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Artículos de revistas sobre el tema "Unos United"

Autor: Grafiati

Publicado: 26 de julio de 2024

Última modificación: 31 de julio de 2025

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1

HIMMA, KENNETH EINAR. "A Critique of UNOS Liver Allocation Policy." Cambridge Quarterly of Healthcare Ethics 8, no. 3 (1999): 311–20. http://dx.doi.org/10.1017/s0963180199803065.

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The United Network for Organ Sharing (UNOS) recently changed the policy by which donor livers are allocated to liver failure patients in the United States. Formerly, all liver failure patients were characterized as status 1 and placed at the top of the transplant list. Under the new policy, only patients with liver failure due to acute illness (“ALF patients”) are eligible for status 1; patients with liver failure due to chronic liver disease (“CLF patients”) are characterized as status 2. Since donor organs are allocated first to status 1 patients and then to status 2 patients, the new policy

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ANKENY, RACHEL A. "Recasting the Debate on Multiple Listing for Transplantation through Consideration of Both Principles and Practice." Cambridge Quarterly of Healthcare Ethics 8, no. 3 (1999): 330–39. http://dx.doi.org/10.1017/s0963180199803089.

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Debates continue to surround the system in the United States for allocating transplantable cadaveric organs, due in large part to the scarcity of such organs in relation to the number of individuals waiting to undergo transplantation. Candidates awaiting transplantation gain access to cadaveric organs by being placed by individual transplant programs on the national list of the Organ Procurement and Transplantation Network (OPTN), overseen by the United Network for Organ Sharing (UNOS). In recent years, the UNOS board has visited (and revisited) the issue of multiple listing, that is, allowing

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3

Sutherland, David E. R., Kristen Gillingham, and Kay Moudry‐Munns. "Results of pancreas transplantation in the United States for 1987‐90 from the United Network for Organ Sharing (UNOS) Registry with comparison to 1984‐87 results." Clinical Transplantation 5, no. 4 (1991): 330–41. http://dx.doi.org/10.1111/j.1399-0012.1991.tb00108.x.

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AbstractAn outcome analysis was performed on pancreas transplants in the United States reported to the United Network for Organ Sharing (UNOS) Registry from its inception on 1 October 1987 to 21 October 1990 (n = 1021). These cases comprise nearly one‐third of the 3082 pancreas transplants reported to the International Pancreas Transplant Registry (1819 U.S., 1263 non‐U.S.) from 1 December 1966 to 31 December 1990, including 619 in 1990 (528 U.S., 91 non‐U.S.). Nearly all pancreas transplants in the U.S. during the 1987‐90 period were by the bladder‐drainage (BD) technique (92%). The overall p

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Timofte, Irina, Marniker Wijesinha, Roumen Vesselinov, et al. "Survival benefit of lung transplantation compared with medical management and pulmonary rehabilitation for patients with end-stage COPD." ERJ Open Research 6, no. 2 (2020): 00177–2019. http://dx.doi.org/10.1183/23120541.00177-2019.

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BackgroundCOPD patients account for a large proportion of lung transplants; lung transplantation survival benefit for COPD patients is not well established.MethodsWe identified 4521 COPD patients in the United Network for Organ Sharing (UNOS) dataset transplanted from May 2005 to August 2016, and 604 patients assigned to receive pulmonary rehabilitation and medical management in the National Emphysema Treatment Trial (NETT). After trimming the populations for NETT eligibility criteria and data completeness, 1337 UNOS and 596 NETT patients remained. Kaplan–Meier estimates of transplant-free sur

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Cho, Sylvia, Margaret Sin, Demetra Tsapepas, et al. "Content Coverage Evaluation of the OMOP Vocabulary on the Transplant Domain Focusing on Concepts Relevant for Kidney Transplant Outcomes Analysis." Applied Clinical Informatics 11, no. 04 (2020): 650–58. http://dx.doi.org/10.1055/s-0040-1716528.

