CEOT 2016 Program

Resolving the Organ Shortage: Practice, Policy and Politics

Thursday, February 25

2:30 pm


2:45 - 4:45 pm

Session 1: Optimizing the Use of Marginal Organs
Moderators: James Allan, MD, Massachusetts General Hospital and Thomas Pearson, MD, DPhil, Emory University

2:45 pm

Administrative Strategies to Encourage Centers to use Marginal Organs
Carl Berg, MD, Duke University

3:15 pm

Interventions in the Deceased Organ Donor to Improve Organ Quality
Sandy Feng, MD,PhD, University of California, San Francisco

3:45 pm

The Organ Repair Center: Optimal Strategies to Repair Organs Ex Vivo
Markus Selzner, MD, Toronto General Research Institute

4:15 pm Best Practices at the Center Level to Safely Use Marginal Organs
George Loss, MD, PhD, Ochsner Medical Center
4:45 - 6:00 pm

Reception and Posters

6:00 - 7:30 pm

Session 2: Keynotes
Moderators: Anil Chandraker, MD, Brigham & Women's Hospital and Kenneth Newell, MD, PhD , Emory University         

6:00 pm

Considerations Driving the Changes to Organ Allocation and Distribution
Brian M. Shepard, CEO, United Network for Organ Sharing (UNOS)

6:30 pm

A Congressional Perspective on Organ Transplantation & The Gift-of-Life
Congressman Kevin Yoder

7:00 pm

Panel Discussion

Friday, February 26

7:00 - 8:00 am

Satellite Breakfast Symposium

8:15 - 10:30 am

Session 3: The New Era of Kidney Allocation
Moderator: John Gill, MD, The University of British Columbia and Alexander Wiseman, MD, University of Colorado, Denver

Changes to Kidney Allocation: Gains and Losses
Richard Formica, MD, Yale University School of Medicine

KAS - Unintended Consequences and Future Changes
John Friedewald, MD, Northwestern University

Utilization of High KDPI Kidneys
Emilio Poggio, MD, Cleveland Clinic

One year post KAS - A Tale of Two Transplant Centers
Small program

Steve Potter, MD, FACS, East Texas Medical Center RHS

Large program
Lloyd Ratner, MD, MPH, Columbia University


Increasing the Donor Heart Pool
Moderators: Maryl R. Johnson, MD, University of Wisconsin and Mandeep Mehra, MD, Brigham & Women's Hospital

Introductory Remarks
Jon Kobashigawa, MD, Cedars-Sinai Heart Institute

Means To Expand Heart Donation
Tom Mone, MS, One Legacy

Mechanisms Of Immune Activation With Brain Death: Can This Be Modified?
Evan Kransdorf, MD, PhD, Mayo Clinic Arizona

Brain Dead Donor Heart Management:Maintenance Of Hemodynamics With What Drugs? Data On Specific Inotropes/Pressors
Darren Malinoski, MD, FACS, Oregon Health Science University

The Value Of Thyroid Hormone, Corticosteroids, Hypothermia And Other Means To Maintain/Improve Donor Heart Function
Sean Pinney, MD, Icahn School of Medicine at Mount Sinai

Extended Criteria Donor Hearts: Defining Criteria And Outcomes
Igor Gregoric, MD, University of Texas

Ex Vivo Heart Perfusion And DCD Heart Donation
Abbas Ardehali, MD, Ronald Reagan UCLA Medical Center

Panel Discussion



10:30 - 11:00 am


11:00 - 12:30 pm

Session 4:  Removing Disincentives and Exploring Controversies of Incentives
Co-Moderators: Robert S. Gaston, MD, University of Alabama at Birmingham, and
Larry B. Melton, MD, PhD, Dallas Nephrology Associates

11:00 am

World and Historical Perspectives
John Gill, MD, The University of British Columbia

11:30 am Undue Incentives and Repugnant Transactions: One Economist's Perspective
Alvin Roth, PhD, Stanford University
12:00 pm

Bioethical Perspectives on Incentivizing Organ Donation and the Impact of NOTA on Pilot Projects
I. Glenn Cohen, JD, Harvard Law School

12:30 pm What is an Incentive and a Critical Appraisal of Possible Pilot Trials of Incentives in Organ Donation?
Robert S. Gaston, MD, University of Alabama at Birmingham
Daniel R. Salomon, MD, Scripps Research Institute, and
1:00 - 1:15 pm


1:15 - 3:00 pm

Session 5:  Luncheon Workshop

Discussing the Spectrum of Disincentives and Incentives:
Where Do You Stand?

