Simulation modeling of the impact of proposed new simultaneous liver and kidney transplantation policies.

Abstract:

BACKGROUND:Increasing use of kidney grafts for simultaneous liver and kidney (SLK) transplants is causing concern about the most effective utilization of scarce kidney graft resources. This study evaluated the impact of implementing the proposed United Network for Organ Sharing SLK transplant policy on outcomes for end-stage liver disease (ESLD) and end-stage renal disease (ESRD) patients awaiting transplant. METHODS:A Markov model was constructed to simulate a hypothetical cohort of ESLD patients over a 30-year time horizon starting from age 50. The model applies the different criteria being considered in the United Network for Organ Sharing policy and tallies outcomes, including numbers of procedures and life years after liver transplant alone (LTA) or SLK transplant. RESULTS:When 1-week pretransplant dialysis duration is required, the numbers of SLK transplants and LTAs would be 648 and 9,065, respectively. If the pretransplant dialysis duration is extended to 12 weeks, there would be 240 SLK transplants and 9,426 LTAs. This change results in a decrease of 6,483 life years among SLK transplant recipients and an increase of 4,971 life years among LTA recipients. However, by increasing the dialysis duration to 12 weeks from 1 week, 408 kidney grafts would be released to the kidney waitlist because of the decline in SLK transplants; this yields 796 additional life years gained among ESRD patients. CONCLUSION:Implementation of the proposed SLK transplant policy could restore access to kidney transplants for patients with ESRD albeit at the detriment of patients with ESLD and renal impairment.

journal_name

Transplantation

journal_title

Transplantation

authors

Chang Y,Gallon L,Shetty K,Chang Y,Jay C,Levitsky J,Ho B,Baker T,Ladner D,Friedewald J,Abecassis M,Hazen G,Skaro AI

doi

10.1097/TP.0000000000000270

subject

Has Abstract

pub_date

2015-02-01 00:00:00

pages

424-30

issue

2

eissn

0041-1337

issn

1534-6080

journal_volume

99

pub_type

杂志文章
  • Renal Transplantation From Pediatric Donors in the United Kingdom.

    abstract:BACKGROUND:Significant disparity exists in the United Kingdom between the need for organ transplant and supply of deceased donor organs. In the recent years, efforts to increase donation has improved the rate of mainly deceased donors after circulatory death and from older donors. The rate of donation from pediatric po...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000000575

    authors: Dave RV,Hakeem AR,Dawrant MJ,Ecuyer CL,Lewington AJ,Attia MS,Hostert L,Finlay E,Ahmad N

    更新日期:2015-09-01 00:00:00

  • Amyloid A Amyloidosis After Renal Transplantation: An Important Cause of Mortality.

    abstract:BACKGROUND:There are limited data on the outcome of transplant recipients with familial Mediterranean fever (FMF)-associated AA amyloidosis. The aim of the present study is to evaluate demographic, clinical, laboratory, and prognostic characteristics and outcome measures of these patients. METHODS:Eighty-one renal tra...

    journal_title:Transplantation

    pub_type: 杂志文章,多中心研究

    doi:10.1097/TP.0000000000003043

    authors: Sarihan I,Caliskan Y,Mirioglu S,Ozluk Y,Senates B,Seyahi N,Basturk T,Yildiz A,Kilicaslan I,Sever MS

    更新日期:2020-08-01 00:00:00

  • Association between capsule diameter, adequacy of encapsulation, and survival of microencapsulated rat islet allografts.

    abstract::As a consequence of its large volume, a microencapsulated islet graft can be implanted only into the peritoneal cavity. The graft volume can be reduced by using small capsules. However, reduction of the diameter of the capsules holds a certain risk, because with smaller capsules, more islets may be found to protrude f...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199610150-00004

    authors: De Vos P,De Haan B,Pater J,Van Schilfgaarde R

    更新日期:1996-10-15 00:00:00

  • Subzero 24-hr nonfreezing rat heart preservation: a novel preservation method in a variable magnetic field.