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Abstract Background Improving outcomes of transplant recipients within and across transplant centers is important with the increasing number of organ transplantations being performed. The current practice is to analyze the outcomes based on patient level data submitted to the United Network for Organ Sharing (UNOS). Augmenting the UNOS data with other sources such as the electronic health record will enrich the outcomes analysis, for which a common data model (CDM) can be a helpful tool for transforming heterogeneous source data into a uniform format. Objectives In this study, we evaluated the

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Papalexopoulos, Theodore, James Alcorn, Dimitris Bertsimas, Rebecca Goff, Darren Stewart, and Nikolaos Trichakis. "Applying Analytics to Design Lung Transplant Allocation Policy." INFORMS Journal on Applied Analytics 53, no. 5 (2023): 350–58. http://dx.doi.org/10.1287/inte.2023.0036.

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In 2019, the United Network for Sharing (UNOS), which has been operating the Organ Procurement and Transplantation Network (OPTN) in the United States since 1984, was seeking to design a new national lung transplant allocation policy. The goal was to develop a point system that would prioritize candidates on the waiting list in a way that would yield more efficient and equitable outcomes. Our joint Massachusetts Institute of Technology (MIT)/UNOS team joined forces with the OPTN Lung Transplantation Committee in these policy design efforts. We discuss how our team applied a novel analytical fr

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7

Scandling, John D., and Douglas J. Norman. "United Network for Organ Sharing (UNOS) Organ Allocation Policy and Kidney Utilization." American Journal of Kidney Diseases 56, no. 1 (2010): 7–9. http://dx.doi.org/10.1053/j.ajkd.2010.04.004.

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8

Arnaoutakis, G. J., T. J. George, A. Kilic, C. A. Merlo, and A. S. Shah. "449 Regional Differences in United States Lung Transplantation According to UNOS Geographic Regions." Journal of Heart and Lung Transplantation 30, no. 4 (2011): S153. http://dx.doi.org/10.1016/j.healun.2011.01.458.

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9

Lehman, R. R., K. Uccellini, E. Lease, R. Daly, and K. M. Chan. "Increasing Use of EVLP in the United States: Data from the OPTN/UNOS." Journal of Heart and Lung Transplantation 38, no. 4 (2019): S55. http://dx.doi.org/10.1016/j.healun.2019.01.121.

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10

Sachdeva, Mala. "Weight trends in United States living kidney donors: Analysis of the UNOS database." World Journal of Transplantation 5, no. 3 (2015): 137. http://dx.doi.org/10.5500/wjt.v5.i3.137.

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11

Norman, D. J. "Racial inequities in kidney transplantation: the UNOS perspective. United Network for Organ Sharing." JAMA: The Journal of the American Medical Association 271, no. 18 (1994): 1402–3. http://dx.doi.org/10.1001/jama.271.18.1402.

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12

Reich, Heidi J., Joshua L. Chan, Lawrence S. C. Czer, et al. "Combined Lung-Kidney Transplantation: An Analysis of the UNOS/OPTN Database." American Surgeon 81, no. 10 (2015): 1047–52. http://dx.doi.org/10.1177/000313481508101027.

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Poor outcomes after thoracic transplantation with concurrent renal dysfunction are well described: without transplantation or with thoracic-only transplantation, patients face unacceptably high mortality. Outcomes after combined lung-kidney transplantation (LKT) remain largely uninvestigated. The United Network for Organ Sharing/Organ Procurement and Transplantation Network database was queried to identify all LKTs, lung transplantations (LTs), and kidney transplantations (KTs) performed in the United States from 1995 to 2013. Survival was calculated using the Kaplan-Meier method and compared

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13

Gharibi, Zahra, and Michael Hahsler. "A Simulation-Based Optimization Model to Study the Impact of Multiple-Region Listing and Information Sharing on Kidney Transplant Outcomes." International Journal of Environmental Research and Public Health 18, no. 3 (2021): 873. http://dx.doi.org/10.3390/ijerph18030873.

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More than 8000 patients on the waiting list for kidney transplantation die or become ineligible to receive transplants due to health deterioration. At the same time, more than 4000 recovered kidneys from deceased donors are discarded each year in the United States. This paper develops a simulation-based optimization model that considers several crucial factors for a kidney transplantation to improve kidney utilization. Unlike most proposed models, the presented optimization model incorporates details of the offering process, the deterioration of patient health and kidney quality over time, the

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14

Briasoulis, Alexandros, Emmanuel Akintoye, and Paulino Alvarez. "OUTCOMES OF COMBINED ORGAN TRANSPLANTATION: AN ANALYSIS OF UNITED NETWORK FOR ORGAN SHARING (UNOS)." Journal of the American College of Cardiology 75, no. 11 (2020): 689. http://dx.doi.org/10.1016/s0735-1097(20)31316-4.