Afternoon Session with Audience Engagement: A structured discussion of the all issues related to disincentives and incentives with the aim of generating a position document

Moderators: Robert S. Gaston, MD, University of Alabama at Birmingham and Daniel R. Salomon, MD, Scripps Research Institute

3:15 - 7:00 pm

Networking Activities

Peak Your Interest on the Mountain
Float Your Ideas on the River
Cycle Through Your Thoughts on the Trail
Swing Into Action on the Green

Saturday, February 27

7:00 - 8:00 am

Satellite Breakfast Symposium

8:15 - 10:15 am

Liver Allocation
Moderators: Jacqueline O'Leary, MD, MPH, Baylor University Medical Center
David Foley, MD, FACS, University of Wisconsin School of Medicine and Public Health 

Benefits of Share 35 and Redistricting
Jacqueline O’Leary, MD, MPH, Baylor University Medical Center

Concerns of Share 35 and Redistricting (Region 4 Data)
James Trotter, MD Baylor University Medical Center

Can MELD Be Improved? Implications of HCV Therapy and CKD
Russell Wiesner, MD, Mayo Clinic, Rochester

Dual Organ Allocation Implications, Older NASH Patients, more CKD
Richard Formica, MD, Yale University School of Medicine

Donor Heart Selection
Moderators: David Nelson, MD, Integris Baptist Medical Center and Teresa DeMarco, MD, University of California, San Francisco

Donor Heart Risk Factors
David Baran, MD, Newark Beth Israel Medical Center

Recipient Heart Risk Factors
Monica Colvin, MD, University of Michigan

Intraoperative Risk Factors Associated with Heart Transplant Surgery and Mechanical Circulatory Support Patients - Special Considerations
Michael Acker, MD, University of Pennsylvania

Immunologic Risk Factors: Approach to the Sensitized Patient
Jignesh Patel, MD, PhD, Cedars-Sinai Heart Institute

Donor/Recipient Risk Scores: Review Of Published Approaches From Europe And the US
Michael Givertz, MD, Brigham & Women's Hospital

Developing a Risk Score in Heart Transplantation
Kiran Khush, MD, MAS, Stanford University

Panel Discussion


10:15 - 10:45 am


10:45 - 11:45 am

Session 7:  Update on Cardiac Transplantation
Moderators: Maryl Johnson, MD, University of Wisconsin, Madison and Jeffrey Teuteberg, MD, University of Pittsburgh Medical Center

Approach to Donor Heart Shortage
Jon Kobashigawa, MD, Cedars-Sinai Heart Institute

Q&A Discussion

Issues with the New Donor Heart Allocation Proposal
Dan Meyer, MD, University of Texas Southwestern Medical Center

Q&A Discussion

11:45 - 2:00 pm

Session 8:  ESOT Luncheon Session
How Are Organs Allocated in Europe/Eurotransplant
Moderators: John Forsythe, MD, Royal Infirmary of Edinburgh, and
John Gill, MD, The University of British Columbia

Did the Last System Work? And Plans for the New Kidney Allocation in the UK
Christopher Watson, MA, University of Cambridge

Organ Allocation According to Eurotransplant
Ina Jochmans, MD, PhD, University Hospitals Leuven

Cardiothoracic Allocation in Europe
Luciano Potena, MD, PhD, University of Bologna

Discussion - US Concepts vs EU Concepts

2:00 - 2:15 pm

Break - Move to parallel sessions

2:15 - 4:15 pm




Session 9:  Parallel Workshops

Aligning Financial Incentives in New Systems of Allocation, Paired-Exchange, and Expanded Donation 
Facilitator: Luke Preczewski, University of California Davis 

Kidney Bean Counting: Overcoming the Financial and Administrative Burden of Paired-Donor Exchanges 
Gwen McNatt, RN, PhD, CNN, FNP-BC, Northwestern Memorial Hospital 

