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Articles tagged "Public policy"

  • 2016 American Transplant Congress

    Wait List Removals and Transplant Rates Are Significantly Associated with Transplant Center Performance Oversight.

    J. Schold, L. Buccini, E. Poggio, S. Flechner, D. Goldfarb.

    Cleveland Clinic, Cleveland, OH.

    Prior studies indicate that low performance(LP) center evaluations by the SRTR are associated with reductions in transplant volume. There is limited information to determine whether…
  • 2016 American Transplant Congress

    Impact of Proximity MELD/PELD Points on Liver Redistricting Scenarios.

    S. Gentry,1,2 J. Pyke,1 D. Schladt,1 J. Zeglin,1 W. Kim,3 J. Lake,4 R. Hirose,5 D. Mulligan,6 A. Israni.1

    1Scientific Registry of Transplant Recipients, Minneapolis; 2United States Naval Academy, Annapolis; 3Stanford, Palo Alto; 4University of Minnesota, Minneapolis; 5Surgery, University of California, San Francisco; 6Surgery, Yale University, New Haven.

    Background: To address geographic disparity in liver allocation, a new organ distribution system consisting of 4 or 8 districts has been proposed (Gentry, Am J…
  • 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…
  • 2016 American Transplant Congress

    KDPI Outcomes and Discard Rates – The Contradiction of the U.S. and European Approach.

    L. Lehner, A. Kleinsteuber, F. Halleck, D. Khadzhynov, M. Duerr, K. Budde, O. Staeck.

    Dept. of Nephrology CCM, Charite Berlin, Berlin, Germany.

    Introduction: Only a few data exist on the KDPI in European patients (pts). We evaluated the influence of donor factors assessed by the KDPI on…
  • 2016 American Transplant Congress

    Who Should Decide? Potential Living Kidney Donor Preferences for Making Decisions About Risk.

    C. Thiessen,1 J. Gannon,1 K. Kennedy,2 D. Dobosz,1 S. Li,1 D. Gray,3 A. Mussell,3 E. Gordon,2 P. Reese,3 S. Kulkarni.1

    1Yale U, New Haven; 2Northwestern U, Chicago; 3U Pennyslvania, Philadelphia.

    BackgroundTransplant centers debate how to manage risks to potential living kidney donors (LKDs) when there is a lack of consensus about reasonable donor risk .We…
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