Articles tagged "Public policy"

2015 American Transplant Congress
Geographic Variation in Listing Practices Represents Competetive Behaviors and Access to Care Rather Than Differences in Demand for Liver Transplantation
J. Voss,¹ R. Gilroy,¹ D. Goldberg,² T. Schmitt,¹ S. Kumer.¹
¹University of Kansas Medical Center, Kansas City, KS; ²University of Pennsylvania, Philadelphia, PA.
Purpose: This study evaluates whether program and patient demographics influence liver transplant listing practices.Methods:2013 liver waiting list and transplant (Tx) variables, US Census socioeconomic variables,…
2015 American Transplant Congress
“Unexpected” Positive Crossmatchs in Zero-HLA-A-B-DR Mismatched or HLA-DR-Matched Organs
K. Haarberg,¹ M. Cusick,¹ M. Abecassis,¹ A. Jaramillo,² B. Kaplan,³ A. Tambur.¹
¹Transplant Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL; ²Gift of Hope Organ and Tissue Donor Network, Itasca, IL; ³Center for Transplantation, University of Kansas Medical Center, Kansas City, KS.
Deceased donor kidney allocation is currently prioritized by HLA-A,-B and-DR serologic matching, which disregards both specificity at the allele level, and the contributions of HLA-C,-DQ,…
2015 American Transplant Congress
Should We Ever Pay Living Kidney Donors? Focus Group Study of Public Opinion
A. Tong,^1,2 A. Ralph,^1,2 J. Chapman,³ G. Wong,^1,2,3 J. Gill,⁴ M. Josephson,⁵ C. Hanson,^1,2 J. Craig.^1,2
¹School of Public Health, The University of Sydney, Sydney, Australia; ²Centre for Kidney Research, The Children's Hospital at Westmead, Sydney, Australia; ³Centre for Transplant and Renal Research, Westmead Hospital, Sydney, Australia; ⁴Division of Nephrology, University of British Columbia, Vancouver, Canada; ⁵Department of Medicine, University of Chicago, Chicago.
Background: The unmet demand for kidney transplantation has generated intense controversy about introducing incentives for living kidney donors to increase donation rates. Such debates may…
2015 American Transplant Congress
Day of Week Influences Kidney Utilization
K. Foley, M. Chiles, S. Mohan.
Department of Medicine, Columbia University Medical Center, New York, NY.
Background: From 2000 to 2013, 17% of all kidneys procured for transplantation from deceased organ donors in the United States were discarded. The high rate…
2015 American Transplant Congress
Trends in Transplant Patient Safety Situation Reporting
T. Daly,¹ H. Neil,² D. Stewart,² S. Tlusty,² A. Harper,² D. Marshman,³ M. Green.⁴
¹NY-Presbyterian Hosp., New York, NY; ²UNOS, Richmond, VA; ³LifeNet Health, Roanoke, VA; ⁴Children's Hosp. of Pittsburgh, Pittsburgh, PA.
Background: The OPTN Operations & Safety Committee is charged with reviewing aggregated, de-identified safety situation data reported through both the UNet Improving Patient Safety (IPS)…
2015 American Transplant Congress
Transplant Center Quality Assessment: Correlation Between Early Graft Outcomes and Patient-Centered Assessments of Hospital Care
A. Mathur,¹ A. Chakrabarti,² K. Sheetz,² N. Katariya,¹ A. Singer,¹ W. Hewitt,¹ K. Reddy,¹ A. Moss.¹
¹Surgery, Mayo Clinic Arizona, Phoenix, AZ; ²Surgery, University of Michigan, Ann Arbor, MI.
Background: Patients selecting a transplant center use public reports of outcomes to empower their decision-making. Patient-focused quality measures are lacking in transplantation, but are a…
2015 American Transplant Congress
Attitudes and Beliefs About Organ Donation: Focus Group Study in Arabic-Speaking Communities in Australia
A. Ralph,^1,2 A. Alyami,^3,4 R. Allen,^3,4 K. Howard,¹ J. Craig,^1,2 S. Chadban,^3,4 M. Irving,^1,2 A. Tong.^1,2
¹Sydney School of Public Health, University of Sydney, Sydney, NSW, Australia; ²Centre for Kidney Research, Children's Hospital at Westmead, Westmead, NSW, Australia; ³Sydney Medical School, University of Sydney, Sydney, NSW, Australia; ⁴Transplantation Services, Royal Prince Alfred Hospital, Sydney, NSW, Australia.
Background: The demand for transplantable organs continues to outweigh supply across the globe, especially in the provision of deceased donor organs from ethnic minority populations.…
2015 American Transplant Congress
Estimated Prevalence of HIV in Kidney Transplant Candidates
A. Shaffer, X. Luo, L. Kucirka, A. Cash, A. Massie, C. Durand, D. Segev.
Surgery, Johns Hopkins University, Baltimore, MD.
The passage of the HOPE Act in November 2013 mandated research into HIV+ to HIV+ organ transplantation. To date, the prevalence of HIV in the…
2015 American Transplant Congress
Historical Comparison of Projected and Observed Liver Transplants
J. Pyke,¹ D. Schladt,¹ W. Kim,⁵ S. Leppke,¹ J. Lake,⁴ S. Gentry,^2,3 D. Segev,² A. Israni,¹ J. Snyder.¹
¹SRTR, Minneapolis Medical Research Foundation, Minneapolis, MN; ²Surgery, Johns Hopkins University School of Medicine, Baltimore, MD; ³Mathematics, US Naval Academy, Baltimore, MD; ⁴Medicine and Surgery, University of Minnesota Medical School, Minneapolis, MN; ⁵School of Medicine, Stanford University, Stanford, CA.
We aimed to compare liver transplant simulation projections to observed data before and after a major policy update. The current liver simulated allocation model (LSAM…
2015 American Transplant Congress
Racial Disparities in Living Donor Liver Transplantation
Y. Nobel,¹ K. Forde,² L. Wood,³ P. Yoo,⁴ P. Abt,³ D. Goldberg.²
¹Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA; ²Department of Medicine, University of Pennsylvania, Philadelphia, PA; ³Division of Transplant Surgery, Department of Surgery, University of Pennsylvania, Philadelphia, PA; ⁴Department of Surgery, Yale University School of Medicine, New Haven, CT.
Purpose: Living donor liver transplantation (LDLT) is an alternative to deceased donor transplantation (DDLT), and can mitigate the risk of dying while waiting for transplant.…