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Articles tagged "Public policy"

  • 2017 American Transplant Congress

    Opioid and Opioid Substitution Therapy in Liver Transplant Candidates: A Survey of Center Policies and Practices.

    J. Fleming,1 J. Lai,3 H. Te,2 A. Said,4 E. Spengler,4 S. Rogal.5

    1MUSC, Charleston, SC; 2UCSF, San Francisco, CA; 3UCMC, Chicago, IL; 4UWSMPH and VA, Madison, WI; 5Pittsburgh VA, Pittsburgh, PA

    Background: Chronic opioid use for pain and opioid substitution therapy (OST) are common among patients with cirrhosis. Little is known of transplant center policies and…
  • 2017 American Transplant Congress

    Transplant Economics Post Implementation of the Affordable Care Act and the Budget Control Act Sequestration Adjustment on Medicare Reimbursement.

    E. Zavala,1 J. Rogers,2 R. Howey,3 S. Karp.1

    1VUMC, Nashville; 2Tx Mgmt Group, San Diego; 3Mayo Clinic, Jacksonville

    Purpose: Adjustments in the Affordable Care Act (ACA) of 2010 and sequestration from the Budget Control Act (BCA) of 2011 have impacted Medicare reimbursement for…
  • 2017 American Transplant Congress

    Potential Barriers Hindering Non-Directed (Altruistic) Living Kidney Donors from Donating Their Kidneys.

    A. Maghen,1 L. Kwan,1 G. Vargas,1 S. Connor,1 S. Nassiri,1 E. Hicks,2 S. Maliski,3 J. Veale.

    1Urology, David Geffen School of Medicine at UCLA, Los Angeles, CA; 2Oregon Health and Science University, Portland, OR; 3University of Kansas Medical Center School of Nursing, Kansas City, KS

    A. While non-directed kidney donation in the United States is a growing concept that demonstrates the next level of altruism in the U.S., there are…
  • 2017 American Transplant Congress

    The Impact of the New Kidney Allocation System on Length of Dialysis Prior to Transplantation.

    T. Melanson,1 M. Basu,1 L. Plantinga,1 S. Pastan,1 S. Mohan,2 R. Patzer.1

    1Emory University, Atlanta; 2Columbia University, New York

    Introduction: The Kidney Allocation System (KAS) changed the starting point for calculating waiting time for patients on the kidney transplant (KTx) waitlist from the time…
  • 2017 American Transplant Congress

    Commonly Expressed Living Donation Fears and Concerns by Non-Directed (Altruistic) Living Kidney Donors in the United States.

    A. Maghen,1 G. Vargas,1 S. Connor,1 S. Nassiri,1 E. Hicks,2 L. Kwan,1 S. Maliski,3 J. Veale.1

    1Urology, David Geffen School of Medicine at UCLA, Los Angeles, CA; 2Oregon Health and Science University, Portland, OR; 3University of Kansas Medical Center School of Nursing, Kansas City, KS

    A. In the United States, many factors, including lack of awareness and misconceptions about living kidney transplantation, create challenges that limit increasing the live kidney…
  • 2017 American Transplant Congress

    A New Methodology for Measuring and Monitoring Equity in Access to Deceased Donor Kidney Transplants.

    D. Stewart, A. Wilk, W. Cherikh, A. Harper, R. Urban, D. Klassen, E. Edwards.

    United Network for Organ Sharing, Richmond, VA

    Background: The OPTN monitors progress on increasing the number of transplants, improving patient outcomes, and other goals. However, a well-established methodology for assessing system performance…
  • 2017 American Transplant Congress

    Perceived Legitimacy of Using Social Support for Transplant Eligibility: Results from a National Survey of Transplant Clinicians.

    K. Ladin,1 E. Gordon,2 Z. Butt,2 T. Lavelle,1 N. Daniels,3 D. Hanto.4

    1Tufts University, Medford, MA; 2Northwestern University School of Medicine, Chicago; 3Harvard University, Boston; 4Vanderbilt University School of Medicine, Nashville

    Background: Although the Centers for Medicare and Medicaid Services require that social support be used to determine transplant eligibility, guidance is vague. Centers vary significantly…
  • 2017 American Transplant Congress

    Increasing Organ Supply in the US: A Systematic Review of Presumed Consent vs. Informed Consent (2006-2016).

    M. Ahmad,1 A. Hanna,1 A. Mohamed,1,2 R. Mhaskar,1 T. Jarmi,1,3 A. Schlindwein,4 C. Pley,4 I. Bahner.1

    1University of South Florida Morsani College of Medicine, Tampa, FL; 2Stetson University College of Law, Gulfport, FL; 3Transplant & Specialty Services, Tampa General Hospital, Tampa, FL; 4University of Cambridge School of Clinical Medicine, Cambridge, Cambridgeshire, United Kingdom

    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…
  • 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…
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