title: Columbia University/New York-Presbyterian Hospital: improving access to renal transplantation.
abstract: There continues to be an increasing disparity between organ supply and demand in kidney transplantation with over 87,000 patients currently on the waiting list. Prolonged waiting times on dialysis is associated with significant morbidity and mortality rates. At Columbia University Medical Center/New York-Presbyterian Hospital we have implemented several strategies to improve access to transplantation. Here we present these key steps that have resulted in a significant reduction in our median waiting times and successfully increased the rate of transplantation at our center.
authors.affiliation: Abdominal Transplant Surgery, Columbia University Medical Center, New York, New York, USA.
authors.forename: Anthony
authors.initials: A
authors.lastname: Watkins
authors.forename: Johanna
authors.initials: J
authors.lastname: Camacho-Rivera
authors.forename: Joan
authors.initials: J
authors.lastname: Kelly
authors.forename: James V
authors.initials: JV
authors.lastname: Guarrera
authors.forename: Rodrigo
authors.initials: R
authors.lastname: Sandoval
authors.forename: John
authors.initials: J
authors.lastname: Crew
authors.forename: David
authors.initials: D
authors.lastname: Cohen
authors.forename: Lloyd E
authors.initials: LE
authors.lastname: Ratner
mesh_terms: D046148:Donor Selection / Q000706:statistics & numerical data; D006084:Graft Rejection / Q000276:immunology / Q000517:prevention & control; D006085:Graft Survival; D006297:Health Services Accessibility / Q000706:statistics & numerical data; D006650:Histocompatibility Testing; D006785:Hospitals, University / Q000706:statistics & numerical data; D006801:Humans; D053208:Kaplan-Meier Estimate; D016030:Kidney Transplantation / Q000276:immunology / Q000401:mortality; D019520:Living Donors / Q000600:supply & distribution; D009519:New York City; D016730:Program Development; D015397:Program Evaluation; D018570:Risk Assessment; D012307:Risk Factors; D013997:Time Factors; D014019:Tissue Donors / Q000600:supply & distribution*; D023001:Transplantation Tolerance; D016896:Treatment Outcome; D014850:Waiting Lists / Q000401:mortality