Articles tagged "Public policy"

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…
2015 American Transplant Congress
Identifying Predictors of Organ Donation Among African-American Men
C. Harris,¹ C. Modlin,¹ S. Olden,² A. Nowacki,³ T. Franklin,⁴ J. Canedy,¹ M. Tavaras,¹ A. Harris,¹ Y. Hamilton,⁵ C. Zaramo.¹
¹Glickman Urologic & Kidney Institute Minority Men's Health Center, Cleveland Clinic, Cleveland, OH; ²School of Medicine, Case Western Reserve University, Cleveland, OH; ³Department of Quantitative Health Sciences, Cleveland Clinic, Cleveland, OH; ⁴College of Medicine, Xavier University, New Orleans, LA; ⁵Lifebanc of Ohio, Cleveland, OH.
Objective: The growth of the national transplant waiting list continues to far outpace the number of available organs, particularly among African Americans (AA). This study…
2015 American Transplant Congress
Preferences for Policy Options for Deceased Organ Donation for Transplantation: A Discrete Choice Experiment
K. Howard,¹ S. Jan,² J. Rose,³ G. Wong,^1,4 J. Craig,^1,4 M. Irving,¹ A. Tong,^1,4 S. Chadban,^1,5 R. Allen,⁵ A. Cass.⁶
¹The University of Sydney, Sydney, Australia; ²The George Institute for Global Health, Sydney, Australia; ³Institute for Choice, University of South Australia, North Sydney, Australia; ⁴Centre for Kidney Research, The Children's Hospital at Westmead, Westmead, Australia; ⁵Department of Renal Medicine, Royal Prince Alfred Hospital, Camperdown, Australia; ⁶Menzies School of Health Research, Darwin, Australia.
Background: Despite broad public support for organ donation, there is a chronic shortage of deceased donor organs. We sought to identify features of an organ…
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…