Publications by authors named "D B Leeser"
Article Synopsis
- This study examined early outcomes of a new medication, LCPT, compared to the traditional IR TAC in African American kidney transplant patients.
- The study found that while LCPT led to higher tacrolimus levels shortly after transplant, the overall kidney function and key clinical outcomes after one year were similar to those of IR TAC.
- The results suggest that LCPT can be safely used as a first-line treatment post-transplant without increasing complications like delayed graft function.
This retrospective review of the largest United States kidney exchange reports characteristics, utilization, and recipient outcomes of kidneys with simple compared to complex anatomy and extrapolates reluctance to accept these kidneys. Of 3105 transplants performed, only 12.8% were right kidneys and 23.
View Article and Find Full Text PDFIncreasing numbers of compatible pairs are choosing to enter paired exchange programs, but motivations, outcomes, and system-level effects of participation are not well described. Using a linkage of the Scientific Registry of Transplant Recipients and National Kidney Registry, we compared outcomes of traditional (originally incompatible) recipients to originally compatible recipients using the Kaplan-Meier method. We identified 154 compatible pairs.
View Article and Find Full Text PDFBackground: Despite the institution of a new Kidney Allocation System in 2014, A2/A2B to B transplantation has not increased as expected. The current Organ Procurement and Transplantation Network policy requires subtyping on two separate occasions, and in the setting of discrepant results, defaulting to the A1 subtype. However, there is significant inherent variability in the serologic assays used for blood group subtyping and genotyping is rarely done.
View Article and Find Full Text PDFImportance: Although optimal access is accepted as the key to quality care, an accepted methodology to ascertain potential disparities in surgical access has not been defined.
Objective: To develop a systematic approach to detect surgical access disparities.
Design, Setting, And Participants: This cross-sectional study used publicly available data from the Health Cost and Utilization Project State Inpatient Database from 2016.