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15

Venugopal, S., E. Stoner, M. Deng, R. Menezes, and M. Cadeiras. "The United States Heart and Lung Transplant “Social” Network. Insights from the UNOS Database." Journal of Heart and Lung Transplantation 32, no. 4 (2013): S159—S160. http://dx.doi.org/10.1016/j.healun.2013.01.371.

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16

Briasoulis, A., E. Akintoye, and P. Alvarez. "Outcomes of Heart Re-Transplantation: Analysis of the United Network for Organ Sharing (UNOS)." Journal of Heart and Lung Transplantation 39, no. 4 (2020): S286—S287. http://dx.doi.org/10.1016/j.healun.2020.01.632.

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17

Shuhaiber, J. H., J. B. Kim, and R. Gibbons. "410: Repeat heart-lung transplantation outcome United States: An update from the UNOS registry." Journal of Heart and Lung Transplantation 26, no. 2 (2007): S207—S208. http://dx.doi.org/10.1016/j.healun.2006.11.432.

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18

Detre, Katherine, Steven Belle, Kimberly Beringer, and O. Patrick Daily. "Liver transplantation for fulminant hepatic failure in the United States: October 1987 through December 1991." Clinical Transplantation 8, no. 3pt1 (1994): 274–80. http://dx.doi.org/10.1111/j.1399-0012.1994.tb00252.x.

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Background. Early mortality and retransplantation rates following liver transplantation for fulminant hepatic failure (FHF) are high. We investigated possible reasons for these findings. Methods. Data were obtained from the liver transplantation database of the United Network for Organ Sharing (UNOS) Scientific Registry. Recipient information was limited to waiting time; diagnosis; demographic, laboratory and serologic data; and six UNOS functional status codes. Donor information included demographic characteristics, cause of death, ABO blood type, and serology test results. Comparisons betwee

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19

Effenberger, Maria, Andreas Kronbichler, Erica Bettac, et al. "Using Infodemiology Metrics to Assess Public Interest in Liver Transplantation: Google Trends Analysis." Journal of Medical Internet Research 23, no. 8 (2021): e21656. http://dx.doi.org/10.2196/21656.

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Background Liver transplantation (LT) is the only curative treatment for end-stage liver disease. Less than 10% of global transplantation needs are met worldwide, and the need for LT is still increasing. The death rates on the waiting list remain too high. Objective It is, therefore, critical to raise awareness among the public and health care providers and in turn increasingly acquire donors. Methods We performed a Google Trends search using the search terms liver transplantation and liver transplant on October 15, 2020. On the basis of the resulting monthly data, the annual average Google Tr

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20

Sokolich, Julio, Jacentha Buggs, Michael LaVere, et al. "HCC Liver Transplantation Wait List Dropout Rates Before and After the Mandated 6-Month Wait Time." American Surgeon 86, no. 11 (2020): 1592–95. http://dx.doi.org/10.1177/0003134820942165.

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Background Studies have shown significant improvement in hepatocellular carcinoma (HCC) recurrence rates after liver transplantation since the united network of organ sharing (UNOS) implementation of a 6-month wait period prior to accrued exception model for end-stage liver disease (MELD) points enacted on October 8, 2015. However, few have examined the impact on HCC dropout rates for patients awaiting liver transplant. Our objective is to evaluate the outcomes of HCC dropout rates before and after the mandatory 6-month wait policy enacted. Methods We conducted a retrospective cohort study on

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21

Doulamis, Ilias P., BoChang Wu, Armaan F. Akbar, Andreas Xanthopoulos, Emmanuel Androulakis, and Alexandros Briasoulis. "Pacemaker Implantation following Heart Transplantation: Analysis of a Nation-Wide Database." Journal of Clinical Medicine 12, no. 4 (2023): 1604. http://dx.doi.org/10.3390/jcm12041604.

