Articles tagged "Public policy"

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…
2016 American Transplant Congress
U.S. Dialysis Facility Characteristics Associated with Racial Disparities in Access to the Kidney Deceased Donor Transplant Waiting List.
J. Gander, L. Plantinga, S. Paul, S. Pastan, R. Patzer.
Emory University, Atlanta.
BACKGROUND Dialysis facility characteristics have been significantly associated with variation in U.S. transplant rates but facility characteristics associated with disparities in access to the kidney…
2016 American Transplant Congress
The Impact of CMS Policy on Delisting of "Too Sick" Liver Transplant Candidates.
N. Dolgin, B. Movahedi, P. Martins, A. Bozorgzadeh.
Surgery, UMass Medical School, Worcester, MA.
Background: The Model for End Stage Liver Disease (MELD)-based allocation system (2002) transformed liver transplant waitlist mortality by prioritizing the “sickest first.” We examine the…
2016 American Transplant Congress
Reciprocity for Compatible Pair Participation in Kidney Paired Donation.
J. Gill,¹ M.-C. Fortin,² C. Rose,¹ E. Cole,³ K. Tinckam,³ J. Gill.¹
¹Nephrology, UBC, Vancouver, BC, Canada; ²Nephrology, CHUM, Montreal, QC, Canada; ³Nephrology, UHN, Toronto, ON, Canada.
Participation of ABO and HLA compatible pairs (CPs) in kidney paired donation (KPD) could significantly increase living donor (LD) transplantation (TX). CPs may be more…
2016 American Transplant Congress
Is Facilitated Pancreas Allocation Effective?
R. Carrico,¹ J. Fridell,² J. Odorico,³ S. Niederhaus.⁴
¹UNOS, Richmond, VA; ²Indiana Univ School of Medicine, Indianapolis, IN; ³Univ of Wisconsin Hospital and Clinics, Madison, WI; ⁴Univ of Maryland Medical System, Baltimore, MD.
Background: OPTN policy exists that allows the UNOS Organ Center to facilitate the allocation of a pancreas within 1 hr. of donor surgery, permissible only…
2016 American Transplant Congress
Age and Education Level Are Predictors of Patient Preferences for Educational Formats in ESRD Patients Undergoing Transplant Education.
K. Leick,¹ J. Jones,¹ S. Witte,² L. Hunsicker,³ Z. Stewart.¹
¹Dept of Surgery, University of Iowa, Iowa City, IA; ²Dept of Social Services, University of Iowa, Iowa City, IA; ³Dept of Internal Medicine, University of Iowa, Iowa City, IA.
Background: Health literacy impacts hospitalizations and mortality. ESRD patients have reduced health literacy due to a high proportion of lower educational background and socioeconomic resources.…
2016 American Transplant Congress
Return on Investment for Financial Assistance for Living Kidney Donors in the United States.
A. Mathur,¹ J. Xing,² D. Dickinson,² P. Warren,³ K. Gifford,³ B. Hong,⁴ A. Ojo,⁵ R. Merion.^2,5
¹Mayo Clinic, Phoenix; ²Arbor Research Collaborative for Health, Ann Arbor; ³ASTS, Arlington; ⁴Washington University in St. Louis, St. Louis; ⁵University of Michigan, Ann Arbor.
Background: Federal financial support through the National Living Donor Assistance Center (NLDAC) assists potential living donors who have prohibitive out-of-pocket expenses. We calculated the return…