Articles tagged "Waiting lists"

2018 American Transplant Congress
Health and Economic Disparities in Waitlist Access and Liver Distribution Policy
R. Lynch,¹ K. Ross,¹ T. Pearson,¹ D. Goldberg,² R. Patzer.¹
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
S. Nagai,¹ L. Chau,¹ M. Safwan,¹ R. Schilke,¹ M. Rizzari,¹ K. Collins,¹ A. Yoshida,¹ M. Abouljoud,¹ D. Moonka.²
¹Transplant and Hepatobiliary Surgery, Henry Ford Hospital, Detroit, MI; ²Gastroenterology, Henry Ford Hospital, Detroit, MI.
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
N. Ferrante, D. Goldberg.
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
S. Asrani, L. Jennings, J. Trotter, G. Klintmalm.
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
M. Shwetar, K. Abdel-Kader, B. Concepcion.
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
M. Mustian,¹ S. Gray,¹ B. Shelton,¹ R. Reed,¹ P. MacLennan,¹ J. White,¹ D. Eckhoff,¹ R. Allman,² J. Locke.¹
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…
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…