Reimbursement for living kidney donor follow-up care: how often does donor insurance pay?

Abstract:

BACKGROUND:Currently, many transplantation centers do not follow former living kidney donors on a long-term basis. Several potential barriers have been identified to provide this follow-up of former living kidney donors, including concerns that donor insurance will not reimburse transplantation centers or primary care physicians for this care. Here, we report the rates at which different insurance companies reimbursed our transplantation center for follow-up visits of living donors. METHODS:We collected data on all yearly follow-up visits of living donors billed from January 1, 2007, to December 31, 2010, representing 82 different donors. Concurrent visits of their recipients were available for 47 recipients and were used as a control group. RESULTS:We find that most bills for follow-up visits of living kidney donors were paid by insurance companies, at a rate similar to the reimbursement for recipient follow-up care. CONCLUSIONS:Our findings suggest that, for former donors with insurance, inadequate reimbursement should not be a barrier in providing follow-up care.

journal_name

Transplantation

journal_title

Transplantation

authors

Kher A,Rodrigue J,Ajaimy M,Wasilewski M,Ladin K,Mandelbrot D

doi

10.1097/TP.0b013e31826cc9a1

subject

Has Abstract

pub_date

2012-11-27 00:00:00

pages

1049-51

issue

10

eissn

0041-1337

issn

1534-6080

journal_volume

94

pub_type

杂志文章
  • The value of machine perfusion biomarker concentration in DCD kidney transplantations.

    abstract:BACKGROUND:Donation after cardiac death (DCD) increases the number of donor kidneys but is associated with more primary nonfunction (PNF) and delayed graft function (DGF). It has been suggested that biomarkers in the preservation solution of machine perfused kidneys may predict PNF, although evidence is lacking. METHO...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e31827908e6

    authors: Hoogland ER,de Vries EE,Christiaans MH,Winkens B,Snoeijs MG,van Heurn LW

    更新日期:2013-02-27 00:00:00

  • Transplantation of segmental rat intestinal grafts including the ileocecal value and the ascending colon.

    abstract::Extrinsic denervation and lymphatic disruption impair nutrient absorption after small bowel transplantation. The present study was undertaken to determine whether adding the ileocecal valve with or without the ascending colon would improve the function of a segmental intestinal graft. Five groups of Lewis rats (n = 10...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:

    authors: Black RT,Hashimoto T,Zhong RZ,Behme RJ,Garcia BM,Duff JH,Grant DR

    更新日期:1994-04-15 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

  • Long-term functions of encapsulated islets grafted in nonhuman primates without immunosuppression.

    abstract:BACKGROUND:Long-term survival and functions of encapsulated islet grafts need to be evaluated in the absence of immunosuppression. The present study aimed to assess the viability and functions of macroencapsulated islets grafted in nonhuman primates without immunosuppression for 1 year. METHODS:Islet transplantations ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e31829e26cf

    authors: Sasikala M,Rao GV,Vijayalakshmi V,Pradeep R,Pothani S,Kumar PP,Gaddipati R,Sirisha G,Cheemalakonda R,Tandan M,Subramanyam C,Vasudevan S,Reddy DN

    更新日期:2013-10-15 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

  • Magnetic resonance of the hepatic veins with angular reconstruction: application in living-related liver transplantation.

    abstract:BACKGROUND:Preoperative mapping of the hepatic venous system of the partial liver graft is indispensable to the success of living-related liver transplantation. We assessed the accuracy of magnetic resonance (MR) venography with angular reconstruction in depicting the tributaries of the middle hepatic vein and left hep...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199907270-00019

    authors: Cheng YF,Chen CL,Huang TL,Chen TY,Lee TY,Chen YS,Wang CC,de Villa V,Goto S,Chiang YC,Eng HL,Jawan B,Cheung HK

    更新日期:1999-07-27 00:00:00

  • HuM291(Nuvion), a humanized Fc receptor-nonbinding antibody against CD3, anergizes peripheral blood T cells as partial agonist of the T cell receptor.

    abstract:BACKGROUND:Humanized Fc receptor (FcR)-nonbinding antibodies against CD3 are promising immunosuppressive agents that may overcome both the neutralizing response to and the cytokine release syndrome seen with conventional monoclonal antibodies against CD3. In addition, evidence from several murine models suggests that t...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200104150-00020

    authors: Chau LA,Tso JY,Melrose J,Madrenas J

    更新日期:2001-04-15 00:00:00

  • Characterization of antiidiotypic antibodies to donor HLA that develop after liver transplantation.

