A5077358972- Organ Donation and Transplantation
- Organ Transplantation Techniques and Outcomes
- Organ and Tissue Transplantation Research
- Liver Disease and Transplantation
- Renal Transplantation Outcomes and Treatments
- Transplantation: Methods and Outcomes
- Palliative Care and End-of-Life Issues
- Ethics in medical practice
- Liver Disease Diagnosis and Treatment
- Global Health and Surgery
- Diversity and Career in Medicine
- Reconstructive Surgery and Microvascular Techniques
- Ethics and Legal Issues in Pediatric Healthcare
- Biomedical Ethics and Regulation
- Ethics in Clinical Research
- SARS-CoV-2 and COVID-19 Research
- Grief, Bereavement, and Mental Health
- Renal and Vascular Pathologies
- Alcohol Consumption and Health Effects
- Advances in Oncology and Radiotherapy
- Primary Care and Health Outcomes
- COVID-19 Impact on Reproduction
- Science, Research, and Medicine
- Patient Dignity and Privacy
- Pharmaceutical industry and healthcare
Baylor University Medical Center
2018-2025
Baylor Scott & White Health
2022-2025
American College of Surgeons
2025
Baylor Medical Center at Garland
2022-2025
Baylor University
2024
Cedars-Sinai Medical Center
2024
University of Calgary
2024
Simmons University
2022
Stanford University
2017-2018
Stanford Medicine
2018
On June 3, 2023, the American Society of Transplant Surgeons convened a meeting in San Diego, California to (1) develop consensus statement with supporting data on ethical tenets thoracoabdominal normothermic regional perfusion (NRP) and abdominal NRP; (2) provide guidelines for standards practice that should govern NRP (3) implement central database collection donor recipient United States. National international leaders fields neuroscience, transplantation, critical care, NRP, Organ...
In the context of organ shortage, opioid epidemic, and effective direct-acting antiviral (DAA) therapy for hepatitis C virus (HCV), more HCV-infected donor organs may be used liver transplantation. Current data regarding outcomes after donor-derived HCV in previously non-viremic transplant recipients are limited. Clinical adult with infection from March 2017 to January 2018 at our institution were extracted medical record. Ten patients received livers donors known infected based on positive...
Liver transplantation (LT) for alcohol associated hepatitis (AH) remains controversial. We convened a consensus conference to examine various aspects of LT AH. The goal was not unequivocally endorse AH; instead, it propose recommendations programs that perform or plan Criteria were established determine candidacy in the setting AH and included following: (1) patients presenting first time with decompensated liver disease are nonresponders medical therapy without severe psychiatric...
Donation after circulatory death (DCD) donors now represent over 30% of the deceased donor pool in United States. Compared to donation brain death, DCD is less likely result transplantation. For each potential whose organs cannot be utilized for transplantation (ie, dry run), fees are associated with attempted donation, which add overall costs organ acquisition. To better characterize true liver acquisition, we performed a cost comparison acquisition versus at single transplant institute...
Uterus transplant in women with absolute uterine-factor infertility offers the possibility of carrying their own pregnancy.
We report the results of first 20 uterus transplants performed in our institution.Uterus transplantation (UTx) aims at giving women affected by absolute uterine-factor infertility possibility carrying their own pregnancy. UTx has evolved from experimental to an established surgical procedure.The Dallas Uterus Transplant Study (DUETS) program started 2016. The was transplanted orthotopic position with vascular anastomoses external iliac vessels and removed when 1 or 2 live births were...
Uterus transplantation is a nascent but growing field. To support this growth, the United States Transplant Consortium proposes guidelines for nomenclature related to operative technique, vascular anatomy, and donor, recipient, offspring outcomes. In terms of group recommends reporting donor arterial inflow recipient anastomotic site delivering graft offers standardization names 4 veins originating from uterus because current inconsistency in particular nomenclature. Seven progressive stages...
Uterus transplantation is a treatment for absolute uterine infertility and can be performed with living deceased donors. Given the safety increased utilization of robotic assistance other gynecologic transplant donor operations, we adopted robot-assisted approach to hysterectomy. This study compared early outcomes morbidity hysterectomy traditionally open addressed whether safe offers advantages donor.Our institution has 18 hysterectomies uterus transplantation. retrospective review last 5...
Acuity circles (AC) liver allocation policy was implemented to eliminate donor service area geographic boundaries from and decrease variability in median Model of End-stage Liver Disease (MELD) score at transplant wait list mortality. However, the broader sharing organs also associated with more flights for organ procurements higher costs increase flights.To determine whether acquisition changed after implementation AC allocation.This single-center cost comparison study analyzed fees before...
INTRODUCTION The transplant community is well-versed in ethical issues surrounding the allocation of scarce resources, but COVID-19 pandemic has escalated moral dilemmas transplantation far beyond simply limited donor organs. Emanuel et al1 were unfortunately prophetic their recent NEJM article addressing principles guiding medical decisions during and associated depletion resources. Hospital intensive care resources are becoming severely high-transmission areas, influencing about who should...
Transplant centers seeking to increase coronavirus disease 2019 (COVID-19) vaccine coverage may consider requiring vaccination for healthcare workers or candidates. The authors summarize current data inform an ethical analysis of the harms, benefits, and individual societal impact mandatory vaccination, concluding that requirements transplant candidates are ethically justified by beneficence, net utility, fiduciary duty patients public health. Implementation strategies should mitigate...
The volume of abdominal organ offers received by the Baylor Simmons Transplant Institute has increased over time, resulting in a higher workload for our donor call team. To quantify increase offers, determine characteristics these and estimate impact on transplant center workload, we collected center-specific offer data from May 2019 to July 2021 using UNOS Center Acceptance Refusal Evaluation Report performed time study that number communications spent made during typical week. total per...
Normothermic regional perfusion (NRP) is a novel procurement technique for donation after circulatory death (DCD) in the United States. It was pioneered by cardiothoracic surgery programs and now being applied to abdominal-only organ donors abdominal transplant programs.