    abstract:BACKGROUND:A new supercooling system using a variable magnetic field has been recently developed. Subzero nonfreezing preservation has been believed to be a beneficial method because of the lower metabolic rate. The purpose of this study was to evaluate the hemodynamic and metabolic effects of rat heart preservation in...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e3182637054

    authors: Kato H,Tomita S,Yamaguchi S,Ohtake H,Watanabe G

    更新日期:2012-09-15 00:00:00

  • Tuberculosis in lung transplant recipients.

    abstract:BACKGROUND:Post-lung transplant infection is one of the leading causes of morbidity and mortality. The cause and incidence are similar in many series; however, infections such as Mycobacterium tuberculosis are influenced by the epidemiologic situation. The authors present a prospective and observational study to define...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000147784.53188.dc

    authors: Bravo C,Roldán J,Roman A,Degracia J,Majo J,Guerra J,Monforte V,Vidal R,Morell F

    更新日期:2005-01-15 00:00:00

  • HLA matching and the United Network for Organ Sharing Allocation System: impact of HLA matching on African-American recipients of cadaveric kidney transplants.

    abstract:BACKGROUND:A recent proposal supports the elimination of allocation points for human leukocyte antigen (HLA) mismatches (MM) in cadaveric kidney transplantation. The intent is to increase access for some racial groups that might be disadvantaged by the representation of race-specific HLA in a largely white donor pool. ...

    journal_title:Transplantation

    pub_type: 评论,杂志文章

    doi:10.1097/00007890-200212150-00024

    authors: Rebellato LM,Arnold AN,Bozik KM,Haisch CE

    更新日期:2002-12-15 00:00:00

  • Cellular and humoral immune responses of mice during immunological enhancement of an allogeneic tumor.

    abstract::Spleen cells obtained from C57BL/Ks (Ks, H-2d) mice carrying passively enhanced Sarcoma I (Sa I, H-2a) tumors were tested for alloantibody formation, lymphocyte blastogenesis, antibody-dependent cellular cytotoxicity, and cell to cell cytotoxicity. Assays were usually performed approximately 6 weeks after tumor inocul...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-197803000-00011

    authors: Giorgi JV,Tokuda S,Goldberg EH,Shen FW

    更新日期:1978-03-01 00:00:00

  • Clinical results of an organ procurement organization effort to increase utilization of donors after cardiac death.

    abstract:BACKGROUND:To stimulate organ donation, an organ procurement organization (OPO)-wide effort was undertaken to increase donors after cardiac death (DCD) over a 5-year period. This included commonality of protocols, pulsatile perfusion of kidneys, centralization of data and a regional allocation variance designed to mini...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000179641.82031.ea

    authors: Whiting JF,Delmonico F,Morrissey P,Basadonna G,Johnson S,Lewis WD,Rohrer R,O'Connor K,Bradley J,Lovewell TD,Lipkowitz G

    更新日期:2006-05-27 00:00:00

  • Thymoglobulin induction decreases rejection in solitary pancreas transplantation.

    abstract:BACKGROUND:Solitary pancreas transplants, both pancreas transplant alone (PTA) and pancreas after kidney (PAK), have higher rejection rates and lower graft survivals than simultaneous pancreas-kidney transplants (SPK). The aim of this study is to compare three different antibody induction regimens in solitary pancreas ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200111270-00017

    authors: Stegall MD,Kim DY,Prieto M,Cohen AJ,Griffin MD,Schwab TR,Nyberg SL,Velosa JA,Gloor JM,Innocenti F,Bohorquez H,Dean PG,Carpenter HA,Leontovich ON,Sterioff S,Larson TS

    更新日期:2001-11-27 00:00:00

  • T-cell receptor beta-chain usage in directly activated alloreactive CD4+ T cells: unrestricted Vbeta gene usage with CDR3 size limitations.

