Continuous Allocation – Kidney and Pancreas
- Tuesday, November 22, 2022 - 2:00 pm to 3:00 pm EST

Speakers:
- Darren Stewart, MS • Associate Director of Registry Studies, Center for Surgical & Transplant Applied Research (C-STAR), NYU Grossman School of Medicine, New York, NY
- Hannah Byford, RN, BSN, MPA • Manager - Transplant Quality & Compliance, Froedtert Memorial Lutheran Hospital, Milwaukee, WI

Moderators:
- Martha Pavlakis, MD FAST, FASN • Medical Director of Kidney and Pancreas Transplantation, Beth Israel Deaconess Medical Center, Boston, MA
- Prince Mohan Anand, MD, FAST, FACP • Medical Director of Kidney Transplant, Medical University of South Carolina, Charleston, SC

The AST Education Committee would like to thank the Kidney Pancreas Community of Practice (KPCOP) and Transplant Administration and Quality Management Community of Practice (TxAQM COP) for suggesting this topic as part of the 2022-2023 T3 webinar series. A related T3 webinar on "Continuous Allocation – Lung and Liver" (suggested by LICOP and TCC COP) will be held later on in the series.

"Adopting the new eGFR Calculator to Limit Transplant Candidate Racial Disadvantage"
- Wednesday, December 8, 2021 - 2:00 pm to 3:00 pm EST

Presenters:
- Peter Reese, MD, MSCE, FAST • Professor of Medicine and Epidemiology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA
- Mona Doshi, MBBS • Clinical Professor, University of Michigan, Ann Arbor, MI

Moderator:
- Silas Norman, MD • Clinical Associate Professor, University of Michigan, Ann Arbor, MI

Discussants:
- Matthew Cooper MD • Director, Kidney and Pancreas Transplantation, MedStar Georgetown Transplant Institute, Washington, DC
- Benjamin Hippen, MD, FAST • Senior Vice President, Head of Transplant Medicine, Fresenius Medical Care, Charlotte, NC

AST would like to thank the KPCOP and TxDx COP for recommending this topic to include as part of the T3 webinar series.

Disparities in Access to Transplantation
Wednesday, November 4, 2020 - 2:00 pm to 3:00 pm EST

After participating in this webinar, the attendee will be able to:

1. Describe the nature of disparities in transplantation in the US
2. Identify factors that are driving disparities in transplantation - using kidney transplantation as a case study
3. Highlight examples of multi-level strategies to address disparities in transplantation

Speakers:

• Tanjala Purnell, MPH, PhD • Director of Education, Johns Hopkins Center for Health Equity, Baltimore, MD
• Larissa Myaskovsky, PhD • Professor of Internal Medicine & Director, Center for Healthcare Equity in Kidney Disease, University of New Mexico Health Sciences Center, Albuquerque, NM

Moderator:

• Winfred Williams, Jr., MD • Associate Chief, Division of Nephrology, Associate Professor of Medicine, Harvard Medical School, Boston, MA

Tuesday, February 18, 2020 from 2:00 PM ET to 3:00 PM ET • Hosted by the Thoracic and Critical Care Community of Practice (TCC COP)

"An early investigation of outcomes with the new 2018 donor heart allocation system in the United States."
(J Heart Lung Transplant. 2020 Jan;39(1):1-4. doi: 10.1016/j.healun.2019.11.002. Epub 2019 Nov 20.)

In this article:
Since 2005, the United States donor heart allocation system assigned patients awaiting transplantation with measurably distinct outcomes into a single high urgency priority status. In this old system, patients in cardiogenic shock as well as ambulatory stable patients with complications of a left ventricular assist device (LVAD) were allocated to a similar status of highest urgency and competed equally for donor organs. This led to overcrowding of the list within this high urgency status category with consequent prolongation of waiting times and concerns of inequity in allocation across several geographic regions. In response to this issue, and to provide greater opportunity for candidates disadvantaged by the allocation system (such as those with congenital heart disease or restrictive cardiomyopathy syndromes), the donor heart allocation system was redesigned in the United States on October 18, 2018. [In the new system,] patients in cardiogenic shock and supported with therapy such as extracorporeal membrane oxygenation (ECMO) or other non-dischargeable biventricular mechanical circulatory support were assigned to the highest urgency status, whereas those with lesser degrees of support were distributed into a descending rank order of priority in urgency.... [The authors now] report on early outcomes of this transition to the new 2018 allocation system within the United States.

Speakers:
Mandeep Mehra, MD • Brigham and Women's Hospital, Boston, MA

Moderator:
Shelley Hall, MD, FACC, FHFSA, FAST • Baylor University Medical Center, Dallas, TX

AST/AJT Journal Clubs are free to both AST and non-AST members, but registration is required. Please feel free to share the registration link with colleagues and fellows who may be interested in the discussion.