Articles tagged "Waiting lists"

2022 American Transplant Congress
Escalating Waitlist Mortality Above MELD 40: A Rationale to Uncap MELD 3.0?
A. Kwong, A. Mannalithara, W. Kim
Division of Gastroenterology and Hepatology, Stanford University, Stanford, CA
*Purpose: MELD 3.0 is a recently proposed model that improves upon MELD-Na, incorporating sex and albumin as additional variables, updating existing coefficients and adding relevant…
2022 American Transplant Congress
Why is Adolescent Waitlist Mortality Higher for Status 1A Girls?
J. Foutz¹, E. Hsu², S. Noreen³, M. Cafarella⁴, J. Pomposelli⁵, S. Biggins⁶, J. Reyes⁶, E. Perito⁷
¹Research, United Network for Organ Sharing, Richmond, VA, ²Seattle Children's Hospital, Seattle, WA, ³United Network for Organ Sharing, Richmond, VA, ⁴Policy and Community Relations, United Network for Organ Sharing, Richmond, VA, ⁵University of Colorado, Aurora, CO, ⁶University of Washington, Seattle, WA, ⁷UCSF, San Francisco, CA
*Purpose: Although adolescent pediatric liver transplant candidates are a vulnerable population, they are often excluded from analyses due to small sample size and assignment of…
2022 American Transplant Congress
Barriers to Completing the Transplant Evaluation Process: A Mixed-Methods Study
E. J. Gordon¹, J. J. Uriarte¹, A. N. McLagan¹, B. Kuramitsu¹, J. Gacki-Smith¹, M. Shumate², L. McElroy³, J. Caicedo¹
¹Northwestern University Feinberg School of Medicine, Chicago, IL, ²Northwestern University, Evanston, IL, ³Duke University, Durham, NC
*Purpose: Little is known about patient-reported factors affecting patients’ access to the kidney transplant waitlist after starting evaluation. We qualitatively assessed patients’ perceived barriers to…
2022 American Transplant Congress
18 Month Impact of the National Liver Review Board
J. Foutz¹, S. Noreen¹, K. Bradbrook², M. Cafarella¹, J. Pomposelli³, S. Biggins⁴, J. Trotter⁵
¹United Network for Organ Sharing, Richmond, VA, ²Research, United Network for Organ Sharing, Richmond, VA, ³University of Colorado, Aurora, CO, ⁴University of Washington, Seattle, WA, ⁵Baylor University Medical Center, Dallas, TX
*Purpose: The National Liver Review Board (NLRB) was implemented 5/14/2019, establishing a national structure for liver exceptions comprised of three specialty review boards and a…
2022 American Transplant Congress
Lung Transplant Waitlist Outcomes for Blood Group O Candidates After the Expansion of the Primary Allocation Unit in November 2017
S. Greissman¹, M. Anderson², S. Arcasoy³, A. Dimango³, M. Gabriela³, H. Grewal³, H. Robbins³, L. Shah³, J. Costa³, F. D'Ovidio³, M. Leiva Juarez³, P. Lemaitre³, J. Sonett³, L. Benvenuto³
¹Department of Internal Medicine, New York Presbyterian, New York, NY, ²University of Pennsylvania, Philadelphia, PA, ³Columbia University, New York, NY
*Purpose: Blood group O is associated with decreased lung transplant rates. Occasionally, blood group donor O lungs are allocated to non-blood group O recipients. Since…
2022 American Transplant Congress
Implications of Pre-Transplant (tx) COVID-19 on SOT or HCT: A Multicenter Study
G. Haidar¹, K. Hughes-Kramer², C. Alonso³, J. Hand⁴, E. Blodget⁵, V. Srinivasa⁵, S. Aslam⁶, H. Hassouna⁷, C. Lawson⁷, M. Malinis⁸, S. Anjan⁹, E. Lease¹⁰, M. Al-Obaidi¹¹, P. Vergidis¹², J. Husson¹³, D. van Duin¹⁴, R. Avery¹⁵, K. Downes¹⁶, M. R. Heldman¹⁰, J. Nelson¹⁷, S. Pouch¹⁸, S. Chuang¹⁹, C. Kao²⁰, M. Estabrook²¹, F. Alconchel²², S. Mazumber²³, P. Samanta², M. Wagener², N. Singh², F. Silveira²