    abstract:BACKGROUND:Alloreactive immune responses may engage both direct and indirect antigen allorecognition. This study focuses on T-cell receptor (TCR) beta-chain usage by in vitro generated alloreactive CD4+ T cells involved in direct allorecognition pathway. METHODS AND RESULTS:We have established Lewis anti-Brown Norway ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.TP.0000046939.45400.43

    authors: Zhai Y,Kupiec-Weglinski JW

    更新日期:2003-02-27 00:00:00

  • Adult living-donor liver transplantation with ABO-incompatible grafts.

    abstract:BACKGROUND:Liver transplantation using ABO-incompatible grafts is rarely performed because the reported outcome is poorer than with compatible grafts. We report our positive experience with adult-to-adult living-donor liver transplant (LDLT) using ABO-incompatible grafts. METHODS:The immunosuppressive protocol consist...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e3181665172

    authors: Testa G,Vidanovic V,Chejfec G,Gangemi A,Iqpal R,Porubsky M,Pham T,Benedetti E

    更新日期:2008-03-15 00:00:00

  • Induction of IL-2 receptor expression in vivo. Response to allogeneic cells.

    abstract::Although the requirements for the induction of IL-2 receptor expression following lymphocyte stimulation in vitro have been well characterized, little information is available on the role of IL-2 and the IL-2 receptor in lymphocyte activation in vivo. We have established a quantitative assay for the measurement of IL-...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198710000-00018

    authors: Kroczek RA,Black CD,Barbet J,Edison LJ,Shevach EM

    更新日期:1987-10-01 00:00:00

  • Immune dysfunction associated with graft-versus-host reaction in mice transplanted across minor histocompatibility barriers. I. Depressed antigen-specific antibody responses to bacteriophage phi chi 174.

    abstract::The effect of the graft-versus-host reaction in response to minor histocompatibility antigens on the antibody response to a T-dependent antigen was studied in four strains of mice. Lethally irradiated mice were transplanted with bone marrow plus graded numbers of spleen cells from H-2-compatible donors. Recipients of ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198906000-00029

    authors: Hamilton BL,Ochs HD

    更新日期:1989-06-01 00:00:00

  • T cell depletion of human bone marrow. Comparison of Campath-1 plus complement, anti-T cell ricin A chain immunotoxin, and soybean agglutinin alone or in combination with sheep erythrocytes or immunomagnetic beads.

    abstract::The aim of this study was to compare the extent of in vitro T cell depletion and recovery of hematopoietic progenitor cells achieved with five methods of T cell depletion. Bone marrow samples from the same source were treated with monoclonal antibody Campath-1 (CP1) and human complement, XomaZyme-H65 (anti-T cell rici...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198906000-00013

    authors: Frame JN,Collins NH,Cartagena T,Waldmann H,O'Reilly RJ,Dupont B,Kernan NA

    更新日期:1989-06-01 00:00:00

  • Aspergillus infection in single and double lung transplant recipients.

    abstract::To investigate the clinical manifestations of Aspergillus infections in lung transplant recipients, we reviewed the mycology and autopsy reports of all double (DLT=93) and single (SLT=48) lung transplant recipients from November 1983 to May 1993. Positive Aspergillus cultures were identified in 22% of the recipients (...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199603270-00013

    authors: Westney GE,Kesten S,De Hoyos A,Chapparro C,Winton T,Maurer JR

    更新日期:1996-03-27 00:00:00

  • Prolongation of skin allograft survival in rats by a novel immunosuppressive agent, FK506.

    abstract::FK506, an immunosuppresant, was isolated from Streptomyces tsukubaensis. Intramuscular administration of FK506 (0.32 mg/kg or more) 5 days a week for two weeks after grafting prolonged the acceptance time of F344 skin allograft to WKA rats. Similar results were obtained with cyclosporine at 32 mg/kg or more, but other...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198801000-00042

    authors: Inamura N,Nakahara K,Kino T,Goto T,Aoki H,Yamaguchi I,Kohsaka M,Ochiai T

    更新日期:1988-01-01 00:00:00

  • Impairment of the immune response to influenza vaccination in renal transplant recipients by cyclosporine, but not azathioprine.

