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Related Concept Videos

Kidney Transplant I: Introduction01:28

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A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...
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Tissue transplantation is a significant medical procedure involving the transfer of cells, tissues, or organs from a donor to a recipient, with the primary aim of restoring lost functions. This procedure is crucial in treating a broad spectrum of diseases, including kidney diseases, liver failure, heart disease, and certain types of cancers.
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Erratum.

American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons·2022
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Author Spotlight: Enhancing Graft Viability Assessment Through Quantitative Metrics and Innovative Reservoir Systems
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OPTN/SRTR 2013 Annual Data Report: heart.

M Colvin-Adams1, J M Smith, B M Heubner

  • 1Scientific Registry of Transplant Recipients, Minneapolis Medical Research Foundation, Minneapolis, MN; Department of Medicine, Division of Cardiology, University of Minnesota, Minneapolis, MN.

American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons
|January 29, 2015
PubMed
Summary
This summary is machine-generated.

Heart transplant waiting lists are growing, with more adult candidates and increased use of life support. Despite longer waits, mortality has not risen, and pediatric survival rates are improving.

Keywords:
End-stage heart failureheart transplanttransplant outcomesventricular assist device

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Area of Science:

  • Cardiology
  • Transplant Surgery
  • Public Health

Background:

  • The number of heart transplants is increasing, but the waitlist for adult candidates grew by 34.2% between 2003 and 2013.
  • The heart transplant rate per active adult candidate declined from a peak of 149.0 in 2007 to 87.4 in 2013.
  • While waiting times have increased, waitlist mortality has not shown a corresponding rise.

Purpose of the Study:

  • To analyze trends in heart transplantation, including waitlist dynamics, patient acuity, and outcomes.
  • To examine changes in the pediatric heart transplant landscape and recipient survival rates.
  • To understand the financial coverage of heart transplant recipients by Medicare.

Main Methods:

  • Analysis of national data on heart transplant candidates, procedures, and survival rates.
  • Examination of trends in waitlist size, transplant rates, and patient acuity over a decade (2003-2013).
  • Review of Medicare payment data for heart transplant recipients.

Main Results:

  • The proportion of patients on life support before heart transplantation increased significantly from 53.4% in 2008 to 65.8% in 2013.
  • Medical urgency categories have become less distinct, with a majority of patients now in higher acuity levels.
  • Annual pediatric heart transplants increased from 293 in 2003 to 411 in 2013, with improving 5-year survival rates (70%-80%) for transplants performed between 2001-2008.

Conclusions:

  • Despite increased waiting times and higher patient acuity, heart transplant outcomes remain stable or are improving, particularly for pediatric recipients.
  • The evolving landscape of heart transplantation necessitates continuous monitoring of waitlist management and patient outcomes.
  • Medicare plays a substantial role in covering the costs associated with heart transplantation.