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Articles tagged "Resource utilization"

  • 2015 American Transplant Congress

    Regional Variations: Liver Transplant Tourism Within the US

    C. Frenette,1 A. Harper,2 R. Schaffer,1 J. Fisher,1 A. Baquerizo,1 C. Marsh.1

    1Department of Organ Transplantation, Scripps Clinic/Green Hospital, La Jolla, CA; 2United Network for Organ Sharing, Richmond, VA.

    Aim: Given the current geographic disparities in average MELD scores at liver transplantation (OLT), there is increasing interest in patients who travel for OLT and…
  • 2015 American Transplant Congress

    Maximizing Peri-Operative Value-Based Care in Kidney Transplant Induction

    J. Fleming,1 J. Casale,1 K. Covert,1 K. Boyle,1 D. Taber,2 H. Meadows,1 C. Mardis,1 N. Pilch,1 M. Posadas-Salas,3 T. Srinivas,3 C. Bratton,2 J. McGillicuddy,2 K. Chavin,2 P. Baliga.2

    1Pharmacy, MUSC, Charleston, SC; 2Surgery, MUSC, Charleston, SC; 3Nephrology, MUSC, Charleston, SC.

    Due to the dwindling reimbursement for kidney transplants (KTx), there must be a continuous effort to provide the best value-based care. The purpose of this…
  • 2015 American Transplant Congress

    Burden of Early Antibody-Mediated Rejection (AMR): Complications, Resource Utilization and Cost-Differential in Treatment of AMR

    R. Banga,1 C. Schinstock,1 A. Boscoe,4 M. Hathcock,3 W. Kremers,3 M. Stegall.2

    1Division of Nephrology and Hypertension, Mayo Clinic, Rochester, MN; 2Division of Transplantation Surgery, Mayo Clinic, Rochester, MN; 3Division of Biostatistics, Mayo Clinic, Rochester, MN; 4Health Outcomes Research, Alexion Pharmaceuticals, Cheshire, CT.

    Early antibody-mediated rejection (AMR) is common in positive crossmatch kidney transplants (+XMKTx). The current study determined the complications, resource utilization and cost associated with early,…
  • 2015 American Transplant Congress

    Local Expansion in DCD Kidney Transplant Activity Improves Waiting List Outcomes and Addresses Inequities of Access to Transplantation

    B. Mirshekar-Syahkal,1 L. Bradbury,2 P. Sun,1 M. Aly,1 M. Berry,1 J. Norris,1 J. Bradley,1 G. Pettigrew.1

    1Cambridge University, Cambridge, United Kingdom; 2NHSBT, Bristol, United Kingdom.

    Introduction: Following expansion in our circulatory death (DCD) transplant program, our center now performs twice as many DCD as brain-death (DBD) kidney transplants. Here, we…
  • 2015 American Transplant Congress

    Alemtuzumab Induction Is Associated With a Lower Risk of Early Rehospitalization After Kidney Transplant

    G. Dube,1 D. Tsapepas,2 Y. Coppleson,3 L. Ratner,4 D. Cohen,1 S. Mohan.1

    1Medicine, Columbia University Medical Center, New York, NY; 2Pharmacy, New York-Presbyterian Hospital, New York, NY; 3Quality and Patient Safety, New York-Presbyterian Hospital, New York, NY; 4Surgery, Columbia University Medical Center, New York, NY.

    Early rehospitalizations within the first 30 days (R-30D) are common after kidney transplant. R-30D are costly and associated with an increased risk of graft failure…
  • 2015 American Transplant Congress

    Descriptive Analysis of Patients Who Travel Away from Home for Orthotopic Liver Transplantation

    C. Frenette,1 A. Harper,3 J. Waalen,2 J. Fisher,1 R. Schaffer,1 A. Baquerizo,1 C. Marsh.1

    1Department of Organ Transplant, Scripps Clinic/Green Hospital, La Jolla, CA; 2Department of Molecular & Experimental Medicine, The Scripps Research Institute, La Jolla, CA; 3United Network for Organ Sharing, United Network for Organ Sharing, Richmond, VA.

    Aim: Given the current geographic disparities in access to liver transplantation (OLT), there is a segment of the population that may travel to different areas…
  • 2015 American Transplant Congress

    Use of MELD Exception Points in Patients With Hepatic Neuroendocrine Tumor Metastases: Variable Use and Proposed Criterion for Approval

    Y. Nobel,1 D. Goldberg.2,3,4

    1Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA; 2Division of Gastroenterology, Department of Medicine, University of Pennsylvania, Philadelphia, PA; 3Center for Clinical Epidemiology and Biostatistics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA; 4Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA.

    Purpose: Most patients with metastatic neuroendocrine tumors (NETs) have preserved hepatic synthetic function, and their providers may seek increased waitlist priority via MELD exception points.…
  • 2015 American Transplant Congress

    Renal Retransplantation in Simultaneous Pancreas Kidney Transplant Recipients

    W. Shields, J. Zimmerman, P. Mohan, F. Nooh, D. Hickey.

    National Renal and Pancreatic Transplantation Unit, Beaumont Hospital, Dublin, Ireland.

    Introduction:Simultaneous Pancreas Kidney Transplantation(SPK) is standard of care in selected patients with end stage renal failure secondary to diabetes mellitus. There is little literature examining…
  • 2015 American Transplant Congress

    Does Higher Cost Improve Outcome in Pediatric Liver Transplantation?

    J. Minneman, J. Grijalva, S. Rangel, H. Kim, K. Vakili.

    Surgery, Boston Children's Hospital, Boston, MA.

    Examine the relationship between transplant-related total cost and 1-year graft failure and patient mortality rate for liver transplantation at freestanding children's hospitals.Using the Pediatric Health…
  • 2015 American Transplant Congress

    Health Utilities in Pediatric Liver Transplant Recipients

    S. Mohammad, A. Bharij, K. Neighbors, E. Alonso.

    Pediatrics, Northwestern U, Chicago.

    Health Utilities (HU) are preference based measures of health states required for cost effectiveness studies. We measured HU and health related quality of life (HRQOL)…
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