    abstract::Influenza vaccination has been strongly recommended for immunosuppressed renal transplant recipients. However, immunosuppression may lead to impaired antibody responses. We studied the antibody response to an inactivated trivalent influenza vaccine in 59 renal transplant recipients with life-sustaining kidney function...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198610000-00009

    authors: Versluis DJ,Beyer WE,Masurel N,Wenting GJ,Weimar W

    更新日期:1986-10-01 00:00:00

  • Detection of antibody to hepatitis C virus in renal transplant recipients.

    abstract::Non-A, non-B hepatitis is a significant cause of liver disease among renal allograft recipients. In order to assess the impact and prevalence of hepatitis C in a series of renal allograft recipients, we retrospectively screened 621 consecutive patients transplanted between 1979 and 1989 and 484 cadaver organ donors re...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199102000-00024

    authors: Roth D,Fernandez JA,Burke GW,Esquenazi V,Miller J

    更新日期:1991-02-01 00:00:00

  • Reduced human IgG anti-ATGAM antibody formation in renal transplant recipients receiving mycophenolate mofetil.

    abstract::Exposure to the equine-derived polyclonal antithymocyte preparation, ATGAM, frequently elicits human anti-ATGAM antibody formation. The influence of concomitant immunosuppressants on this antiantibody response has not been established. We therefore evaluated IgG antibody formation to ATGAM in 47 patients receiving ATG...

    journal_title:Transplantation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00007890-199560120-00001

    authors: Kimball JA,Pescovitz MD,Book BK,Norman DJ

    更新日期:1995-12-27 00:00:00

  • MicroRNA-155 Deficiency in Kupffer Cells Ameliorates Liver Ischemia-Reperfusion Injury in Mice.

    abstract:BACKGROUND:MicroRNA-155 (miR-155) is known to be involved in autoimmune diseases, inflammation, and transplantation. However, its role in a warm hepatic ischemia-reperfusion (IR) model has not been fully elucidated. METHODS:Partial hepatic IR was performed in wild-type and miR-155-deficient mice treated with or withou...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000001765

    authors: Li Y,Ma D,Wang Z,Yang J

    更新日期:2017-07-01 00:00:00

  • Successful liver transplantation of two brothers with crigler-najjar syndrome type 1 using a single cadaveric organ.

    abstract::Crigler-Najjar type 1 disease (CNS1) is the result of a genetic defect, leading to complete functional loss of an enzyme which glucuronidates bilirubin. As a consequence, unconjugated bilirubin accumulates and may cause kernicterus, the most serious complication in adolescents. Phototherapy effectively adjusts bilirub...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200201150-00012

    authors: Schauer R,Lang T,Zimmermann A,Stangl M,Da Silva L,Schildberg FW,Rau HG

    更新日期:2002-01-15 00:00:00

  • Tissue-Resident Lymphocytes in Solid Organ Transplantation: Innocent Passengers or the Key to Organ Transplant Survival?

    abstract::Short-term outcomes of solid organ transplantation have improved dramatically over the past several decades; however, long-term survival has remained static over the same period, and chronic rejection remains a major cause of graft failure. The importance of donor, or "passenger," lymphocytes to the induction of toler...

    journal_title:Transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/TP.0000000000002001

    authors: Prosser AC,Kallies A,Lucas M

    更新日期:2018-03-01 00:00:00

  • Small Split Pediatric Kidneys to Expand the Donor Pool: An Analysis of Scientific Registry of Transplant Recipients (SRTR) Data.

    abstract:BACKGROUND:Increased use of pediatric deceased donor kidneys could enlarge the deceased donor kidney pool. Kidney transplant outcomes from small pediatric donors were compared with those from ideal kidney (IK) and expanded criteria kidney (ECK) donors to understand the optimal use of pediatric donor kidneys. METHODS:K...

    journal_title:Transplantation

    pub_type: 杂志文章,多中心研究

    doi:10.1097/TP.0000000000002706

    authors: Suneja M,Kuppachi S,Katz D,Hunsicker L

    更新日期:2019-12-01 00:00:00

  • Pulmonary hemorrhage as a cause of death in allogeneic bone marrow recipients with severe acute graft-versus-host disease.

