Articles tagged "Waiting lists"

2018 American Transplant Congress
Frequency of Whole-Organ in Lieu of Split-Liver Transplantation over the Last Decade: Children Experienced Increased Wait Time and Death
P. Valentino,¹ S. Emre,² L. Li,³ Y. Deng,³ G. Gan,³ D. Mulligan,² U. Ekong,¹ M. Rodriguez-Davalos.⁴
¹Pediatrics, Hepatology, Yale University, New Haven, CT; ²Surgery, Transplant, Yale University, New Haven, CT; ³Yale Center for Analytical Sciences, Yale University, New Haven, CT; ⁴Surgery, Transplant, Primary Children's Hospital, Salt Lake City, UT.
Background: Organ shortage is a barrier in liver transplantation (LT). Split liver transplantation (SLT) increases organ utilization where a donor provides segmental grafts to 2…
2018 American Transplant Congress
Associations of Poor Physical and Cognitive Performance and Kidney Transplant Waiting List Denial
M. Harhay,¹ K. Ranganna,¹ F. Michie,¹ C. Selinski,¹ T. Bajakian,¹ L. Levin Mizrahi,¹ J. Lee,¹ G. Malat,¹ G. Xiao,¹ D. Reich,¹ S. Guy,¹ P. Reese.²
¹Drexel University College of Medicine, Philadelphia; ²Perelman School of Medicine at the University of Pennsylvania, Philadelphia.
Background: Little is known about the clinical impacts of physical and cognitive impairments on kidney transplantation (KT) candidacy.Methods: We enrolled 170 adults (age> 18 years)…
2018 American Transplant Congress
First-Time Simultaneous vs. Sequential Liver-Kidney Transplantation in Polycystic Kidney Disease: A Review of the UNOS Database
P. Nguyen,¹ A. Rana,¹ T. Miloh.²
¹Baylor College of Medicine, Houston, TX; ²Texas Children's Hospital, Houston, TX.
Introduction. Polycystic disease (PKD) may necessitate the need for liver and/or kidney transplantation. The long-term outcomes of simultaneous liver-kidney transplantation (SLK) and kidney-after-liver (KAL) or…
2018 American Transplant Congress
Consequences of Being Listed at a Small Pancreas Program
S. Niederhaus,¹ M. Curry,² A. Fox,² J. Fridell,³ J. Odorico.⁴
¹Surgery, University of Maryland, Baltimore, MD; ²UNOS, Richmond, VA; ³Surgery, Indiana University, Indianapolis, IN; ⁴Surgery, University of Wisconsin, Madison, WI.
How pancreas transplant center (PTC) volume affects patient outcomes after listing is unclear. Low volumes may lengthen waiting times or limit access to transplantation. We…
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
Surgical Categorization Improve Outcomes and Organ Utilization in Liver Transplant
H. Bohorquez,^1,2 H. Sharma,¹ D. Bruce,¹ A. Cohen,^1,2 C. Carmody,^1,2 J. Seal,¹ E. Bugeaud,¹ D. Sonnier,¹ A. Mathur,¹ D. Marroquin,¹ M. Voltz,¹ D. Lucia,¹ G. Loss.^1,2
¹Multi-Organ Transplant Institute, Ochsner Helath System, New Orleans, LA; ²School of Medicine, University of Queensland, New Orleans, LA.
Background: Liver transplant (LT) varies greatly in technical complexity due to factors such as prior surgery, obesity, and portal vein thrombosis (PVT). This must be…
2018 American Transplant Congress
Development of an Individualized Online Shared Decision Making Tool for Kidney Transplant Candidates
A. Hart,^1,2,3 M. Bruin,¹ S. Chu,¹ M. Partin,¹ A. Matas,¹ C. John,¹ A. Israni.^1,2,3
¹University of Minnesota, Minneapolis; ²Scientific Registry of Transplant Recipients, Minneapolis; ³Hennepin County Medical Center, Minneapolis.
Background: Inadequate knowledge hinders informed decision making in kidney transplant candidates. We conducted qualitative interviews and focus groups with patients and providers to inform development…
2018 American Transplant Congress
Determinants of Delays and Reduced Rates of Waitlisting and Kidney Transplant among American Indians
M. Keddis, M. Ilyas, N. Zhang, H. Khamash, S. Leischow, A. Sharma, R. Heilman.
Mayo Clinic, Phoenix, AZ.
Introduction: American Indian (AI) patients experience delays in every step of the kidney transplant (KTx) evaluation. Our objective is to determine the contribution of co-morbid…
2018 American Transplant Congress
Poverty, End Stage Liver Disease, and Transplantation in Georgia
R. Lynch,¹ K. Ross,¹ J. Magliocca,¹ D. Goldberg,² R. Patzer.¹
¹Surgery, Emory University, Atlanta, GA; ²Medicine, University of Pennsylvania, Philadelphia, GA.
Background: Though discussions of equity in liver transplantation remain focused primarily on relative availability of allografts as a measure of access, differences in disease burden…
2018 American Transplant Congress
Deceased Donor Initiated Kidney Transplant Exchanges and the Forgotten Incompatible Directed Donor Recipients
E. Molmenti,¹ C. Molmenti,² E. Grodstein,¹ H. Rilo,¹ L. Teperman.¹
¹Surgery, Zucker School of Medicine at Hofstra/Northwell, Manhasset, NY; ²Feinstein Institute, Zucker School of Medicine at Hofstra/Northwell, Manhasset, NY.
Although incompatibility is usually viewed as affecting potential recipients of live donors, it is also encountered in instances of directed donation of deceased donors. In…