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Background: The 2018 United-Network-for-Organ-Sharing (UNOS) allocation-system changes resulted in greater recognition of mechanical circulatory support (MCS), leading to more heart transplantations (HTx) in patients with MCS. We aimed to investigate the effect of the new UNOS allocation system on the need for a permanent pacemaker and associated complications following HTx. Methods: The UNOS Registry was questioned, to identify patients that received HTx in the US between 2000 and 2021. The primary objectives were to identify risk factors for the need for a pacemaker implantation following HT

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22

Kachouie, Nezamoddin N., Alain Despeignes, and Daniel Breininger. "Survival Times of Transplanted Kidneys Among Different Donor–Recipient Cohorts: The United States Registry Analysis from 1987 to 2018, Part 1: Gender and Ethnicity." Stats 8, no. 1 (2024): 1. https://doi.org/10.3390/stats8010001.

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Over seven thousand people on average die each year in the United States waiting for an organ transplant due to the shortage of donated organs. With this alarming concern, efforts from the health organizations like the United Network Organ Sharing (UNOS) and government officials, by sharing the transplant data, inspire the investigation of the characteristics among donors and recipients that affects the longevity of donated organs. The goal of this study is to investigate the survival time of transplanted kidneys from 1987 to 2018 regarding the donors’ and the recipients’ characteristics. Surv

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23

Burdick, James. "Response to “A Critique of UNOS Liver Allocation Policy” by Kenneth Einar Himma (CQ Vol 8, No 3)." Cambridge Quarterly of Healthcare Ethics 9, no. 2 (2000): 275–80. http://dx.doi.org/10.1017/s0963180100212139.

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The critique of the United Network for Organ Sharing (UNOS) liver allocation policy by Kenneth Himma has flaws related to the complexities and evolutionary nature of the field. Recent improvements in transplantation have achieved national attention of this sort. There has been an evolution, unequaled elsewhere in medicine, of a national data set and national rules. The transplant community might have been more effective in communicating the details of this, and the problems associated with organ allocation policy. The novelty and complexity of the new rules understandably can produce misleadin

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Taylor, Gloria, Lin Johnson McGaw, Gwen Mayes, Thomas J. Cossé, and Terry M. Weisenberger. "The Coordinator Attrition Problem in the United States: Myth or Reality?" Journal of Transplant Coordination 8, no. 2 (1998): 88–92. http://dx.doi.org/10.1177/090591999800800206.

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Excessive attrition among organ procurement coordinators has been a suspected problem for many years. In 1994 the United Network for Organ Sharing undertook a procurement coordinator attrition study. Initially, focus groups were conducted in conjunction with the 1994 North American Transplant Coordinators Organization's annual meeting. In 1996, 69 executive directors from organ procurement organizations were surveyed on the subject of procurement coordinator attrition. Thirty-five executive directors responded, resulting in a 51% response rate. The UNOS procurement coordinator attrition study

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Dharnidharka, Vikas R., Gary Stevens, and Richard J. Howard. "En-Bloc Kidney Transplantation in the United States: An Analysis of United Network of Organ Sharing (UNOS) Data from 1987 to 2003." American Journal of Transplantation 5, no. 6 (2005): 1513–17. http://dx.doi.org/10.1111/j.1600-6143.2005.00878.x.

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Briasoulis, Alexandros, Emmanuel Akintoye, Suchith Shetty, and Paulino Alvarez. "TRENDS AND OUTCOMES OF HEART RE-TRANSPLANTATION: INSIGHTS FROM THE UNITED NETWORK FOR ORGAN SHARING (UNOS)." Journal of the American College of Cardiology 75, no. 11 (2020): 747. http://dx.doi.org/10.1016/s0735-1097(20)31374-7.

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Kilic, A., G. J. Arnaoutakis, T. J. George, et al. "371 Lung Retransplantation: Predictors of Improved Survival from the United Network for Organ Sharing (UNOS) Database." Journal of Heart and Lung Transplantation 30, no. 4 (2011): S128. http://dx.doi.org/10.1016/j.healun.2011.01.379.

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Sethi, J., G. A. Garrido Rosa, K. Patel, and N. Sharma. "Predicting Long Term Survival in Lung Transplant: Analysis of United Network for Organ Sharing (UNOS) Database." Journal of Heart and Lung Transplantation 38, no. 4 (2019): S331. http://dx.doi.org/10.1016/j.healun.2019.01.836.

