Publications by authors named "Meelie DebRoy"

Background: There are many potential treatment options for patients with early stage hepatocellular carcinoma (HCC) and practice patterns vary widely. This project aimed to use a Delphi conference to generate consensus regarding the management of small resectable HCC.

Methods: A base case was established with review by members of AHPBA Research Committee.

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Article Synopsis
  • * Among the 225 patients who underwent coronary angiography, 47% were found to have significant coronary artery disease (CAD), though noninvasive nuclear stress tests often missed detecting it, showing low predictive values.
  • * The study concluded that targeted evaluations can identify patients at high risk for CAD, and that revascularization procedures can improve survival rates for both those awaiting transplants and those who receive one.
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Background: The Kidney Transplant Morbidity Index (KTMI) is a novel prognostic morbidity index to help determine the impact that pretransplant comorbid conditions have on transplant outcome.

Objective: To use national data to validate the KTMI.

Design: Retrospective analysis of the Organ Procurement and Transplant Network/United Network for Organ Sharing database.

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Objectives: Obesity is often associated with higher hospital costs because of longer length of stay (LOS) but this has not been well studied in the kidney transplant population. Therefore, we used national data to compare LOS in select groups of morbidly obese and normal weight recipients after kidney transplant.

Design: This study was a retrospective analysis of the Organ Procurement and Transplant Network/United Network for Organ Sharing database.

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Extracorporeal membrane oxygenation (ECMO) has the ability to provide normal organ perfusion and oxygenation in the absence of cardiac function and thus has the potential to improve viability of subsequently transplanted kidneys. In addition, ECMO support allows the donation following cardiopulmonary death (DCD) process to occur in a controlled manner that is acceptable to staff unfamiliar with DCD. In 1999 our center implemented a controlled DCD program that incorporates post-mortem ECMO support of the organs.

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Improving survival rates following pediatric bone marrow transplantation (BMT) will likely result in greater numbers of children progressing to end-stage renal disease (ESRD) because of prior chemotherapy, irradiation, sepsis, and exposure to nephrotoxic agents. Renal transplantation remains the treatment of choice for ESRD; however, the safety of renal transplantation in this unique population is not well established. We report our experience with living related renal transplantation in three pediatric patients with ESRD following prior BMT.

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