R J Howard

Summary

Affiliation: University of Florida
Country: USA

Publications

  1. ncbi request reprint We have an obligation to provide organs for transplantation after we die
    R J Howard
    Department of Surgery, University of Florida School of Medicine, Gainesville, 32605, USA
    Am J Transplant 6:1786-9. 2006
  2. ncbi request reprint Missed opportunities: the institute of medicine report: organ donation: opportunities for action
    Richard J Howard
    Department of Surgery, University of Florida, PO Box 100286, University of Florida School of Medicine, Gainesville, Florida, USA
    Am J Transplant 7:14-6. 2007
  3. doi request reprint CMS oversight, OPOs and transplant centers and the law of unintended consequences
    Richard J Howard
    LifeQuest Organ Recovery Services, Gainesville, FL 32610, USA
    Clin Transplant 23:778-83. 2009
  4. ncbi request reprint The challenging triangle: balancing outcomes, transplant numbers and costs
    Richard J Howard
    Department of Surgery, University of Florida, University of Florida School of Medicine, Gainesville, FL, USA
    Am J Transplant 7:2443-5. 2007
  5. ncbi request reprint A 10-year analysis of organ donation after cardiac death in the United States
    Richard J Howard
    LifeQuest Organ Recovery Services, Gainesville, FL, USA
    Transplantation 80:564-8. 2005
  6. doi request reprint The time is now: formation of true transplant centers
    R J Howard
    Department of Surgery, University of Florida School of Medicine, Gainesville, FL, USA
    Am J Transplant 8:2225-9. 2008
  7. ncbi request reprint Obesity does not portend a bad outcome for kidney transplant recipients
    Richard J Howard
    Department of Surgery, University of Florida College of Medicine, Gainesville, FL 32610 0286, USA
    Transplantation 73:53-5. 2002
  8. ncbi request reprint Portal vein resection for hilar cholangiocarcinoma
    Alan W Hemming
    University of Florida Center for Hepatobiliary Disease, College of Medicine, Department of Surgery, Gainesville, Florida 32610 0286, USA
    Am Surg 72:599-604; discussion 604-5. 2006
  9. pmc Liver transplantation for hepatocellular carcinoma
    A W Hemming
    University of Florida, Gainesville, Florida, and the University of Toronto, Toronto, Canada
    Ann Surg 233:652-9. 2001
  10. ncbi request reprint What happens to renal transplant recipients who lose their grafts?
    R J Howard
    Departments of Surgery and Pathology, University of Florida College of Medicine, Gainesville, FL, USA
    Am J Kidney Dis 38:31-5. 2001

Detail Information

Publications53

  1. ncbi request reprint We have an obligation to provide organs for transplantation after we die
    R J Howard
    Department of Surgery, University of Florida School of Medicine, Gainesville, 32605, USA
    Am J Transplant 6:1786-9. 2006
    ..And because permitting organ removal after death poses no risks, discomfort, costs or inconvenience, it is an obligation of easy rescue. The transplant community should begin to frame the discussion in these terms...
  2. ncbi request reprint Missed opportunities: the institute of medicine report: organ donation: opportunities for action
    Richard J Howard
    Department of Surgery, University of Florida, PO Box 100286, University of Florida School of Medicine, Gainesville, Florida, USA
    Am J Transplant 7:14-6. 2007
  3. doi request reprint CMS oversight, OPOs and transplant centers and the law of unintended consequences
    Richard J Howard
    LifeQuest Organ Recovery Services, Gainesville, FL 32610, USA
    Clin Transplant 23:778-83. 2009
    ..CMS should join with transplant organizations to ensure that the goals of the collaborative are not inhibited by their performance measures...
  4. ncbi request reprint The challenging triangle: balancing outcomes, transplant numbers and costs
    Richard J Howard
    Department of Surgery, University of Florida, University of Florida School of Medicine, Gainesville, FL, USA
    Am J Transplant 7:2443-5. 2007
    ..It is up to transplant surgeons and physicians to balance all these objectives...
  5. ncbi request reprint A 10-year analysis of organ donation after cardiac death in the United States
    Richard J Howard
    LifeQuest Organ Recovery Services, Gainesville, FL, USA
    Transplantation 80:564-8. 2005
    ..Patients with severe brain injury who are not brain-dead can donate organs after they are removed from a ventilator and allowed to die, termed donation after cardiac death (DCD)...
  6. doi request reprint The time is now: formation of true transplant centers
    R J Howard
    Department of Surgery, University of Florida School of Medicine, Gainesville, FL, USA
    Am J Transplant 8:2225-9. 2008
    ....