Blood and Treasure: The High Costs and Even Greater Benefits of Transplanting Challenging Kidneys 
Luke Preczewski, University of California Davis 

Paying for Performance: The Perverse Incentives in Expanding the Deceased Donor Pool 
Kevin Cmunt, Gift of Hope Organ and Tissue Donor Network 

Panel and Audience Discussion: How Can We Better Align Incentives in Support of Expanding the Donor Pool

Strategies to Expand the Liver Donor Pool
Moderators: David Foley, MD, University of Wisconsin and
Jacqueline O'Leary, MD, MPH, Baylor University

Optimizing Living Donor Liver Transplant: Risks and Benefits
Elizabeth Pomfret, MD, Lahey Clinic

Novel Strategies to Improve Function of Steatotic Donor Livers
Kenneth Chavin, Medical University of South Carolina

Increasing Use of DCD Livers: Are We Getting Better?
David Foley, University of Wisconsin

Long-term Risks to Living Kidney Donors 
Facilitator: John Gill, MD, MS, FAST, University of British Columbia 

John Gill, MD, MS, FAST, University of British Columbia 

Sentinel Events: Death and ESRD 
Dorry Segev, MD, PhD, FAST, Johns Hopkins University 

Non-sentinel Events: CKD, HTN, Diabetes, Depression 
Arthur Matas, MD, University of Minnesota 

Communication of Risk 
Dorry Segev and Arthur Matas 

Getting the Message Across - Increased Infectious Risk Donors
Moderator: Deepali Kumar MD, University of Toronto, Canada

Improving Utilization of Organs from Increased Risk Donors: What We've Got Here is a Failure to Communicate
Matthew J. Kuehnert, MD, Centers for Disease Control and Prevention

Organ utilization / Risk Perception by Providers and Patients
Timothy L. Pruett, MD, University of Minnesota

Risks of Other Donor-Derived Infections (nonHIV, nonHCV)
Daniel Kaul, MD, University of Michigan

Discussion on the New UNOS Heart Allocation Proposal
Moderators: Randall Starling, MD, Cleveland Clinic and
Francisco Arabia, MD, Cedars Sinai Heart Institute

Overview of New Donor Heart Allocation Tiers
Dan Meyer, MD, Scripps Hospital

Reassessing the Urgency of LVAD Patients Awaiting Transplantation
Ulrich Jorde, MD, Montefiore Medical Center

Consider Options for Improved Zonal or Geographic Sharing
David Vega, MD, Emory University

Defining and Prioritizing Highly Sensitized Candidates
Heather Ross, MD, Toronto General Hospital

Under-represented Populations
Eileen Hsich, MD, Cleveland Clinic

Panel Discussion
Monica Colvin, MD, University of Michigan
Dan Meyer, MD, University of Texas Southwestern Medical Center
Leah Edwards, UNOS
Liz Robins, UNOS
Randy Starling, MD, MPH, Cleveland Clinic
Scott Silvestry, MD, Florida Hospital Transplant Institute


4:15 - 5:00 pm

Break with refreshments (refreshments available throughout evening)

5:00 PM - 6:20 PM Session 10
(Choose one of two sessions)
Where Are We Going With Kidney Paired Donation
Moderators: Jesse Schold, PhD, MState, MEd, Cleveland Clinic and
Richard Formica, MD, Yale University

Moderators: Jon A. Kobashigawa, MD, Cedars-Sinai Heart Institute and
Luciano Potena, MD, University of Bologna

James Kirklin, MD, University of Alabama
Valluvan Jeevanandam, MD, University of Chicago
Gonzo Gonzalez, MD, Baylor University Medical Center - Dallas
Fardad Esmailian, MD, Cedars-Sinai Heart Institute

5:00 PM How Are We Measuring Sensitization?
Anat Tambur, DMD, PhD, Northwestern University
5:20 PM Single Center Programs Work Best
Adam Bingaman, MD, PhD, Texas Transplant Institute, San Antonio
5:40 PM A Nationally Run Private Program Works Best
Stuart M. Flechner, MD, Cleveland Clinic
6:00 PM UNOS Should Oversee KPD
Kenneth Andreoni, MD, University of Florida
6:20 PM - 6:45 PM Concluding Panel Discussion
6:45 PM - 7:00 PM Closing Remarks