Articles tagged "Public policy"

2016 American Transplant Congress
The Environmental Impact of Dialysis vs Transplantation.
M. Grafals,¹ R. Sanchez.²
¹Medstar Georgetown Transplant Institute, Georgetown University, Washington, DC; ²Environmental Health, Harvard University, Boston, MA.
Introduction: Hemodialysis has a large environmental impact because it uses large volumes of water, medical supplies and energy. A patient undergoing weekly dialysis treatment (three…
2016 American Transplant Congress
The Simplified EPTS Score: Who Wins and Who Loses?
J. Schold, E. Poggio, R. Fatica, S. Flechner, L. Buccini, D. Goldfarb.
Cleveland Clinic, Cleveland, OH.
The New Kidney Allocation System includes provisions that candidates with EPTS score in the lowest 20% (indicating best expected survival) have access to the highest…
2016 American Transplant Congress
An Assurance of Insurance: Should Living Kidney Donors Be Required to Have Health Insurance?
J. Siegel,¹ A. Humar,² P. Gianaros,¹ J. Steel.²
¹Department of Psychology, University of Pittsburgh, Pittsburgh, PA; ²Department of Surgery, Division of Transplantation, University of Pittsburgh, Pittsburgh, PA.
Lack of health insurance has been related lack of access to health care, poorer health, and increased mortality. In this study, we investigate sociodemographic predictors…
2016 American Transplant Congress
What Living Organ Donors See as Their Unmet Needs in the United States.
S. Fry-Revere, M. Middelman.
American Living Organ Donor Network, Lovettsville, VA; American Living Organ Donor Network, Lovettsville, VA.
Study PurposeTo collect data on what living organ donors themselves say they want and need to make living organ donation safer and easier.MethodFor 12 months,…
2016 American Transplant Congress
Significant Increase in Wait List Removals for Candidates Considered Too Sick from the US Kidney Transplant Waiting List.
E. Poggio, L. Buccini, S. Flechner, D. Goldfarb, J. Schold.
Cleveland Clinic, Cleveland, OH.
Approximately 59,000 kidney transplant candidates have been removed from the waiting list since 2000 for reasons other than transplantation, death, or transfers. In 2014, reasons…
2016 American Transplant Congress
Peer Mentoring to Improve Access to Kidney Transplantation in the Southeast.
J. Gander,¹ S. McMath,² M. Rudd,² L. Sauls,³ S. Tripathi,¹ L. Plantinga,¹ L. McPherson,¹ T. Browne,⁴ S. Pastan,¹ R. Patzer.¹
¹Emory University, Atlanta; ²Georgia Transplant Foundation, Atlanta; ³ESRD Network 6, Raleigh; ⁴University of South Carolina, Columbia.
BACKGROUND The Southeastern Kidney Transplant Coalition's (SEKTC) mission is to improve the low kidney transplantation (KTx) rate in the North Carolina, South Carolina, and Georgia.…
2016 American Transplant Congress
Geographic Differences in Racial Disparity Reduction in Kidney Transplant Rates Before and After the New Kidney Allocation System.
R. Patzer,¹ T. Melanson,¹ M. Basu,¹ L. Plantinga,¹ L. McPherson,¹ S. Mohan,² J. Gander,¹ D. Howard,¹ S. Pastan.¹
¹Emory University, Atlanta; ²Columbia University, New York.
Background: Prior to the new kidney allocation system (KAS) implemented 12/4/2014, significant African American (AA) vs. white racial disparities existed in access to kidney transplantation…
2016 American Transplant Congress
Kidney Waitlist Management with Lean Six Sigma.
V. Arelin,¹ J. Schaefer,³ H. Haller,¹ I. Ackermann,² H. Schrem.²
¹Nephrology and Hypertension, Medical School Hanover, Hannover, Germany; ²Transplant and Viceral Surgery, Medical School Hanover, Hannover, Germany; ³Center for Information Technology, Medical School Hanover, Hannover, Germany.
BackgroundLean thinking is a bundle of concepts, methods and tools for organizing human activities in organizations. It attempts to eliminate the underlying unnecessary waste in…
2016 American Transplant Congress
Subtype-Compatible (A2/A2B–>B) Transplantation Under KAS Increases Access 3-Fold for Blood Type B Patients, yet Very Few Candidates Are Listed as Eligible.
D. Stewart,¹ W. Cherikh,¹ A. Kucheryavaya,¹ C. Bryan,² N. Turgeon,³ M. Aeder.⁴
¹UNOS, Richmond, VA; ²Midwest Transplant Network, Westwood, KS; ³Emory, Atlanta, GA; ⁴Univ Hosp Case Med Ctr, Cleveland, OH.
Background: Prior to the new kidney allocation system (KAS; 12/4/14), 8 OPOs participated in a voluntary policy variance permitting allocation of kidneys from subtype “A2”…
2016 American Transplant Congress
Intervention Development for the Allocation System Changes for Equity in kidNey Transplantation (ASCENT) Study.
K. Smith,¹ J. Gander,¹ M. Basu,¹ S. Pastan,¹ S. Mohan,² C. Escoffery,¹ L. Plantinga,¹ S. Kalloo,² G. Green,³ A. Berlin,⁴ G. Renville,⁵ T. Browne,⁶ N. Turgeon,¹ S. Caponi,⁷ J. Krisher,⁸ R. Patzer.¹
¹Emory University, Atlanta, GA; ²Columbia University, New York, NY; ³American Association of Kidney Patients, Tampa, FL; ⁴Southeastern Kidney Transplant Coalition, Atlanta, GA; ⁵National Kidney Foundation, Atlanta, GA; ⁶University of South Carolina, Columbia, SC; ⁷ESRD Network 2, Lake Success, NY; ⁸ESRD Network 6, Raleigh, NC.
Background: Recent changes in the kidney allocation system (KAS) are expected to reduce racial disparities in kidney transplantation (KTx). However, dialysis facilities may not be…