scholarly journals Dramatic secular changes in prognosis for kidney transplant candidates in the United States

2018 ◽  
Vol 19 (2) ◽  
pp. 414-424 ◽  
Author(s):  
Jesse D. Schold ◽  
Susana Arrigain ◽  
Stuart M. Flechner ◽  
Joshua J. Augustine ◽  
John R. Sedor ◽  
...  
Keyword(s):  
United States ◽  
Kidney Transplant ◽  
The United States ◽  
Secular Changes ◽  
Transplant Candidates

scholarly journals Coronary Artery Disease Screening of Asymptomatic Kidney Transplant Candidates: A Web-Based Survey of Practice Patterns in the United States

2020 ◽  
Vol 2 (4) ◽  
pp. 505-507
Author(s):  
Xingxing S. Cheng ◽  
Roy O. Mathew ◽  
Ravi Parasuraman ◽  
Ekamol Tantisattamo ◽  
Swee-Ling Levea ◽  
...  
Keyword(s):  
United States ◽  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Kidney Transplant ◽  
Practice Patterns ◽  
The United States ◽  
Disease Screening ◽  
Web Based ◽  
Artery Disease ◽  
Transplant Candidates

scholarly journals Bariatric Surgery Among Kidney Transplant Candidates and Recipients: Analysis of the United States Renal Data System and Literature Review

2009 ◽  
Vol 87 (8) ◽  
pp. 1167-1173 ◽  
Author(s):  
Kian A. Modanlou ◽  
Umadevi Muthyala ◽  
Huiling Xiao ◽  
Mark A. Schnitzler ◽  
Paolo R. Salvalaggio ◽  
...  
Keyword(s):  
United States ◽  
Bariatric Surgery ◽  
Literature Review ◽  
Kidney Transplant ◽  
The United States ◽  
Data System ◽  
Transplant Candidates

Temporal Trends and Evolving Outcomes after Simultaneous Liver‐Kidney Transplant (SLKT): Results from the United States SLKT Consortium

2021 ◽  
Author(s):  
Giuseppe Cullaro ◽  
Pratima Sharma ◽  
Jennifer Jo ◽  
Jasmine Rassiwala ◽  
Lisa VanWagner ◽  
...  
Keyword(s):  
United States ◽  
Kidney Transplant ◽  
Temporal Trends ◽  
The United States

Effect of the Opioid Crisis on the Donor Pool for Kidney Transplantation: An Analysis of National Kidney Deceased Donor Trends from 2010–2016

2018 ◽  
Vol 47 (2) ◽  
pp. 84-93 ◽  
Author(s):  
Donald F. Chute ◽  
Meghan E. Sise
Keyword(s):  
United States ◽  
Kidney Transplant ◽  
Drug Overdose ◽  
Organ Procurement ◽  
Deceased Donor ◽  
The United States ◽  
Hcv Infection ◽  
Kidney Donor ◽  
Donor Pool ◽  
Opioid Crisis

Background: The opioid crisis has led to a dramatic increase in the number of drug overdose deaths in the United States. Little is known about the effect of the opioid crisis on the kidney transplant donor pool, particularly on hepatitis C virus (HCV)-infected donors. Methods: This is a retrospective analysis of the data from the Organ Procurement and Transplantation Network from 2010 to 2016. We determined the changes in characteristics of kidney transplant donors and evaluated which changes may be directly related to the opioid crisis. Results: Between 2010 and 2016, we found a 26% increase in overall donors, including a 277% increase in the number of donors who died from drug overdose. Nineteen percent of donors who died of drug overdose had HCV infection. Donors who die from drug overdose and donors with HCV infection are younger, less likely to have diabetes or hypertension, and have favorable kidney donor profile index scores compared to average donors. Despite these favorable characteristics, HCV-infected donors appear to be notably underutilized, with substantially lower kidneys per donor being transplanted compared to HCV uninfected donors. Conclusion: The opioid crisis in the United States has substantially altered the kidney donor pool. Strategies to increase utilization of all potentially viable kidneys for transplant are needed, particularly in this era of new, highly effective, direct-acting antiviral therapy for HCV infection.

Geographic Disparity in the United States Heart Allocation System

2019 ◽  
pp. 65-87
Author(s):  
Fatemeh Karami ◽  
Mehdi Nayebpour ◽  
Monica Gentili ◽  
Naoru Koizumi ◽  
Andrew Rivard
Keyword(s):  
United States ◽  
Mortality Rate ◽  
Waiting Time ◽  
Average Distance ◽  
The United States ◽  
Allocation Model ◽  
Geographic Disparity ◽  
Transplant Candidates ◽  
Geographic Equity ◽  
The Impact

Organ allocation for transplantation across the United States is administered by the United Network for Organ Sharing (UNOS). UNOS recently approved a major policy change of the system used to allocate hearts for adult transplant candidates. The main objective of this study is to investigate the impact of the new policy on geographic disparity measured by four performance indicators (waiting time before a transplant, transplant rate, pre-transplant mortality rate, and average distance traveled by donated hearts). The current policy and the new policy were evaluated using the thoracic simulation allocation model. The results show that the new policy improves the median waiting time, transplant rate, and pre-transplant mortality rate. The overall predicted improvement in geographic equity is modest except in terms of waiting time. The findings highlight the need for a targeted approach for donor heart allocation to achieve equal access to heart transplantation in the US.

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