    abstract::Several studies have reported the development of antiidiotypic antibodies to anti-HLA alloantibodies in renal allograft transplant recipients, postulating their potential beneficial role in allograft survival. In order to evaluate the role of anti-HLA antiidiotypic antibodies in human liver transplant recipients and t...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199308000-00037

    authors: Chauhan B,Phelan DL,Marsh JW,Mohanakumar T

    更新日期:1993-08-01 00:00:00

  • Increased risk of graft failure in kidney transplant recipients after a diagnosis of dyspepsia or gastroesophageal reflux disease.

    abstract:BACKGROUND:Gastrointestinal complications are common in patients who undergo kidney transplantation and may affect posttransplant outcomes. We examined the incidence and predictors of gastroesophageal reflux disease (GERD) and dyspepsia and their associations with graft survival and mortality after transplant. METHODS...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e318160d4c4

    authors: Neri L,Rocca Rey LA,Pinsky BW,Lentine KL,Salvalaggio PR,Machnicki G,Willoughby L,Burroughs TE,Takemoto SK,Schnitzler MA

    更新日期:2008-02-15 00:00:00

  • Factors influencing T-lymphopoiesis after allogeneic hematopoietic cell transplantation.

    abstract::In adult recipients of allogeneic hematopoietic cell transplants (HCT) studied at 1 year after grafting, there was a significant correlation between the counts of T cell receptor excision circle (TREC)-containing CD4 T cells (presumed recent thymic emigrants) and the counts of total T cells (r=0.65, P<0.001). Thus, th...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200204150-00026

    authors: Storek J,Joseph A,Dawson MA,Douek DC,Storer B,Maloney DG

    更新日期:2002-04-15 00:00:00

  • Immune response, accommodation, and tolerance to transplantation carbohydrate antigens.

    abstract::The carbohydrate antigens, blood groups A and B, and the alpha-gal epitope (Galalpha1-3Gal) are major risk factors in transplantation. Transplantation across ABO barriers may result in rejection by elicited anti-blood group antibodies, accommodation where elicited anti-blood group antibodies do not reject the graft, o...

    journal_title:Transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/01.tp.0000142673.32394.95

    authors: Galili U

    更新日期:2004-10-27 00:00:00

  • Treatment of patients with recurrent hepatitis C after liver transplantation with peginterferon alfa-2B plus ribavirin.

    abstract:BACKGROUND:Recurrent hepatitis C virus (HCV) after liver transplantation (OLT) is a major cause of graft loss in HCV-positive patients. In this study, we evaluated the efficacy and safety of pegylated interferon alfa-2b (peginterferon) and ribavirin treatment for recurrent HCV after OLT and analyzed the influence of an...

    journal_title:Transplantation

    pub_type: 临床试验,杂志文章

    doi:10.1097/01.tp.0000225827.18034.be

    authors: Neumann U,Puhl G,Bahra M,Berg T,Langrehr JM,Neuhaus R,Neuhaus P

    更新日期:2006-07-15 00:00:00

  • Potential therapeutic interventions to avoid or treat chronic allograft dysfunction.

    abstract::Despite the significant improvements that have occurred since the introduction of CsA, long-term renal allograft survival continues to be an area of concern. Management strategies that involve the use of sirolimus offer some promise. A number of observations suggest that sirolimus may have the ability to reduce the ra...

    journal_title:Transplantation

    pub_type: 杂志文章,评审

    doi:

    authors: Kahan BD

    更新日期:2001-06-15 00:00:00

  • Activation of autoimmune B cells and chronic rejection.

    abstract::Allotransplantation into immunosuppressed individuals results in long-term survival of grafts. However, the grafts are damaged, probably at many stages before, during and after implantation. The hypothesis to be presented is that release of antigens and autoantigens from the chronically damaged graft results in breaki...

    journal_title:Transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/01.tp.0000153294.38939.5f

    authors: Rose ML

    更新日期:2005-02-15 00:00:00

  • Expression of RT1.A and RT1.B/D antigens on endothelium of rat kidneys.

