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Articles tagged "Public policy"

  • 2021 American Transplant Congress

    Summary of the OPTN’s Policy and System Modifications in Response to the COVID-19 Pandemic

    A. Wilk, S. Taranto, C. Jett, L. Cartwright

    UNOS, Richmond, VA

    *Purpose: In April 2020, the OPTN made several policy and system modifications in response to the growing COVID-19 pandemic including updates to candidate lab data,…
  • 2021 American Transplant Congress

    Geographic Variation in Candidate Listing Behavior Under the New Heart Allocation Policy

    G. Ran1, K. Chung1, A. S. Anderson2, R. Gibbons3, N. Narang4, M. Churpek5, W. F. Parker1

    1Pritzker School of Medicine, University of Chicago, Chicago, IL, 2Department of Medicine, University of Texas San Antonio, San Antoion, TX, 3Department of Medicine, University of Chicago, Chicago, IL, 4Department of Medicine, University of Illinois-Chicago, Chicago, IL, 5Department of Medicine, University of Wisconsin, Madison, WI

    *Purpose: Describe and explain variations in listing practice among U.S. transplant centers in response to the new allocation policy.*Methods: We performed an observational cohort study…
  • 2021 American Transplant Congress

    The Association Between Environmental Determinants and High KDRI Organ Offer Acceptance Ratios

    A. M. Placona, C. Martinez, M. Stuart

    United Network for Organ Sharing, Henrico, VA

    *Purpose: Increasing the number of transplants could be realized by increasing high KDRI organ utilization. While the impact of transplant center (TXC) aggressiveness and competition…
  • 2021 American Transplant Congress

    Sharing Under KAS – What is the Impact According to KDPI?

    M. Jacobs, R. Stratta, C. Jay

    Wake Forest Baptist Health, Winston Salem, NC

    *Purpose: The new Kidney Allocation System (KAS) implemented in 2014 was designed to facilitate sharing of kidneys due to changes in prioritization of highly sensitized…
  • 2021 American Transplant Congress

    Waitlist and Post-Transplant Outcomes of Candidates With Lvad: Comparison of Old and New Heart Allocation Policies

    M. Colvin1, Y. Ahn2, S. Hall3, M. Walsh4, A. Israni2

    1Univ of Michigan, Ann Arbor, MI, 2SRTR, Minneapolis, MN, 3Baylor Univ, Dallas, TX, 4St. Vincent Heart Ctr, Indianapolis, IN

    *Purpose: The new heart allocation policy took effect in October 2018. Its risk stratification scheme prioritizes patients with short-term devices, raising concern that candidates with…
  • 2021 American Transplant Congress

    Identifying Health-System Level Barriers and Facilitators to Living Donor Kidney Transplantation: A Comparative Case Study

    A. Horton1, M. Fortin2, P. Nugus3, D. Landsberg4, M. Paquet2, M. Cantarovich1, S. Sandal1

    1Nephrology, McGill University Health Centre, Montreal, QC, Canada, 2Nephrology, Centre Hospitalier de l’Université de Montréal, Montreal, QC, Canada, 3Family Medicine, McGill University, Montreal, QC, Canada, 4Nephrology, University of British Columbia, Vancouver, BC, Canada

    *Purpose: Despite the well-known advantages of living donor kidney transplantation (LDKT), rates at many centers have stagnated or declined. In Canada, there are large interprovincial…
  • 2021 American Transplant Congress

    Waitlist and Post-Transplant Outcomes of Candidates with Iabp or Ecmo: Comparison of Old and New Heart Allocation Policies

    M. Colvin1, Y. Ahn2, S. Hall3, M. Skeans2, M. Walsh4, A. Israni2

    1Univ of Michigan, Ann Arbor, MI, 2SRTR, Minneapolis, MN, 3Baylor Univ, Dallas, TX, 4St. Vincent Heart Ctr, Indianapolis, IN

    *Purpose: New heart allocation policy prioritizes candidates on short-term circulatory support to promote transplant of the sickest candidates. There has been a shift in the…
  • 2021 American Transplant Congress

    To Whom do Pediatric Donor Organs Go?

    J. Smith1, M. Skeans2, R. Engen3, S. Bartosh4

    1Seattle Children's Hospital, Seattle, WA, 2SRTR, Minneapolis, MN, 3Lurie Children's Hospital, Chicago, IL, 4Univ of Wisconsin, Madison, WI

    *Purpose: Pediatric priority in organ allocation is mandated by the Final Rule, but prioritization varies by organ, sometimes informed by size-matching needs. Heart (Policy 6.6.E)…
  • 2021 American Transplant Congress

    Kidney Paired Donation in Pediatrics: An Underused Opportunity?

    J. Smith1, M. Skeans2, R. Engen3, S. Bartosh4

    1Seattle Children's Hospital, Seattle, WA, 2SRTR, Minneapolis, MN, 3Lurie Children's Hospital, Chicago, IL, 4Univ of Wisconsin, Madison, WI

    *Purpose: Kidney paired donation (KPD) provides the opportunity for ABO-mismatched or HLA-incompatible pairs to receive a living donor kidney transplant. The superior graft survival among…
  • 2021 American Transplant Congress

    Liver Simulated Allocation Model (LSAM) of a Height-Based Policy Change to Improve Sex Disparity in Liver Transplantation (LT)

    S. Bernards1, E. Lee1, N. Leung2, H. Zhao2, M. Akan3, M. Sarkar1, S. Tayur3, N. Mehta1

    1UCSF, SF, CA, 2City U, HK, Hong Kong, 3CMU, Pittsburgh, PA

    *Purpose: Since the introduction of the MELD-based allocation system, women are now 30% less likely than men to undergo LT and have 20% higher waitlist…
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