Current Transplantation Reports最新文献

{"title":"Managing the Costs of Routine Follow-up Care After Living Kidney Donation: a Review and Survey of Contemporary Experience, Practices, and Challenges.","authors":"Krista L Lentine,&nbsp;Nagaraju Sarabu,&nbsp;Gwen McNatt,&nbsp;Robert Howey,&nbsp;Rebecca Hays,&nbsp;Christie P Thomas,&nbsp;Ursula Lebron-Banks,&nbsp;Linda Ohler,&nbsp;Cody Wooley,&nbsp;Addie Wisniewski,&nbsp;Huiling Xiao,&nbsp;Andrea Tietjen","doi":"10.1007/s40472-022-00379-w","DOIUrl":"https://doi.org/10.1007/s40472-022-00379-w","url":null,"abstract":"<p><strong>Purpose of review: </strong>While living organ donor follow-up is mandated for 2 years in the USA, formal guidance on recovering associated costs of follow-up care is lacking. In this review, we discuss current billing practices of transplant programs for living kidney donor follow-up, and propose future directions for managing follow-up costs and supporting cost neutrality in donor care.</p><p><strong>Recent findings: </strong>Living donors may incur costs and financial risks in the donation process, including travel, lost time from work, and dependent care. In addition, adherence to the Organ Procurement and Transplantation Network (OPTN) mandate for US transplant programs to submit 6-, 12-, and 24-month postdonation follow-up data to the national registry may incur out-of-pocket medical costs for donors. Notably, the Centers for Medicare and Medicaid Services (CMS) has explicitly disallowed transplant programs to bill routine, mandated follow-up costs to the organ acquisition cost center or to the recipient's Medicare insurance. We conducted a survey of transplant staff in the USA (distributed October 22, 2020-March 15, 2021), which identified that the mechanisms for recovering or covering the costs of mandated routine postdonation follow-up at responding programs commonly include billing recipients' private insurance (40%), while 41% bill recipients' Medicare insurance. Many programs reported utilizing institutional allowancing (up to 50%), and some programs billed the organ acquisition cost center (25%). A small percentage (11%) reported billing donors or donors' insurance.</p><p><strong>Summary: </strong>To maintain a high level of adherence to living donor follow-up without financially burdening donors, up-to-date resources are needed on handling routine donor follow-up costs in ways that are policy-compliant and effective for donors and programs. Development of a government-supported national living donor follow-up registry like the Living Donor Collective may provide solutions for aspects of postdonation follow-up, but requires transplant program commitment to register donors and donor candidates as well as donor engagement with follow-up outreach contacts after donation.</p><p><strong>Supplementary information: </strong>The online version contains supplementary material available at 10.1007/s40472-022-00379-w.</p>","PeriodicalId":36387,"journal":{"name":"Current Transplantation Reports","volume":" ","pages":"328-335"},"PeriodicalIF":2.1,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9510404/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40391895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Community Engagement to Improve Equity in Kidney Transplantation from the Ground Up: the Southeastern Kidney Transplant Coalition.","authors":"Rachel E Patzer,&nbsp;Samantha Retzloff,&nbsp;Jade Buford,&nbsp;Jennifer Gander,&nbsp;Teri Browne,&nbsp;Heather Jones,&nbsp;Matt Ellis,&nbsp;Kelley Canavan,&nbsp;Alexander Berlin,&nbsp;Laura Mulloy,&nbsp;Eric Gibney,&nbsp;Leighann Sauls,&nbsp;Dori Muench,&nbsp;Amber Reeves-Daniel,&nbsp;Carlos Zayas,&nbsp;Derek DuBay,&nbsp;Rich Mutell,&nbsp;Stephen O Pastan","doi":"10.1007/s40472-021-00346-x","DOIUrl":"https://doi.org/10.1007/s40472-021-00346-x","url":null,"abstract":"<p><strong>Purpose of review: </strong>The purpose of this review is to describe the Southeastern Kidney Transplant Coalition's mission, vision, goals, and Early Transplant Access registry as an example of a community/academic collaboration dedicated to improving access to transplantation and reducing inequities in transplant access.</p><p><strong>Recent findings: </strong>The barriers and facilitators to referral and evaluation for kidney transplantation are not necessarily the same as for waitlisting and transplantation. Recent findings suggest that inequities in transplant access are multilevel and multifactorial and require continued community engagement to improve access to kidney transplantation across patients, health systems, and populations.