¹UPitt, Pitt, PA, ²UPitt, Pittsburgh, PA, ³BIDMC, Boston, MA, ⁴Ochsner, New Orleans, LA, ⁵USC, Los Angeles, CA, ⁶UCSD, San Diego, CA, ⁷Spectrum Health, Grand Rapids, MI, ⁸Yale, New Haven, CT, ⁹UMiami, Miami, FL, ¹⁰UW, Seattle, WA, ¹¹U Arizona, Tucson, AZ, ¹²Mayo, Rochester, MN, ¹³UMMC, Baltimore, MD, ¹⁴UNC, Chapel Hill, NC, ¹⁵JHU, Baltimore, MD, ¹⁶CHOP, Philadelphia, PA, ¹⁷Stanford, Stanford, CA, ¹⁸Emory, Decatur, GA, ¹⁹U Rochester, Rochester, NY, ²⁰WashU, St Louis, MO, ²¹WashU, Saint Louis, MO, ²²Spain, Murcia, Spain, ²³U Tennessee, Memphis, TN
*Purpose: Describe outcomes of patients (pt) with pre-tx COVID-19.*Methods: Multicenter study of SOT/HCT candidates who had a positive (pos) SARS-CoV-2 PCR pre-tx.*Results: Pre-tx: Of 208…
2022 American Transplant Congress
Transplant Centers That Assess Frailty as Part of Clinical Practice Have Better Outcomes
X. Chen¹, Y. Liu¹, V. Thompson¹, N. M. Chu¹, E. A. King¹, J. D. Walston², J. A. Kobashigawa³, D. M. Dadhania⁴, D. L. Segev¹, M. A. McAdams-DeMarco¹
¹Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, ²Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, ³Comprehensive Transplant Center, Cedars-Sinai Medical Center, Los Angeles, CA, ⁴Division of Nephrology and Hypertension, Weill Cornell Medicine, New York, NY
*Purpose: Frailty predicts adverse post-kidney transplant (KT) outcomes, yet impacts of frailty assessments on center-level outcomes remain unclear. We tested whether transplant centers assessing frailty…
2022 American Transplant Congress
Knowledge Gaps and Perceptions of Liver Disease and Liver Transplant Referral Serve as Barriers to Transplant Among Primary Care Providers in Non-Urban America
M. Wright¹, V. Madabhushi¹, A. R. Garcia², N. Pope², A. Murphy³, C. N. Taylor¹, R. Gedaly¹, M. Gupta¹
¹Surgery, University of Kentucky, Lexington, KY, ²College of Social Work, University of Kentucky, Lexington, KY, ³School of Public Health, University of Kentucky, Lexington, KY
*Purpose: The path to liver transplant (LTX) typically begins with primary care providers(PCPs), and is dependent on timely referral to transplant centers. The referral patterns…
2022 American Transplant Congress
International Practices on COVID-19 Vaccine Mandates for Transplant Candidates
Y. Caliskan¹, B. E. Hippen², D. Axelrod³, M. Schnitzler¹, K. Maher¹, T. Alhamad⁴, S. Anwar⁵, V. Kute⁶, K. Lentine¹
¹Saint Louis University, Saint Louis, MO, ²Transplant Medicine, Fresenius Medical Care, Charlotte, NC, ³University of Iowa, Iowa City, IA, ⁴Washington University School of Medicine at St. Louis, Saint Louis, MO, ⁵Sheikh Shakhbout Medical Hospital, Abu Dhabi, United Arab Emirates, ⁶Dr. H L Trivedi Institute of Transplantation Sciences, Ahmedabad, India
*Purpose: The coronavirus disease 2019 (COVID-19) pandemic has created unprecedented challenges and there are practice differences for solid organ transplant programs worldwide. We sought to…
2022 American Transplant Congress
Process Evaluation of the Ascent Study: A Hybrid Type 1 Effectiveness-Implementation Trial of a Multi-Level Intervention to Improve Dialysis Provider Knowledge of Kidney Allocation Policy Changes and Increase Kidney Transplant Waitlisting
M. A. Urbanski¹, Y. Lee¹, M. Basu¹, C. Escoffery², R. Hamoda¹, L. Plantinga³, S. O. Pastan¹, R. E. Patzer¹
¹Division of Transplantation, Emory University School of Medicine, Emory University, Atlanta, GA, ²Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, Atlanta, GA, ³Division of Geriatrics and Gerontology, Emory University School of Medicine, Emory University, Atlanta, GA
*Purpose: Kidney transplant is the optimal treatment for end-stage kidney disease, yet only a fifth of patients are on the waitlist and inequities in access…