  7. ncbi request reprint Obesity does not portend a bad outcome for kidney transplant recipients
    Richard J Howard
    Department of Surgery, University of Florida College of Medicine, Gainesville, FL 32610 0286, USA
    Transplantation 73:53-5. 2002
    ..Kidney transplant programs may avoid transplantation in obese patients because of reports indicating that obese patients have poorer outcomes than do nonobese patients. We recently reviewed our experience...
  8. ncbi request reprint Portal vein resection for hilar cholangiocarcinoma
    Alan W Hemming
    University of Florida Center for Hepatobiliary Disease, College of Medicine, Department of Surgery, Gainesville, Florida 32610 0286, USA
    Am Surg 72:599-604; discussion 604-5. 2006
    ..Only negative margin status was associated with improved survival by multivariate analysis. Portal vein resection for hilar cholangiocarcinoma is safe and allows a chance for long-term survival in otherwise unresectable patients...
  9. pmc Liver transplantation for hepatocellular carcinoma
    A W Hemming
    University of Florida, Gainesville, Florida, and the University of Toronto, Toronto, Canada
    Ann Surg 233:652-9. 2001
    ..To analyze patient and tumor characteristics that influence patient survival to select patients who would most benefit from liver transplantation...
  10. ncbi request reprint What happens to renal transplant recipients who lose their grafts?
    R J Howard
    Departments of Surgery and Pathology, University of Florida College of Medicine, Gainesville, FL, USA
    Am J Kidney Dis 38:31-5. 2001
    ..2%) are still functioning. Our study shows that relatively few patients who lose kidney transplants are returned to the cadaveric waiting list and even fewer undergo retransplantation...
  11. ncbi request reprint Effect of early recurrence of hepatitis C on late biliary anastomotic stricture after liver transplantation
    T Fujikawa
    Division of Transplantation and Hepatobiliary Surgery, Department of Surgery, University of Florida College of Medicine, Gainesville, Florida 32610 0286, USA
    Transplant Proc 38:3661-2. 2006
    ..034, RR 3.3) were independent risk factors affecting LBAS. In conclusion, patients with HCV infection have increased occurrence of LBAS after OLT. Additionally, early recurrence of HCV contributes to a higher rate of LBAS...
  12. ncbi request reprint Susceptibility of liver allografts to high or low concentrations of preformed antibodies as measured by flow cytometry
    J C Scornik
    Department of Pathology, University of Florida College of Medicine, Gainesville 32610, USA
    Am J Transplant 1:152-6. 2001
    ..These complex interactions may explain the controversial results observed in previous studies...
  13. ncbi request reprint Liver retransplantation: a single-center outcome and financial analysis
    A Reed
    Shands Transplant Center at the University of Florida, University of Florida COM, Gainesville, Florida 32610, USA
    Transplant Proc 37:1161-3. 2005
    ..Adult patients retransplanted early have the same overall survival compared to those done late. The sample size of the adult HCV re-OLTx population was too small to reach statistical significance despite their observed poorer outcome...
  14. ncbi request reprint Preemptive retransplantation for BK virus nephropathy: successful outcome despite active viremia
    K L Womer
    Department of Medicine, University of Florida, College of Medicine, Gainesville, Florida, USA
    Am J Transplant 6:209-13. 2006
    ..We conclude that preemptive retransplantation can be considered in patients with failing allografts due to BKVN...
  15. ncbi request reprint Long-term response to subtotal colectomy in colonic inertia
    G Nicholas Verne
    Malcom Randall Veterans Affairs Medical Center, Gastroenterology Section, Department of Medicine, University of Florida, Gainesville, Florida 32608, USA
    J Gastrointest Surg 6:738-44. 2002
    ....
  16. pmc Preoperative portal vein embolization for extended hepatectomy
    Alan W Hemming
    Department of Surgery, Center for Hepatobiliary Disease, University of Florida, Gainesville, FL 32610, USA
    Ann Surg 237:686-91; discussion 691-3. 2003
    ..To examine the authors' experience with preoperative ipsilateral portal vein embolization (PVE) and assess its role in extended hepatectomy...
  17. pmc Hepatic vein reconstruction for resection of hepatic tumors
    Alan W Hemming
    Department of Surgery, Center for Hepatobiliary Disease, University of Florida, Gainesville 32610, USA
    Ann Surg 235:850-8. 2002
    ..Recent advances in liver surgery gleaned from split and live donor liver transplantation that necessitate hepatic vein reconstruction can be applied to hepatic resection in some cases...