    abstract::The presence of major histocompatibility complex (MHC)-encoded antigens (RT1) on endothelium of rat kidneys was investigated using hyperimmune allogeneic rat sera (HIS) in an indirect immunofluorescence technique with kidney sections. Endothelial antigens detected with anti-MHC sera segregated in an F2 generation with...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198209000-00002

    authors: Paul LC,Paradysz JM,Milford EL,Kunz HW,Carpenter CB

    更新日期:1982-09-01 00:00:00

  • The role of endoscopic ultrasound for evaluating portal hypertension in children being assessed for intestinal transplantation.

    abstract::Intestinal transplant is an established treatment of irreversible intestinal failure, unless complicated by advanced intestinal failure-associated liver disease, when liver-bowel transplant may be necessary. Finding at least moderate hepatic fibrosis or gastroesophageal varices (GOV) at oesophago-gastroduodenoscopy (O...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e3181891d63

    authors: McKiernan PJ,Sharif K,Gupte GL

    更新日期:2008-11-27 00:00:00

  • Strategies to minimize immunological and nonimmunological risk factors in the renal transplant population.

    abstract::To improve long-term outcome after renal transplantation, attention should be placed on the tailored use of immunosuppressive regimens that have a more favorable impact on the immunological and nonimmunological risk profiles of an individual recipient. Tacrolimus is widely used for maintenance and rejection immunosupp...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200109271-00007

    authors: First MR

    更新日期:2001-09-27 00:00:00

  • A predictive test for the efficacy of intravenous immunoglobulin in the inhibition of alloantibodies.

    abstract::Preformed recipient HLA-specific antibodies can cause hyperacute rejection of a transplanted kidney if they are directed against mismatched donor HLA antigens. To avoid hyperacute rejection it is essential that recipient antibodies be identified during patient workup for transplantation and HLA antigens to which a pat...

    journal_title:Transplantation

    pub_type: 评论,杂志文章

    doi:10.1097/00007890-200105270-00002

    authors: Martin S

    更新日期:2001-05-27 00:00:00

  • Antigen-specific immunosuppression induced by liver transplantation in the rat.

    abstract::We have demonstrated that DA hearts grafted into PVG rats were completely protected from rejection by simultaneous liver transplantation from the same donor. In subsequent experiments PVG animals were given DA hearts followed 5 or 6 days later by livers from the same donor strain. Instead of the expected rapid rejecti...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198409000-00004

    authors: Kamada N,Wight DG

    更新日期:1984-09-01 00:00:00

  • RO 31-8220, a novel protein kinase C inhibitor, inhibits early and late T cell activation events.

    abstract::The improvement of graft survival over the past decade has mainly been due to the development of more highly specific immunosuppressive agents, such as cyclosporine (CsA) and FK506. CsA and FK506 inhibit T cell activation by interfering with the calcium-mediated pathway, one of two pathways needed for T cell activatio...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199606150-00015

    authors: Geiselhart L,Conti DJ,Freed BM

    更新日期:1996-06-15 00:00:00

  • Absence of specific mixed leukocyte culture reactivity during graft-versus-host disease and following bone marrow transplant rejection.

    abstract::Retrospective mixed leukocyte culture studies were performed in eight patients who had either rejected their marrow grafts or experienced graft-versus-host disease and in seven patients with successful marrow engraftment. In tests of pre-and post-transplant lymphocytes we found no evidence that rejection or graft-vers...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-197611000-00010

    authors: Opelz G,Gale RP

    更新日期:1976-11-01 00:00:00

  • Cyclosporine minimization and cost reduction in renal transplant recipients receiving a C2-monitored, cyclosporine-based quadruple immunosuppressive regimen.

    abstract:BACKGROUND:Targeting 2-hr postdose cyclosporine (C2) levels to 1,000 to 1,700 mg/dL during the first 6 months after renal transplantation is recommended for triple immunosuppressive regimens. This trial determines whether lower C2 levels could be targeted safely in de novo kidney transplant recipients under a quadruple...

    journal_title:Transplantation

    pub_type: 临床试验,杂志文章

    doi:10.1097/01.tp.0000137423.01887.7d

    authors: Hardinger KL,Schnitzler MA,Koch MJ,Enkvetchakul D,Desai N,Jendrisak M,Lowell JA,Miller B,Shenoy S,Brennan DC

    更新日期:2004-10-27 00:00:00

  • Analysis of histoincompatibility in a natural population of the bisexual whiptail lizard Cnemidophorus tigris.