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Roberts, Mark S., Derek C. Angus, Cindy L. Bryce, Zdenek Valenta, and Lisa Weissfeld. "Survival after liver transplantation in the United States: A disease-specific analysis of the UNOS database." Liver Transplantation 10, no. 7 (2004): 886–97. http://dx.doi.org/10.1002/lt.20137.

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Suryapalam, Manish, Jay Kanaparthi, Shineui Kim, Pedram Shafiei-Jahani, Armeen Barghi, and Mohammed Kashem. "Modern UNOS Data Reveals Septuagenarians Have Inferior Heart Transplant Survival." OBM Transplantation 09, no. 02 (2025): 1–15. https://doi.org/10.21926/obm.transplant.2502252.

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While heart transplantation is increasingly performed in the United States for elderly patients, survival outcomes have primarily been analyzed in single-center studies. The few existing long-term studies have indicated no difference in HTx outcomes between patients ≥70 years and 60-69 years age, but these studies only assessed to 5-years post-transplant and included data from the 1980-90s, introducing significant variance due to poorer outcomes in that era. We analyzed the UNOS database from 1987-2020, stratified by timeframe at 2000, to derive a more representative comparison of modern HTx s

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Kronbichler, Andreas, Maria Effenberger, Jae Il Shin, et al. "Is There Decreasing Public Interest in Renal Transplantation? A Google TrendsTM Analysis." Journal of Clinical Medicine 9, no. 4 (2020): 1048. http://dx.doi.org/10.3390/jcm9041048.

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Background and objectives: Renal transplantation is the preferred form of renal replacement therapy for the majority of patients with end stage renal disease (ESRD). The Internet is a key tool for people seeking healthcare-related information. This current work explored the interest in kidney transplantation based on Internet search queries using Google TrendsTM. Design, setting, participants, and measurements: We performed a Google TrendsTM search with the search term “kidney transplantation” between 2004 (year of inception) and 2018. We retrieved and analyzed data on the worldwide trend as w

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Miyamoto, Takuma, Christopher David Pritting, Rob Tatum, et al. "Characterizing Adaptive Changes and Patient Survival After 2018 Donor Allocation Restructuring: A UNOS Database Analysis." Critical Pathways in Cardiology: A Journal of Evidence-Based Medicine 23, no. 2 (2024): 81–88. http://dx.doi.org/10.1097/hpc.0000000000000359.

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Purpose: We sought to characterize adaptive changes to the revised United Network for Organ Sharing donor heart allocation policy and estimate long-term survival trends for heart transplant (HTx) recipients. Methods: Patients listed for HTx between October 17, 2013 and September 30, 2021 were identified from the United Network for Organ Sharing database, and stratified into pre- and postpolicy revision groups. Subanalyses were performed to examine trends in device utilization for extracorporeal membranous oxygenation (ECMO), durable left ventricular assist device (LVAD), intra-aortic balloon p

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Suri, Jaspreet S., Christopher J. Danford, Vilas Patwardhan, and Alan Bonder. "Mortality on the UNOS Waitlist for Patients with Autoimmune Liver Disease." Journal of Clinical Medicine 9, no. 2 (2020): 319. http://dx.doi.org/10.3390/jcm9020319.

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Background: Outcomes on the liver transplant waitlist can vary by etiology. Our aim is to investigate differences in waitlist mortality of autoimmune hepatitis (AIH), primary biliary cholangitis (PBC), and primary sclerosing cholangitis (PSC) using the United Network for Organ Sharing (UNOS) database. Methods: We identified patients who were listed for liver transplantation from 1987 to 2016 with a primary diagnosis of AIH, PBC, or PSC. We excluded patients with overlap syndromes, acute hepatic necrosis, missing data, and those who were children. The primary outcome was death or removal from t

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Krishnan, Mridula, Laila Gharzai, Ahmad Qurie, et al. "Incidence of colorectal carcinoma following liver transplantation: A retrospective analysis using the United Network for Organ Sharing (UNOS) database." Journal of Clinical Oncology 35, no. 4_suppl (2017): 542. http://dx.doi.org/10.1200/jco.2017.35.4_suppl.542.

