Articles tagged "Public policy"

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…
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…