  18. ncbi request reprint Improvement in hypercalcemia with cinacalcet after kidney transplantation
    Titte R Srinivas
    Division of Nephrology, Hypertension and Transplantation, University of Florida, Gainesville, FL 32610 0224, USA
    Clin J Am Soc Nephrol 1:323-6. 2006
    ..10). Graft function remained stable. Cinacalcet lowers SCa and raises SP in the short term in patients with persistent post-Tx hyperparathyroidism; long-term bone effects and persistent hyperparathyroidism merit further study...
  19. ncbi request reprint Liver transplantation from donation after cardiac death: a single center experience
    Shiro Fujita
    Division of Transplantation and Hepatobiliary Surgery, Department of Surgery, University of Florida College of Medicine, Gainesville, FL, USA
    Transplantation 84:46-9. 2007
    ..Although early reports of LT from DCD donors provided evidence for acceptable outcomes, long-term graft and patient survival rates from these procedures have been reviewed only recently...
  20. ncbi request reprint Access to quality: evaluation of the allocation of deceased donor kidneys for transplantation
    Jesse D Schold
    Department of Medicine, University of Florida, Gainesville, Florida 32610 0224, USA
    J Am Soc Nephrol 16:3121-7. 2005
    ..The extent to which these disparities are in line with broad policies of equity and potentially modifiable will have to be examined in the context of allocation policy...
  21. ncbi request reprint Sirolimus in combination with tacrolimus is associated with worse renal allograft survival compared to mycophenolate mofetil combined with tacrolimus
    Herwig Ulf Meier-Kriesche
    Department of Medicine, University of Florida College of Medicine, Florida, USA
    Am J Transplant 5:2273-80. 2005
    ..These results have to be interpreted in the context of the inherent limitations of any retrospective database analysis and evaluated in context with data from prospective clinical trials...
  22. ncbi request reprint Case of emphysematous pyelonephritis in a renal allograft
    Shiro Fujita
    Division of Transplantation, Department of Surgery, University of Flordia College of Medicine, Gainesville, FL 32610 0286, USA
    Clin Transplant 19:559-62. 2005
    ..Her hospital course was complicated by a urinary leak; she was discharged to home on day 21. This is the 12th reported case of emphysematous pyelonephritis occurred in a renal transplant recipient...
  23. doi request reprint Role for extending hepatic resection using an aggressive approach to liver surgery
    Alan W Hemming
    Division of Transplantation and Hepatobiliary Surgery, University of Florida, Gainesville, FL 32610, USA
    J Am Coll Surg 206:870-5; discussion 875-8. 2008
    ..This study assesses liver resection in patients who were unresectable with standard liver resection but were potentially resectable using an aggressive approach to liver surgery...
  24. pmc Combined resection of the liver and inferior vena cava for hepatic malignancy
    Alan W Hemming
    Department of Surgery, Center for Hepatobiliary Diseases, PO Box 100286, University of Florida, Gainesville, FL 32610 0286, USA
    Ann Surg 239:712-9; discussion 719-21. 2004
    ..The morbidity and mortality along with preliminary survival data are assessed in order to determine the utility of this aggressive approach to otherwise unresectable tumors...
  25. doi request reprint Assessing the value of ureteral stent placement in pediatric kidney transplant recipients
    Vikas R Dharnidharka
    Department of Pediatrics, University of Florida College of Medicine, Gainesville, FL, USA
    Transplantation 85:986-91. 2008
    ..However, stent placement may also increase risk for early urinary tract infection (early UTI; <3 months after transplant) and BK virus allograft nephropathy (BKVAN). In children, the usefulness of stent placement is not well defined...
  26. pmc Surgical management of hilar cholangiocarcinoma
    Alan W Hemming
    Department of Surgery, Center for Hepatobiliary Diseases, University of Florida, Gainesville, Florida 32610 0286, USA
    Ann Surg 241:693-9; discussion 699-702. 2005
    ..To assess the surgical management of hilar cholangiocarcinoma over a time period when liver resection was considered standard management...
  27. ncbi request reprint En-bloc kidney transplantation in the United states: an analysis of united network of organ sharing (UNOS) data from 1987 to 2003
    Vikas R Dharnidharka
    Department of Pediatrics, University of Florida College of Medicine, Gainesville, USA
    Am J Transplant 5:1513-7. 2005
    ..9% versus 23.4%, p < 0.001). National registry data suggest that EBK transplants present a viable option for transplantation of very young donor kidneys...
