programs, which affects rates of discard and access to transplant. An offer acceptance model…
  • 2017 American Transplant Congress

    An OPO Offer Acceptance Report for Hard-to-Place Kidneys.

    A. Wey, N. Salkowski, B. Kasiske, A. Israni, J. Snyder.

    Scientific Registry of Transplant Recipients, Minneapolis, MN

    Transplant program offer acceptance behavior varies substantially for kidneys after 100 previous offers (i.e., “hard-to-place offers”). An organ procurement organization (OPO) offer acceptance report could…
  • 2017 American Transplant Congress

    OPO Performance Metrics: Relationship with Kidney Transplant Program Performance Metrics and Kidney Utilization.

    A. Wey, N. Salkowski, B. Kasiske, A. Israni, J. Snyder.

    Scientific Registry of Transplant Recipients, Minneapolis, MN

    Organ procurement organization (OPO) performance metrics have been scrutinized due to the perceived disincentives of the regulatory system. In kidney transplantation, OPOs are evaluated on…
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