Articles tagged "Screening"

2019 American Transplant Congress
Donor Derived Tuberculosis in Solid Organ Transplantation in the United States: 10 Years of UNOS Ad Hoc Disease Transmission Advisory Committee Experience
M. F. Malinis¹, R. LaHoz¹, G. Vece², S. Tlusty², S. Aslam¹, R. Bag¹, J. Bucio¹, L. Danziger-Isakov¹, D. F. Florescu¹, M. Rana¹, C. Wolfe¹, M. G. Michaels¹
¹DTAC, Richmond, VA, ²UNOS, Richmond, VA
*Purpose: Mycobacterium tuberculosis can be transmitted via organ donation. Failure to recognize tuberculosis (TB) may result in significant morbidity and mortality. Currently, donor screening for…
2018 American Transplant Congress
Familial Risk of End-Stage Renal Disease in Healthy Live Kidney Donors
A. Muzaale,¹ A. Massie,¹ F. Al Ammary,¹ K. Lentine,² D. Segev.¹
¹Johns Hopkins University, Baltimore; ²Saint Louis University, St. Louis.
Kidney donor candidates are rigorously evaluated so that only the lowest risk are cleared for donation; however, it is not standard practice to exclude candidates…
2018 American Transplant Congress
Non-Invasive Imaging Modalities for Immune Monitoring of Vascularized Composite Allografts Using a Translational Large Animal Model
J. Etra,¹ K. Cilwa,² G. Furtmueller,¹ A. Leto Barone,¹ K. Kolegraff,¹ E. Elster,¹ W. Lee,¹ G. Brandacher.¹
¹Department of Plastic Surgery, Johns Hopkins University School of Medicine, Baltimore, MD; ²Naval Medical Research Center, Silver Springs, MD; ³Department of Surgery, Uniformed Services, University of Health Sciences and Walter Reed National Military Medical Center, Bethesda, MD.
PurposeImmunological complications and skin rejection remains an obstacle in broadening the applicability of vascularized composite allotransplantation (VCA). Currently, diagnosis of rejection relies on skin biopsies…
2018 American Transplant Congress
Telehealth Evaluations to Screen Kidney Transplant Candidates Does Not Adversely Affect Time to or Rate of Transplant
R. Forbes,^1,2 D. Rybacki,¹ T. Johnson,¹ D. Shaffer,^1,2 D. Hale.^1,2
¹VA, Nashville; ²VUMC, Nashville.
Background. Telehealth can improve efficiency, timeliness, and cost effectiveness for kidney transplant waitlist candidates. Patients approved for further evaluation after a screening telehealth visit are…
2018 American Transplant Congress
Rates of Posttransplant Cutaneous Disease Differ between Black and White Solid Organ Transplant Recipients
R. Allawh,¹ K. Nadhan,¹ A. Doyle,² M. Harhay,³ C. Chung.¹
¹Dermatology, Drexel University College of Medicine, Philadelphia, PA; ²Internal Medicine, University of Virginia, Charlottesville, VA; ³Internal Medicine, Drexel University College of Medicine, Philadelphia, PA.
Background: Immunosuppression (IS) results in heightened risk of developing posttransplant cutaneous complications. Black solid organ transplant recipients (OTRs), who often receive higher doses of IS…
2018 American Transplant Congress
Evaluating PROMIS-57 Domains to Screen for Anxiety and Depression Using Legacy Instruments among Kidney Transplant Recipients
A. Bansal,¹ O. Ekundayo,¹ E. Tang,¹ F. Khalafi,¹ H. Ford,¹ M. Li,³ M. Novak,² I. Mucsi.¹
¹Multi-Organ Transplant Program, University Health Network, Toronto, ON, Canada; ²Centre for Mental Health, University Health Network, Toronto, ON, Canada; ³Department of Supportive Care, Princess Margaret Hospital, Toronto, ON, Canada.
BACKGROUNDDepression and anxiety are frequent among kidney transplant recipients (KTRs). We evaluate the accuracy of the Patient Reported Outcomes Measurement System (PROMIS 57 item) depression…
2018 American Transplant Congress
Measles and Varicella Vaccination Status and Evidence of Immunity during Solid Organ Pre-Transplantation Evaluation
H. Daniels, C. Saracusa, S. Worley, B. Gonzalez.
Pediatric Infectious Diseases, Cleveland Clinic, Cleveland, OH.
Background: Ensuring complete vaccination is important during a pre-transplant evaluation (PTE), especially for live viral vaccines which are generally contraindicated after transplant. After one dose…
2018 American Transplant Congress
Frailty and Kidney Transplantation: AST-KPCOP Survey of Center Practices
M. McAdams DeMarco, S. Rasmussen, R. Parsons, T. Alhamad, K. Johansen, S. Tullius, R. Lynch, M. Harhay, M. Rao, J. Berger, J. Lappin, J. Tan, X. Cheng, K. Woodside, S. Parajuli, K. Lentine, B. Kaplan, D. Segev, J. Kobashigawa, D. Dadhania.
Kidney Pancreas COP, AST, Mt. Laurel.
Background: Frailty is a clinical phenotype of decreased physiologic reserve and resistance to stressors. Given the potential utility of frailty evaluation as prognosticator of kidney…
2018 American Transplant Congress
Psychosocial Assessment of Candidates for Transplantation (PACT) Identifies Non-Adherence in Pediatric Kidney Transplantation
K. Freischlag,¹ V. Chen,² S. Nagaraj,² A. Chua,² E. Chambers.²
¹School of Medicine, Duke University, Durham, NC; ²Pediatrics, Duke University, Durham, NC.
Background: We have demonstrated that overall pre-transplant Psychosocial Assessment of Candidates for Transplantation (PACT) scores can identify high risk pediatric kidney recipients. In this pilot…
2018 American Transplant Congress
Prediction of BK Viremia by Urine BK Viral Load in Renal Transplant Patients: BK Viral Load Results in Paired Urine and Plasma Samples
K. Madden,¹ C. Janitell,² S. Yang.²
¹Pathology, University of New Mexico, Albuquerque, NM; ²Microbiology, Tricore Reference Laboratories, Albuquerque, NM.
BK virus (BKV) associated nephropathy (BKVAN) affects up to 10% of renal transplant recipients, causing graft failure without intervention; a presumptive BKVAN diagnosis is made…