Luke Preczewski

Jackson health system · Miami Transplant Institute

Kidney transplant is not only the best treatment for patients with advanced kidney disease, but it also reduces health-care expenditure. The management of transplant patients is complex as they require special care by transplant nephrologists who have expertise in assessing transplant candidates, understand immunology and organ rejection, have fami...

Background and objectives There are no standardized benchmarks to measure productivity and compensation of transplant nephrologists in the United States, and consequently, criteria set for general nephrologists are often used. Design, setting, participants, & measurements A web-based survey was sent to 809 nephrologists who were members of the Ame...

The management of a kidney transplant program has evolved significantly in the last decades to become a highly specialized, multidisciplinary standard of care for end‐stage kidney disease. Transplant center job descriptions have similarly morphed with increasing responsibilities to address a more complex patient mix, increasing medical and surgical...

Background: Hispanics/Latinos receive disproportionately fewer living donor kidney transplantations (LDKTs) than non-Hispanic whites. We conducted a multisite, randomized controlled trial to evaluate the efficacy of exposure to a bilingual, culturally targeted website, Infórmate, for increasing Hispanics' knowledge about LDKT. Methods: Hispanic...

New approaches to address the kidney scarcity in the United States are urgently needed. The greatest potential source of kidneys is from living donors. Proposals to offer financial incentives to increase living kidney donation rates remain highly controversial. Despite repeated calls for a pilot study to assess the impact of financial compensation...

The history of the field of transplantation — as well as the growth of individual transplant centers — represents an evolution from innovators and entrepreneurs toward a corporate culture that achieves high reliability and compliance. This chapter discusses the advantages and disadvantages of this evolution and presents guiding principles for a tra...

The history of the field of transplantation — as well as the growth of individual transplant centers — represents an evolution from innovators and entrepreneurs toward a corporate culture that achieves high reliability and compliance. This chapter discusses the advantages and disadvantages of this evolution and presents guiding principles for a tra...

The field of solid organ transplantation has historically concentrated research efforts on basic science and translational studies. However, there has been increasing interest in health services and outcomes research. The aim was to build an effective and sustainable, inter- and transdisciplinary health services and outcomes research team (NUTORC),...

Tuberculosis (TB) reactivation is a rare but significant complication of organ transplantation, and screening of all transplant candidates for latent infection is recommended with either an interferon-γ release assay (IGRA) or tuberculin skin test (TST). After institutional review board approval, we retrospectively collected data to describe the yi...

To determine the effect of donation after cardiac death (DCD) livers on post-transplantation costs. DCD livers are increasingly being used to expand the donor pool despite higher complication rates. Although complications after liver transplantation have profound financial implications, the effect of DCD livers on post-transplantation costs has not...

Liver transplantation (LT) from donation after cardiac death (DCD) donors is increasingly being used to address organ shortages. Despite encouraging reports, standard survival metrics have overestimated the effectiveness of DCD livers. We examined the mode, kinetics, and predictors of organ failure and resource utilization to more fully characteriz...

Minimally invasive liver surgery is a rapidly advancing field with demonstrated applicability to living donation. In this paper, we compare the safety and efficacy of laparoscopy-assisted donor right hepatectomy (LADRH) to open donor right hepatectomy (ODRH). We performed a retrospective, comparative analysis of 33 LADRH to the most recent 33 ODRH...

We evaluated the incidence of chronic pancreatitis and chronic bile duct inflammation in patients undergoing pancreaticoduodenectomy (PD) for suspected periampullary cancer. Differences between clinical presentation, surgical management, and outcomes were compared between patients with malignancy and benign inflammatory disease. The incidence of ch...