</p><p><strong>Summary: </strong>Community-engaged approaches are critical to ensuring that inequities in transplant access - which may vary across regions -- are not only described but are addressed in practice in a sustainable manner.</p>","PeriodicalId":36387,"journal":{"name":"Current Transplantation Reports","volume":" ","pages":"324-332"},"PeriodicalIF":2.1,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9435919/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40348342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Moving Toward Continuous Organ Distribution","authors":"D. Stewart","doi":"10.1007/s40472-021-00352-z","DOIUrl":"https://doi.org/10.1007/s40472-021-00352-z","url":null,"abstract":"","PeriodicalId":36387,"journal":{"name":"Current Transplantation Reports","volume":"8 1","pages":"301 - 313"},"PeriodicalIF":2.1,"publicationDate":"2021-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44099017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Improving Transplant Program Performance Monitoring","authors":"Sharon Shepherd, R. Formica","doi":"10.1007/s40472-021-00344-z","DOIUrl":"https://doi.org/10.1007/s40472-021-00344-z","url":null,"abstract":"","PeriodicalId":36387,"journal":{"name":"Current Transplantation Reports","volume":"8 1","pages":"293 - 300"},"PeriodicalIF":2.1,"publicationDate":"2021-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42860822","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Transplantation for Chagas Heart Disease: a Comprehensive Review","authors":"F. Bacal, C. Murad, Carlos Aurélio dos Santos Aragão, I. W. de Campos, Luis Fernando Bernal da Costa Seguro, M. Avila, S. Mangini, F. Gaiotto, T. V. Strabelli, F. Marcondes-Braga","doi":"10.1007/s40472-021-00348-9","DOIUrl":"https://doi.org/10.1007/s40472-021-00348-9","url":null,"abstract":"","PeriodicalId":36387,"journal":{"name":"Current Transplantation Reports","volume":"8 1","pages":"344 - 350"},"PeriodicalIF":2.1,"publicationDate":"2021-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41980776","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Support for Ex Vivo Organ Perfusion in Kidney and Liver Transplantation","authors":"A. Amin, Valeria Ripa, F. Paterno, J. Guarrera","doi":"10.1007/s40472-021-00347-w","DOIUrl":"https://doi.org/10.1007/s40472-021-00347-w","url":null,"abstract":"","PeriodicalId":36387,"journal":{"name":"Current Transplantation Reports","volume":"8 1","pages":"333 - 343"},"PeriodicalIF":2.1,"publicationDate":"2021-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44336732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Antibody-Mediated Rejection: the Role of Plasma Cells and Memory B Cells","authors":"S. S. Mujtahedi, Furkan Yiğitbilek, E. Ozdoğan, C. Schinstock, M. Stegall","doi":"10.1007/s40472-021-00342-1","DOIUrl":"https://doi.org/10.1007/s40472-021-00342-1","url":null,"abstract":"","PeriodicalId":36387,"journal":{"name":"Current Transplantation Reports","volume":"8 1","pages":"272 - 280"},"PeriodicalIF":2.1,"publicationDate":"2021-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46421758","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Taking the Temperature on Machine Perfusion","authors":"S. Raigani, H. Yeh","doi":"10.1007/s40472-021-00337-y","DOIUrl":"https://doi.org/10.1007/s40472-021-00337-y","url":null,"abstract":"","PeriodicalId":36387,"journal":{"name":"Current Transplantation Reports","volume":"8 1","pages":"241 - 249"},"PeriodicalIF":2.1,"publicationDate":"2021-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s40472-021-00337-y","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45037865","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Updating Deceased Donor Kidney Allocation—What Are the Challenges?","authors":"S. Y. Yi, B. Thomas, M. Cooper","doi":"10.1007/s40472-021-00335-0","DOIUrl":"https://doi.org/10.1007/s40472-021-00335-0","url":null,"abstract":"","PeriodicalId":36387,"journal":{"name":"Current Transplantation Reports","volume":"8 1","pages":"183 - 190"},"PeriodicalIF":2.1,"publicationDate":"2021-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s40472-021-00335-0","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47364835","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Strategies for Vascularizing Pancreatic Islets and Stem Cell–Derived Islet Organoids","authors":"I. Banerjee","doi":"10.1007/s40472-021-00334-1","DOIUrl":"https://doi.org/10.1007/s40472-021-00334-1","url":null,"abstract":"","PeriodicalId":36387,"journal":{"name":"Current Transplantation Reports","volume":"8 1","pages":"220 - 227"},"PeriodicalIF":2.1,"publicationDate":"2021-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s40472-021-00334-1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48638383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}