scholarly journals Awareness of the New Kidney Allocation System among United States Dialysis Providers with Low Waitlisting

2018 ◽  
Vol 47 (2) ◽  
pp. 115-119 ◽  
Author(s):  
Rachel E. Patzer ◽  
Mohua Basu ◽  
Kayla D. Smith ◽  
Laura Plantinga ◽  
Sumit Mohan ◽  
...  
Keyword(s):  
Nurse Managers ◽  
Randomized Study ◽  
Deceased Donor ◽  
Kidney Allocation ◽  
Allocation System ◽  
Kidney Allocation System ◽  
Dialysis Facility ◽  
Medical Directors ◽  
Dialysis Facilities ◽  
Facility Staff

It is unknown whether dialysis facility staff are aware of the new kidney allocation system implemented in December 2014, which changed how deceased donor kidneys are allocated and waiting time is calculated. U.S. dialysis facilities with low annual waitlisting (<15.2%) were surveyed as part of a large randomized study. Among 653 facilities, 57.9% of staff were aware of the policy change, with medical directors (84.4%) being more aware than social workers (73.3%), facility administrators (53.1%), nurse managers (46.4%), and other staff (43.8%). Targeted education among dialysis facilities with low waitlisting may help extend the reach of the new policy.

scholarly journals 4354 The Impact of the 2014 Kidney Allocation System on Waitlisting Rates at the Dialysis Facility Level

2020 ◽  
Vol 4 (s1) ◽  
pp. 148-149
Author(s):  
Taylor Andrew Melanson ◽  
Jennifer Gander ◽  
Rachel Patzer
Keyword(s):  
Lower Quartile ◽  
Kidney Allocation ◽  
Allocation System ◽  
Percentage Points ◽  
Kidney Allocation System ◽  
Average Change ◽  
Dialysis Facility ◽  
Dialysis Facilities ◽  
The Impact ◽  
Esrd Patients

OBJECTIVES/GOALS: The new Kidney Allocation System (KAS) was implemented in 2014 and it is not fully understood how its changes to patient incentives may have impacted dialysis facility waitlisting rates. We examine differences in facility performance and how such differences may have been impacted by this policy change. METHODS/STUDY POPULATION: We used Dialysis Facility Report data from 2011 to 2017 to study waitlisting rates at 3,392 dialysis facilities in the US, using waitlisting counts in the numerator, and the total number of ESRD patients in a facility as the denominator. We examined changes in waitlisting rates over by year at the facility, regional, and national level, and report national trends in waitlisting pre- and post-KAS. Facilities were stratified based on waitlisting rate in 2011 and then we examined whether each facility moved into a higher or lower quartile or stayed in the same quartile in 2017. RESULTS/ANTICIPATED RESULTS: Among n = 3,392 dialysis facilities, the average change in dialysis facility waitlisting rates from 2011 to 2017 was −4.74 percentage points (range -54.4% to 42.3%). Average change in dialysis facility waitlisting rates from 2011 to 2014 was −0.57 percentage points while the average change in dialysis facility waitlisting rates from 2014 to 2017 was −4.17 percentage points. Half of facilities in the 2011 lowest quartile remained in the lowest quartile in 2017; 45% of facilities in the top 2011 quartile dropped into a lower quartile. The middle 2 quartiles were fairly evenly split between worsening, improving, and not changing. DISCUSSION/SIGNIFICANCE OF IMPACT: Average waitlisting rates have declined since KAS implementation. Many facilities switched quartiles from 2011-17 suggesting that facility waitlisting rates are unstable over time. The decline in waitlisting rates post-KAS suggests that new allocation rules may be discouraging patients and/or providers from getting ESRD patients waitlisted.

scholarly journals Pediatric deceased donor kidney transplant outcomes under the Kidney Allocation System

2019 ◽  
Vol 19 (11) ◽  
pp. 3079-3086 ◽  
Author(s):  
Kyle R. Jackson ◽  
Sheng Zhou ◽  
Jessica Ruck ◽  
Allan B. Massie ◽  
Courtenay Holscher ◽  
...  
Keyword(s):  
Kidney Transplant ◽  
Deceased Donor ◽  
Donor Kidney ◽  
Kidney Allocation ◽  
Allocation System ◽  
Transplant Outcomes ◽  
Deceased Donor Kidney ◽  
Kidney Allocation System ◽  
Deceased Donor Kidney Transplant

P039 New priorities: Analysis of the new kidney allocation system on UCLA patients transplanted from the deceased donor waitlist

2016 ◽  
Vol 77 ◽  
pp. 68
Author(s):  
Michelle J. Hickey ◽  
Ying Zheng ◽  
Carolyn Krystal ◽  
Nicole Valenzuela ◽  
Eileen Tsai ◽  
...  
Keyword(s):  
Deceased Donor ◽  
Kidney Allocation ◽  
Allocation System ◽  
Kidney Allocation System

Outcomes in the highest panel reactive antibody recipients of deceased donor kidneys under the new kidney allocation system

2017 ◽  
Vol 31 (3) ◽  
pp. e12895 ◽  
Author(s):  
Sandesh Parajuli ◽  
Robert R. Redfield ◽  
Brad C. Astor ◽  
Arjang Djamali ◽  
Dixon B. Kaufman ◽  
...  
Keyword(s):  
Deceased Donor ◽  
Kidney Allocation ◽  
Allocation System ◽  
Panel Reactive Antibody ◽  
Kidney Allocation System ◽  
Reactive Antibody

The New Kidney Donor Allocation System and Implications for Anesthesiologists

2017 ◽  
Vol 22 (2) ◽  
pp. 223-228 ◽  
Author(s):  
Srikanth Sridhar ◽  
Sara Guzman-Reyes ◽  
Sam D. Gumbert ◽  
Semhar J. Ghebremichael ◽  
Angelina R. Edwards ◽  
...  
Keyword(s):  
Deceased Donor ◽  
Central Vein ◽  
Transplant Recipients ◽  
Kidney Transplant Recipients ◽  
Kidney Allocation ◽  
Allocation System ◽  
Vein Access ◽  
Organ Systems ◽  
Kidney Allocation System ◽  
Stage Renal Disease

Given potential disparity and limited allocation of deceased donor kidneys for transplantation, a new federal kidney allocation system was implemented in 2014. Donor organ function and estimated recipient survival in this system has implications for perioperative management of kidney transplant recipients. Early analysis suggests that many of the anticipated goals are being attained. For anesthesiologists, implications of increased dialysis duration and burdens of end-stage renal disease include increased cardiopulmonary disease, challenging fluid, hemodynamic management, and central vein access. With no recent evidence to guide anesthesia care within this new system, we describe the kidney allocation system, summarize initial data, and briefly review organ systems of interest to anesthesiologists. As additional invasive and echocardiographic monitoring may be indicated, one consideration may be development of a dedicated anesthesiology team experienced in management and monitoring of complex patients, in a similar manner as has been done for liver transplant recipients.

scholarly journals Decreasing deceased donor transplant rates among children (≤6 years) under the new kidney allocation system

2018 ◽  
Vol 18 (7) ◽  
pp. 1690-1698 ◽  
Author(s):  
Brittany A. Shelton ◽  
Deirdre Sawinski ◽  
Christopher Ray ◽  
Rhiannon D. Reed ◽  
Paul A. MacLennan ◽  
...  
Keyword(s):  
Deceased Donor ◽  
Kidney Allocation ◽  
Allocation System ◽  
Kidney Allocation System ◽  
Donor Transplant
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