  28. doi request reprint Is early recurrence of hepatitis C associated with biliary anastomotic stricture after liver transplantation?
    Shiro Fujita
    Division of Transplantation and Hepatobiliary Surgery, Department of Surgery, University of Florida College of Medicine, Gainesville, FL 32610 0286, USA
    Transplantation 84:1631-5. 2007
    ..The aim of the current study is to determine if recurrence of hepatitis C affects biliary complications after LT, with special reference to late biliary anastomotic strictures (LBAS)...
  29. ncbi request reprint Are we frozen in time? Analysis of the utilization and efficacy of pulsatile perfusion in renal transplantation
    Jesse D Schold
    Department of Medicine, University of Florida, Gainesville, FL, USA
    Am J Transplant 5:1681-8. 2005
    ..Additional evidence of improvement in graft survival, particularly in more recent years, provides further encouraging evidence for the use of PP...
  30. doi request reprint The association of candidate mortality rates with kidney transplant outcomes and center performance evaluations
    Jesse D Schold
    Department of Medicine, University of Florida, Gainesville, FL, USA
    Transplantation 85:1-6. 2008
    ..Pressures to enhance outcomes may lead centers to exclude high-risk but otherwise viable transplant candidates...
  31. ncbi request reprint Graft survival in pediatric liver transplantation
    M R Langham
    Department of Surgery, University of Florida, Gainesville, FL 32610-0286, USA
    J Pediatr Surg 36:1205-9. 2001
    ..Improvement in graft survival of these organs could reduce the morbidity and cost of liver transplantation significantly in children...
  32. ncbi request reprint Resection of the inferior vena cava for hepatic malignancy
    A W Hemming
    Department of Surgery, University of Florida, Center for Hepatobiliary Disease, Gainesville 32610, USA
    Am Surg 67:1081-7; discussion 1087-8. 2001
    ..However, this aggressive surgical approach offers a chance for cure in patients with tumors involving the IVC that would otherwise have a dismal prognosis...
  33. ncbi request reprint The changing causes of graft loss and death after kidney transplantation
    Richard J Howard
    Department of Surgery, University of Florida College of Medicine, Gainesville, Florida 32610 0286, USA
    Transplantation 73:1923-8. 2002
    ..Despite this, patients still lose grafts and die. We sought to determine whether the causes of graft loss and death have changed over the last 30 years...
  34. ncbi request reprint Development of a successful non-heart-beating organ donation program
    Mark Reiner
    LifeQuest Organ Recovery Services, Gainesville, Fla, USA
    Prog Transplant 13:225-31. 2003
    ..A non-heart-beating donor program can significantly add to the number of organ transplants and successful transplantations...
  35. ncbi request reprint When the donor says yes and the family says no
    Richard J Howard
    LifeQuest Organ Recovery Services, Shands Hospital at the University of Florida, Gainesville, USA
    Prog Transplant 18:13-6. 2008
    ..This article describes 4 cases where the donor had a signed organ donor card but the family initially objected to donation. Ultimately organs were recovered from 3 of these donors...
  36. pmc Organ donation decision: comparison of donor and nondonor families
    J R Rodrigue
    Department of Clinical and Health Psychology, University of Florida, Gainesville, Florida, USA
    Am J Transplant 6:190-8. 2006
    ....
  37. ncbi request reprint The expanded criteria donor policy: an evaluation of program objectives and indirect ramifications
    J D Schold
    Department of Medicine, University of Florida, Gainesville, Florida, USA
    Am J Transplant 6:1689-95. 2006
    ..The ECD policy demonstrates potential to achieve certain ascribed goals; however, the full impact of the program, reaching all transplant candidates, may only be achieved once ECD listing patterns are recommended and adopted accordingly...
  38. pmc Attitudes toward financial incentives, donor authorization, and presumed consent among next-of-kin who consented vs. refused organ donation
    James R Rodrigue
    The Transplant Center and the Department of Psychiatry, Beth Israel Deaconess Medical Center, Boston, MA 02215, and Department of Surgery, University of Florida, Gainesville, FL, USA
    Transplantation 81:1249-56. 2006
    ..Surveys designed to assess attitudes toward these initiatives have been conducted with the general public, transplant patients, and transplant professionals...
  39. ncbi request reprint Clostridial infection in a liver transplant recipient
    Diego R Solis
    Department of Surgery, Division of Transplantation, University of Florida College of Medicine, Gainesville, FL, USA
    Clin Transplant 18:726-8. 2004
    ..Clostridium perfringens infection in a liver transplant recipient is a rare complication. We report a case of a liver allograft gas gangrene. The case illustrates the fulminant and rapidly devastating course of this complication...
