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Change in the U.S. allocation system for donor hearts has reduced waitlist mortality

Outcomes Poorer With New U.S. Donor Heart Allocation System

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Early observations show lower waitlist mortality but higher posttransplant mortality or retransplantation
Restrictive Medicaid policies are associated with a reduced proportion of payment by Medicaid for liver transplantation for alcohol-related liver disease since 2011

Policies Limit Medicaid Payment for Transplant in Alcoholic Liver Disease

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Since 2011, proportion of Medicaid payment for liver transplant dropped for alcohol-related liver disease
Among identical-twin kidney transplants

Patient, Graft Survival Excellent for Twin Kidney Transplant

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About half of kidney transplant recipients of identical-twin transplants did not get immunosuppression
What is believed to be the first double lung transplant in the United States for a patient whose lungs were irreparably damaged after vaping was performed by doctors at the Henry Ford Health System in Detroit.

Double Lung Transplant Performed for Vaping-Related Illness

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At least 40 deaths linked with vaping-related lung damage have been reported by state health departments
Many pediatric liver transplant recipients are undervaccinated

Pediatric Liver Transplant Recipients Often Undervaccinated

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Only 19 percent of children were up to date on immunizations by IDSA accelerated schedule
Fewer women than men receive kidney replacement therapy

Fewer Women Than Men Receive Kidney Replacement Therapy

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Findings consistent across decades for nine European countries
Use of ex vivo lung perfusion-treated lungs increases the number of patients undergoing transplantation with comparable long-term outcomes

Lung Transplant With Ex Vivo Lung Perfusion Feasible

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Method increases number of available lungs with comparable patient outcomes
There is center-level variation in the use of deceased donor kidneys

Use of Deceased Donor Kidneys Varies by Center

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Variation in donor utilization index based on Organ Procurement and Transplantation Network region
Patients with end-stage kidney disease who undergo dialysis at for-profit institutions are less likely to receive a kidney transplant

Likelihood of Transplant Lower at Profit-Driven Dialysis Facilities

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More research needed to understand the mechanisms behind difference in transplant access
Disparities persist in preemptive kidney transplantation

Preemptive Kidney Transplants Up After KAS Implementation

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However, disparities persist, with recipients more likely to be white, female, have private insurance