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Dick Cheney's heart transplant reopens debate over age
The Huffington Post
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Doctors say it is unlikely that former Vice President Dick Cheney got special treatment when he was given a new heart at age 71 that thousands of younger people also were in line to receive. Still, his case reopens debate about whether rules should be changed to favor youth over age in giving out scarce organs. As it stands now, time on the waiting list, medical need and where you live determine the odds of scoring a new heart — not how many years you'll live to make use of it.
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ASTS responds to Wall Street Journal article
ASTS
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On March 10, the Wall Street Journal ran an
article titled "What You Lose When You Sign That Donor Card." ASTS sent a letter to the editors protesting the article's lack of substantive data and uninformed speculation, and NPR later interviewed both the article's author and Dr. Richard Freeman, Chair, Department of Surgery, Dartmouth Medical School and past ASTS councilor-at-large, who refuted the article's claims. ASTS is monitoring the fallout from this article meant to promote the author's new book and working to set the record straight.
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Increased Risk Consensus Conference to be held April 27
ASTS
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Northwestern, ASTS, and AST will conduct an Increased Risk Consensus Conference, made possible by a grant from the Agency for Healthcare Research and Quality (AHRQ), April 27, 2012, from 9 a.m. to 4 p.m. at the Crowne Plaza Chicago O'Hare in Chicago, Illinois. The goals of this conference will be to develop a consensus definition of donors at increased risk of transmission of HIV, HBV, and HCV; to define the optimal evaluation of living donors to mitigate against infectious disease transmission with a focus on HIV, HBV, and HCV; to define the optimal timing, content, and method of informed consent of candidates considering accepting an organ from a donor at increased risk of HIV, HBV, and HCV transmission; and to develop consensus on the optimal evaluation of recipients of organs from donors at in-creased risk of HIV, HBV and HCV transmission. The fee to attend is $110, and registrations must be received by March 31, 2012.
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AMA Spotlights Transplantation in March
ASTS
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Transplant leads the way! The American Medical Association's journal of medical ethics, the Virtual Mentor, www.virtualmentor.org, spotlights organ transplantation for March. We are pleased that that the AMA recognizes that the field of transplantation has much to teach physicians about balancing equity with utility in the distribution of life-saving resources. Beyond the core dilemma of allocation, organ transplantation demands that we agree on criteria for death, decide how much risk living donors can fairly assume, identify means for increasing the supply of organs, and devise an acceptable reimbursement plan for post-transplant medical care. Contributors to this month's Virtual Mentor describe ethically relevant ways to approach each of these challenging tasks.
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Kidney transplant patients seek life without drugs
The Associated Press via ABC News
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Lindsay Porter's kidneys were failing rapidly when a friend offered to donate one of his. Then she made an unusual request: Would he donate part of his immune system, too?
Every day for the rest of their lives, transplant recipients must swallow handfuls of pills to keep their bodies from rejecting a donated organ. The Chicago woman hoped to avoid those problematic drugs, enrolling in a study to try to trick her own immune system into accepting a foreign kidney.
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Long-term outcomes similar for ECDs, SCDs
Renal & Urology News
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Kidneys from standard-criteria donors and expanded-criteria donors are associated with similar rates of long-term patient survival and death-censored graft survival, a study has confirmed.
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Successful transplantation of small-for-size grafts: A reappraisal
Liver Transplantation (paid subscription required)
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The outcomes of adult living donor liver transplantation are equivalent to the outcomes of deceased donor living transplantation in similar patient populations at experienced centers.
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The super-rapid technique in Maastricht category III donors: has it developed enough for marginal liver grafts from donors after cardiac death?
Current Opinion in Organ Transplantation (paid subscription required)
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Follow-up data from donors following cardiac death liver transplants suggest an increased risk of graft failure and morbid complications, and the risk increased with grafts from marginal donors. Donor warm ischaemia stands out as the common aetiological factor.
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Guidry & East is a transplant consulting firm specializing in Transplant business solutions, Transplant financial and operations, along with the Medicare Organ Acquisition Cost Report. MORE
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To find out how to feature your company in the ASTS Newsbrief and other advertising opportunities, Contact James DeBois at 469-420-2618
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New transplant center celebrates successful first operations
Hawaii News Now
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Patients are starting to get life saving organ transplants now that Queen's Medical Center has opened Hawaii's only transplant clinic and it's already having an impact.
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Acute appendicitis post liver transplant: a case report and literature review
PubMed
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Although acute appendicitis is common, reported cases after orthotopic liver transplant are rare. A 29-year-old woman presented to the emergency department with right lower-quadrant pain and mild leukocytosis two years after having a liver transplant. A computed tomography scan revealed an inflamed appendix.
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Living donor liver transplantation selection, perioperative care, and outcome
Journal of Intensive Care Medicine
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A perception that living donor liver transplantation can be accomplished with an acceptable donor complication rate and recipient survival rate has led to the acceptance of living donor liver transplantation as a viable alternative to decreased deceased donor transplantation. Careful candidate evaluation and selection has been crucial to the success of this procedure.
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