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542 Background: Since 1988, approximately 145,000 liver transplants (LT) have been performed in the United States, with 7,127 in 2015 alone. Several malignancies occur more frequently in solid organ transplant recipients. Studies have shown increased risk of Colorectal cancer (CRC) post LT in adults with primary sclerosing cholangitis, whether the risk of de novo CRC is increased or not remains controversial. Methods: A retrospective analysis was conducted using the UNOS database. Between-group differences in CRC rates were compared using Fisher’s exact test whereas, the differences in observe

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Phan, D. K., P. Friedmann, J. P. Skendelas, et al. "The United States Experience of Lung Transplantation in Recipients with COVID-19 Fibrosis: A UNOS/OPTN Analysis." Journal of Heart and Lung Transplantation 41, no. 4 (2022): S109—S110. http://dx.doi.org/10.1016/j.healun.2022.01.255.

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Gill, Jagbir, Yong W. Cho, Gabriel M. Danovitch, et al. "Outcomes of Dual Adult Kidney Transplants in the United States: An Analysis of the OPTN/UNOS Database." Transplantation 85, no. 1 (2008): 62–68. http://dx.doi.org/10.1097/01.tp.0000296855.44445.af.

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Pruett, T. L. "Liver transplantation for childhood hepatic malignancy: a review of the United Network for Organ Sharing (UNOS) database." Yearbook of Surgery 2007 (January 2007): 113–14. http://dx.doi.org/10.1016/s0090-3671(08)70086-7.

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Austin, Mary T., Charles M. Leys, Irene D. Feurer, et al. "Liver transplantation for childhood hepatic malignancy: a review of the United Network for Organ Sharing (UNOS) database." Journal of Pediatric Surgery 41, no. 1 (2006): 182–86. http://dx.doi.org/10.1016/j.jpedsurg.2005.10.091.

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Basu, A., N. Kohn, M. Bhaskaran, et al. "Dual Adult Kidney Transplants (DKT):Analysis of the United Network of Organ Sharing (UNOS) Database 2006-2011." Transplantation 98 (July 2014): 137. http://dx.doi.org/10.1097/00007890-201407151-00422.

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Al-Kindi, Sadeer, Marwan Qattan, Joyce Njoroge, Chantal ElAmm, Mahazarin Ginwalla, and Guilherme H. Oliveira. "Familial Cardiomyopathy is Associated with Better Cardiac Allograft Survival: Analysis from United Network for Organ Sharing (UNOS)." Journal of Cardiac Failure 20, no. 8 (2014): S30. http://dx.doi.org/10.1016/j.cardfail.2014.06.087.

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Hashmi, Shahrukh, Timucin Taner, Mrinal Patnaik, et al. "Liver Transplantation for Hepatic Graft-Versus-Host-Disease: A United Network for Organ Sharing (UNOS) Database Study." Biology of Blood and Marrow Transplantation 21, no. 2 (2015): S331. http://dx.doi.org/10.1016/j.bbmt.2014.11.528.

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Al-Kindi, Sadeer G., Iqbal El-Assaad, Charbel Abi Khalil, and Guilherme H. Oliveira. "Heart transplantation of Middle Eastern patients in the United States: A brief report from the UNOS database." Journal of Heart and Lung Transplantation 34, no. 9 (2015): 1219–20. http://dx.doi.org/10.1016/j.healun.2015.06.005.

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Trivedi, Jaimin R., Siddharth V. Pahwa, Katherine R. Whitehouse, Bradley M. Ceremuga, and Mark S. Slaughter. "Racial disparities in cardiac transplantation: Chronological perspective and outcomes." PLOS ONE 17, no. 1 (2022): e0262945. http://dx.doi.org/10.1371/journal.pone.0262945.

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Background The objective of this study was to evaluate annual heart transplant volumes and 3-year post-transplant outcomes since establishment of United Network for Organ Sharing (UNOS) database stratified by race. Methods The UNOS thoracic transplant database was evaluated for adult patients since 1987. The available database was then stratified by Race: Black, White and Other and era of transplant: group 1(1987–1991), group 2(1992–1996), group 3(1997–2001), group 4(2002–2006), group 5(2007–2011), group 6(2012–2016) and group 7(2017 and later). Demographic and clinical factors were evaluated.

