2018 American Transplant Congress
OPTN VCA Waiting List Trends
Since the start of the OPTN VCA waiting list (WL), 49 candidates– 53.1% male, 81.6% white, & 75.5% <45 yrs – were added to the…2018 American Transplant Congress
The Predictive Power of MELD is Decreasing in the Era of Older, Sicker Patients
PurposeThe field of liver transplantation has shifted considerably in the MELD era. Liver allocation, immunosuppression, and etiologies of liver failure have changed over time, and…2018 American Transplant Congress
Measuring and Monitoring Equity in Access to Deceased Donor Liver Transplants
Background: In 2016, the Organ Procurement and Transplantation Network (OPTN) developed a methodology to measure equity in deceased donor kidney allocation and has adapted it…2018 American Transplant Congress
Patients Prioritize Waitlist Factors over Outcomes When Evaluating Kidney Transplant Centers
Nephrology, Columbia University Medical Center, New York, NY.
The factors that influence transplant candidates' selection of a transplant center for waitlisting are not well understood. Further, the relative weightage of these factors has…2018 American Transplant Congress
Health and Economic Disparities in Waitlist Access and Liver Distribution Policy
1Surgery, Emory University, Atlanta, GA; 2Hepatology, University of Pennsylvania, Philadelphia, PA.
Background:Sociodemographic disparities compound mortality on the liver transplant waitlist, but the relevance of waitlist disparities to mortality and access among the general population remains unclear.Methods:…2018 American Transplant Congress
MELD-Na Score Based Liver Allocation: Hyponatremia is No Longer a Risk Factor for Waitlist Mortality
Background: Hyponatremia is associated with an increased risk of liver transplant (LT) waitlist mortality. The aim of this study was to compare waitlist outcomes between…2018 American Transplant Congress
Liver Transplantation in Foreign Nationals: Lower Rates of Waitlist Mortality and Higher Rates of Lost to Follow-Up Post-Transplant
University of Pennsylvania, Philadelphia.
Background: A highly contentious issue in the transplant community is whether or not to provide deceased donor liver transplant (DDLT) to non-citizen/non-residents (NCNRs) who travel…2018 American Transplant Congress
Estimation of Mortality on the Wait List
Baylor University Medical Center, Dallas, TX.
Background: Since the introduction of MELD and MELDNa, the waitlist population has changed. Further, serum creatinine is a poor surrogate of renal dysfunction in patients…2018 American Transplant Congress
The Utility of an Online Survival Calculator in Selecting Older Candidates for Kidney Transplantation
Vanderbilt University Medical Center, Nashville, TN.
Background: Older patients referred for kidney transplantation are medically complex. A posttransplant survival prediction model is publicly available online and may aid physicians in selecting…2018 American Transplant Congress
Ethnic and Age Disparities in Outcomes among Liver Transplant Waitlist Candidates
1University of Alabama at Birmingham, Birmingham; 2Department of Veterans Affairs, Washington DC.
Background: Despite the increasing prevalence of end-stage liver disease (ESLD) in older adults, there is no consensus to determine suitability for liver transplantation (LT) in…
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