    abstract::Acute graft-versus-host disease (GVHD) has recently been associated with endothelial cell injury. The potential clinical significance was explored here in an autopsy review. Thirty-seven allogeneic bone marrow recipients were identified in the autopsy files at The Johns Hopkins Hospital with no evidence of systemic in...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199401000-00016

    authors: Wojno KJ,Vogelsang GB,Beschorner WE,Santos GW

    更新日期:1994-01-01 00:00:00

  • Vanishing bile-duct syndrome following liver transplantation--is it reversible?

    abstract::Loss of bile ducts is a characteristic feature of chronic rejection in the liver allograft (also known as irreversible rejection and vanishing bile-duct syndrome). Typically, this occurs as a progressive lesion resulting in irreversible damage and graft failure requiring retransplantation. In this study, we describe 6...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199105000-00014

    authors: Hubscher SG,Buckels JA,Elias E,McMaster P,Neuberger J

    更新日期:1991-05-01 00:00:00

  • Complement-mediated pulmonary xenograft injury: studies in swine-to-primate orthotopic single lung transplant models.

    abstract:BACKGROUND:The pathogenesis of acute pulmonary xenograft injury has not yet been determined. The present study evaluates the role of complement in mediating pulmonary xenograft dysfunction by using cobra venom factor (CVF) to deplete recipient complement and transgenic swine, which express human regulators of complemen...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199804270-00013

    authors: Yeatman M,Daggett CW,Parker W,Byrne GW,Logan JS,Platt JL,Davis RD

    更新日期:1998-04-27 00:00:00

  • Beneficial effect of pentoxifylline on microvesicular steatotic livers submitted to a prolonged cold ischemia.

    abstract:BACKGROUND:The deleterious effect of steatosis on transplanted livers is mainly related to a microcirculation impairment. We investigated the effect of preservation duration on the recovery of isolated perfused rat steatotic livers and tested the effect of pentoxifylline (PTX), known to have a beneficial effect on hepa...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.TP.0000071846.35825.B1

    authors: Arnault I,Bao YM,Sebagh M,Anjo A,Dimicoli JL,Lemoine A,Delvart V,Adam R

    更新日期:2003-07-15 00:00:00

  • Long-term regeneration of human epidermis on third degree burns transplanted with autologous cultured epithelium grown on a fibrin matrix.

    abstract:BACKGROUND:Extensive third degree burn wounds can be permanently covered by the transplantation of autologous cultured keratinocytes. Many modifications to Green and colleagues' original technique have been suggested, including the use of a fibrin matrix. However, the properties of the cultured cells must be assessed u...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200012150-00009

    authors: Ronfard V,Rives JM,Neveux Y,Carsin H,Barrandon Y

    更新日期:2000-12-15 00:00:00

  • Effect of a short course of rapamycin, cyclosporin A, and donor-specific transfusion on rat cardiac allograft survival.

    abstract::The interactions of rapamycin (Rapa), CsA, and donor-specific transfusion (DST) were examined in an ACI to Lewis rat heterotopic cardiac allograft model. Survival data were truncated at 175 days for the purpose of statistical comparisons. Vehicle (Veh)-treated animals rejected at a mean of 7.3 +/- 0.2 days. Treatment ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199305000-00033

    authors: Davies CB,Madden RL,Alexander JW,Cofer BR,Fisher RA,Anderson P

    更新日期:1993-05-01 00:00:00

  • Activation of T lymphocytes for adhesion and cytokine expression by toxin-conjugated anti-CD3 monoclonal antibodies.

    abstract:BACKGROUND:Immunosuppressive drugs that target T cells are useful for prolonging allograft survival. The anti-CD3 immunotoxin FN18-CRM9 has been shown to effectively prolong renal allograft survival in a rhesus monkey model of transplantation. However, immunotoxin-treated monkeys showed increased levels of inflammatory...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199909150-00016

    authors: Hamawy MM,Tsuchida M,Manthei ER,Dong Y,Fechner JE,Knechtle JS

    更新日期:1999-09-15 00:00:00