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Articles tagged "Public policy"

  • 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.…
  • 2015 American Transplant Congress

    A Discrete Choice Experiment to Explore Patients' Preferences for Kidney Transplant Monitoring by Video-Conferencing

    S. Brunet-Houdard,1 M. Giral,2 S. Gaboriau,2 A. Meurette,2 P. Daguin,2 P. Tessier.3

    1UEME, SIMEES, Tours University Hospital, Tours, France; 2Nantes University Hospital, Nantes, France; 3EA 4275, Nantes University, Nantes, France.

    INTRODUCTIONAn experiment to assess the clinical outcomes and the economic efficiency of a videoconferencing system for the renal transplant patient's monitoring is currently under way…
  • 2015 American Transplant Congress

    Graft Outcome Disparity in a Single Renal Transplant Center Based on Recipient Geographic Origin

    R. Flynn, W. Qu, D. Fumo, T. Suttle, S. Selman, M. Rees, J. Ortiz.

    University of Toledo Medical Center, Toledo, OH.

    PURPOSE: The disparity in access to organs for kidney transplantation has led to inter-state “transplant tourism.” Our objective was to determine if recipients traveling over…
  • 2015 American Transplant Congress

    Discard of Kidneys at the Margin: ECD Versus KDPI Era

    S. Bae, A. Massie, D. Segev.

    Johns Hopkins, Baltimore, MD.

    BACKGROUND: Since 3/26/2012, the Kidney Donor Profile Index (KDPI), a percentile score reflecting donor-associated risk, has been provided with all deceased-donor kidney offers. We investigated…
  • 2015 American Transplant Congress

    CPRA Values Are Substantially Increased for Some Candidates Subsequent to Inclusion of Unacceptable C-locus (UA-C) Antigens While Listing Practices Remain Unchanged

    A. Kucheryavaya,1 R. Bray,2 A. Miller,1 D. Tyan.3

    1UNOS, Richmond; 2Emory University Hospital, Atlanta; 3Stanford University, Palo Alto.

    Background: CPRA is the % of deceased donors expected to have one or more UAs with a given candidate. Prior to 12/5/13, candidates with UA-C…
  • 2015 American Transplant Congress

    The Effects of High-Risk Donors and Recipients on Scientific Registry of Transplant Recipients Program-Specific Outcomes

    J. Snyder,1 N. Salkowski,1 D. Zaun,1 J. Schold,2 A. Israni,1 B. Kasiske.1

    1Scientific Registry of Transplant Recipients, Minneapolis Medical Research Foundation, Minneapolis, MN; 2Quantitative Health Sciences, Cleveland Clinic, Cleveland, OH.

    Public reporting of transplant program-specific outcomes may dissuade programs from accepting high-risk donors and recipients, and thereby restrict access to transplant. It has been proposed…
  • 2015 American Transplant Congress

    The Impact of Critical Illness and Pre-Transplant Hospitalization on Cost of Liver Transplantation

    S. Knechtle, L. Brummett, S. Perez.

    Surgery, Emory University School of Medicine, Atlanta, GA.

    In order to understand the cost impact of hospitalization and ICU admission immediately prior to liver transplantation (LT), we obtained all hospital costs associated with…
  • 2015 American Transplant Congress

    UNOS KDPI Score Is Significantly Overestimated for Pediatric En-Bloc Kidneys

    L. Preczewski, K. Howes, N. Iovenette, A. Needham, B. Gallay.

    Transplant Center, University of California, Davis, Sacramento, CA.

    When Rao, et al, published the Kidney Donor Risk Index model (KDRI) (Transplantation 2009;88:231-236), they found coefficients for HLA match, cold ischemic time, en-bloc (EB)…
  • 2015 American Transplant Congress

    Program-Effect Attenuation With Time Posttransplant

    N. Salkowski,1 L. Hunsicker,1,2 J. Snyder,1 B. Kasiske.1,3

    1Scientific Registry of Transplant Recipients, Minneapolis Medical Research Foundation, Minneapolis, MN; 2Department of Medicine, University of Iowa, College of Medicine, Iowa City, IA; 3Department of Medicine, University of Minnesota, Minneapolis, MN.

    The program-specific reports produced by SRTR include 1-month, 1-year, and 3-year posttransplant graft and patient survival measures. The 1-month and 1-year measures use the same…
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