    abstract::Histoincompatibility was analyzed to describe as precisely as possible the sequence of gross morphological events taking place during allograft rejection among closely related conspecifics from a natural population of the bisexual lizard Cnemidophorus tigris. Two types of rejection were noted, depending on whether the...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-197708000-00006

    authors: Cuellar O,Smart C

    更新日期:1977-08-01 00:00:00

  • Effect of sirolimus on the metabolism of apoB100- containing lipoproteins in renal transplant patients.

    abstract:BACKGROUND:Sirolimus (Rapamune, rapamycin, RAPA) is a potent immunosuppressive drug that has reduced the rate of acute rejection episodes by more than 40% in phase III trials when added to an immunosuppression regimen of cyclosporine (CsA) and prednisone. However, RAPA treatment tends to increase lipid levels, particul...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200110150-00011

    authors: Hoogeveen RC,Ballantyne CM,Pownall HJ,Opekun AR,Hachey DL,Jaffe JS,Oppermann S,Kahan BD,Morrisett JD

    更新日期:2001-10-15 00:00:00

  • Decrease in endothelial cell-dependent protein C activation induced by thrombomodulin by treatment with cyclosporine.

    abstract::The use of cyclosporine has been associated with an increased incidence of thrombosis and endothelial cell perturbation. To explore possible mechanisms involved, we examined the effects of CSA on the activation of protein C by thrombomodulin. Cultured bovine aortic endothelial cell monolayers were incubated for 24 hr ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199103000-00030

    authors: Garcia-Maldonado M,Kaufman CE,Comp PC

    更新日期:1991-03-01 00:00:00

  • Detection of allograft endothelial cells of recipient origin following ABO-compatible, nonidentical cardiac transplantation.

    abstract::Endothelial cells serve an important role in augmenting immune responses through enhanced expression of MHC class II antigens. Immune-mediated vascular injury associated with rejection requires reendothelialization to restore vascular integrity. The origin of the reparative endothelial cells can be determined when ABO...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199102000-00033

    authors: O'Connell JB,Renlund DG,Bristow MR,Hammond EH

    更新日期:1991-02-01 00:00:00

  • The association of kidney graft outcome with pretransplant serum IgG-anti-F(ab')2 gamma activity.

    abstract::Pretransplant sera of 474 kidney graft recipients were tested for IgG-anti-F(ab')2 gamma activity. The patients had significantly higher IgG-anti-F(ab')2 gamma activity than healthy controls (P = 0.0004). Serum lymphocytotoxic antibodies were correlated with IgG-anti-F(ab')2 gamma (P = 0.004), whereas CMV infection an...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199210000-00012

    authors: Süsal C,Groth J,Oberg HH,Terness P,May G,Opelz G

    更新日期:1992-10-01 00:00:00

  • Modulation of platelet aggregation in baboons: implications for mixed chimerism in xenotransplantation. II. The effects of cyclophosphamide on pig peripheral blood progenitor cell-induced aggregation.

    abstract:BACKGROUND:The induction of tolerance to pig antigens in primates may facilitate the development of successful clinical xenotransplantation protocols. The infusion of mobilized porcine peripheral blood leukocytes (PBPCs, comprised of approximately 2% peripheral blood progenitor cells) into splenectomized preconditioned...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200110150-00021

    authors: Appel JZ 3rd,Alwayn IP,Correa LE,Cooper DK,Robson SC

    更新日期:2001-10-15 00:00:00

  • Decreased platelet aggregation after reperfusion in orthotopic liver transplantation.

    abstract::Increased blood loss is a major contributory factor to postoperative short- and longterm outcome in orthotopic liver transplantation (OLT). Hyperfibrinolysis, occurring mainly in the anhepatic phase, and disseminated intravascular coagulation (DIC), starting immediately after reperfusion, have been observed to paralle...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199203000-00018

    authors: Himmelreich G,Hundt K,Neuhaus P,Roissant R,Riess H

    更新日期:1992-03-01 00:00:00

  • Intravenous immune globulin treatment inhibits crossmatch positivity and allows for successful transplantation of incompatible organs in living-donor and cadaver recipients.

    abstract:BACKGROUND:Sensitization to human leukocyte antigens (HLA) is a significant barrier to transplantation. Currently, no proven therapy exists to improve access to transplantation for highly sensitized patients. Here, we report a novel approach using intravenous immune globulin to modulate anti-HLA antibody and improve th...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.TP.0000080685.31697.FC

    authors: Jordan SC,Vo A,Bunnapradist S,Toyoda M,Peng A,Puliyanda D,Kamil E,Tyan D

    更新日期:2003-08-27 00:00:00