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Rosenthal, Lori. "The Ethical Implications of Liver Transplantation in Patients With a Large Burden of Hepatocellular Carcinoma." Clinical Scholars Review 4, no. 1 (2011): 22–27. http://dx.doi.org/10.1891/1939-2095.4.1.22.

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This review discusses extending liver transplantation to patients with hepatocellular carcinoma (HCC) beyond established United Network for Organ Sharing (UNOS) criteria. After a thorough review of the literature, ethical issues are discussed with particular attention to informed decision making regarding autonomy and paternalism, especially considering patients without preexisting medical knowledge may have difficulty making informed decisions in times of emotional stress and facing an otherwise terminal illness. Additionally, a discussion of just organ allocation is addressed during a time o

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Jahanyar, Jama, Michael M. Koerner, Ali Ghodsizad, Matthias Loebe, and George P. Noon. "Heterotopic Heart Transplantation: The United States Experience." Heart Surgery Forum 17, no. 3 (2014): 132. http://dx.doi.org/10.1532/hsf98.2014328.

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<p><b>Introduction:</b> More than 3 decades have passed since the first heterotopic heart transplantation (HHT) was reported. Nowadays, this surgical technique is used rarely, and only in patients who do not qualify for standard orthotopic heart transplantation (OHT). Current indications mainly comprise refractory pulmonary hypertension and a donor-recipient size mismatch (>20%). The objective of this study was to analyze the United States experience with HHT.</p><p><b>Patients and Methods:</b> The United Network for Organ Sharing (UNOS) database be

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Basu, A., N. Kohn, M. Bhaskaran, et al. "Resource Use in Adult Dual Kidney Transplantation(DKT): Analysis of the United Network of Organ Sharing(UNOS) Database." Transplantation 98 (July 2014): 598. http://dx.doi.org/10.1097/00007890-201407151-02018.

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Mancini, M. J., A. F. Connors Jr., X. Q. Wang, et al. "HLA matching for simultaneous pancreas- kidney transplantation in the United States: a multivariable analysis of the UNOS data." Clinical Nephrology 57, no. 01 (2002): 27–37. http://dx.doi.org/10.5414/cnp57027.

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Rasmusson, K. D., D. G. Renlund, B. D. Horne, et al. "147: Outcomes of Heart Transplantation for Peripartum Cardiomyopathy: Analysis of the United Network for Organ Sharing (UNOS) Database." Journal of Heart and Lung Transplantation 28, no. 2 (2009): S117. http://dx.doi.org/10.1016/j.healun.2008.11.825.

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Oh, Henry K., Robert Provenzano, Julie Hendrix, and MW El‐Nachef. "Insulin allergy resolution following pancreas transplantation alone." Clinical Transplantation 12, no. 6 (1998): 593–95. http://dx.doi.org/10.1111/j.1399-0012.1998.tb01022.x.

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Clinically significant immunological reactions to exogenous insulin are classified as local or generalized. Most of the insulin allergies are local reactions which usually improve or resolve spontaneously. Generalized allergic reactions to insulin range in severity from simple urticaria to life‐threatening anaphylaxis. Most of the allergic reactions to exogenous insulin are antibody‐mediated reactions to antigens such as zinc, protamine, non‐insulin proteins, and aggregates of insulin molecules as well as animal antigens. Immunologic reactions to endogenous insulin usually result in insulin re

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Egan, Thomas. "How Should Lungs Be Allocated for Transplant?" Seminars in Respiratory and Critical Care Medicine 39, no. 02 (2018): 126–37. http://dx.doi.org/10.1055/s-0037-1620265.

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AbstractAs lung transplantation became established therapy for end-stage lung disease, there were not nearly enough suitable lungs from brain-dead organ donors to meet the need, leading to a focus on how lungs are allocated for transplant. Originally lungs were allocated by the United Network for Organ Sharing (UNOS) like hearts—by waiting time, first to listed recipients in the organ procurement organization of the donor, then to potential recipients in concentric 500 nautical mile circles. This resulted in long waiting times and increasing waitlist deaths. In 1999, the Health Resources and S

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