  40. ncbi request reprint Listeria monocytogenes following orthotopic liver transplantation: central nervous system involvement and review of the literature
    Shugo Mizuno
    Division of Transplantation and Hepatobiliary Surgery, Department of Surgery, University of Florida College of Medicine, PO Box 100286, Gainesville, FL 32610 0286, United States
    World J Gastroenterol 13:4391-3. 2007
    ..There were four cases of listeria meningitis, and the mortality of them was 50%. Early detection and treatment of listeria meningitis are the key to obtaining a better prognosis...
  41. ncbi request reprint Patients' willingness to talk to others about living kidney donation
    James R Rodrigue
    Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA
    Prog Transplant 18:25-31. 2008
    ..Living donor kidney transplantation has several advantages for patients with end-stage renal disease. However, many patients are reluctant to pursue this treatment option, preferring instead to wait for a deceased donor organ...
  42. doi request reprint A randomized trial of a home-based educational approach to increase live donor kidney transplantation: effects in blacks and whites
    James R Rodrigue
    The Transplant Center, Beth Israel Deaconess Medical Center, Boston, MA 02215, USA
    Am J Kidney Dis 51:663-70. 2008
    ..We assessed the differential effectiveness in blacks and whites of a home-based (HB) LDKT educational approach...
  43. ncbi request reprint Expanded efficacy and indication of extracorporeal membrane oxygenation for preoperative pulmonary bleeding on pediatric cadaveric orthotopic liver transplantation
    Shiro Fujita
    Transplantation 79:1637. 2005
  44. ncbi request reprint Localized intraocular posttransplant lymphoproliferative disorder after pediatric liver transplantation
    Shiro Fujita
    Transplantation 81:493-5. 2006
  45. ncbi request reprint Successful endovascular treatment of a leaking pseudoaneurysm without graft loss after simultaneous pancreas and kidney transplantation
    Shiro Fujita
    Transplantation 82:717-8. 2006
  46. ncbi request reprint Treating tobacco use and dependence in kidney transplant recipients: development and implementation of a program
    Shawna L Ehlers
    Mayo Clinic, Rochester, Minn, USA
    Prog Transplant 16:33-7. 2006
    ..The purpose of this article is to describe one institution's experience in implementing the clinical practice guideline for treating tobacco use and dependence within a kidney and pancreas transplant program...
  47. ncbi request reprint The expectancies of living kidney donors: do they differ as a function of relational status and gender?
    James R Rodrigue
    The Transplant Center, Department of Psychiatry, Beth Israel Deaconess Medical Center, 110 Francis Street, LMOB Suite 7, Boston, MA 02215, USA
    Nephrol Dial Transplant 21:1682-8. 2006
    ..Also, women continue to represent more than half of all the living kidney donors. This study examined whether donor expectancies varied as a function of relational status or gender...
  48. ncbi request reprint The financial burden of transplantation: a single-center survey of liver and kidney transplant recipients
    James R Rodrigue
    The Transplant Center and the Department of Psychiatry, Beth Israel Deaconess Medical Center, Boston, MA 02215, USA
    Transplantation 84:295-300. 2007
    ..These findings highlight the potential financial impact of transplantation on patients and families, and they have implications for assisting patients in managing out-of-pocket expenses after transplantation...
  49. ncbi request reprint Liver-occupying focal nodular hyperplasia and adenomatosis associated with intrahepatic portal vein agenesis requiring orthotopic liver transplantation
    Shiro Fujita
    Transplantation 81:490-2. 2006
  50. doi request reprint Measuring the expectations of kidney donors: initial psychometric properties of the Living Donation Expectancies Questionnaire
    James R Rodrigue
    The Transplant Center, Beth Israel Deaconess Medical Center, Boston, MA 02215, USA
    Transplantation 85:1230-4. 2008
    ..0001), Personal Growth (P<0.01), Quid Pro Quo (P<0.0001), and Health Consequences (P<0.0001) expectations. The LDEQ has promise in evaluating donor candidates' expectations...
  51. pmc Pediatric organ donation: what factors most influence parents' donation decisions?
    James R Rodrigue
    Transplant Center, Department of Psychiatry, Beth Israel Deaconess Medical Center, Boston, MA, USA
    Pediatr Crit Care Med 9:180-5. 2008
    ..To identify factors that influence parents' decisions when asked to donate a deceased child's organs...
  52. ncbi request reprint Patient-reported outcomes for open versus laparoscopic living donor nephrectomy
    James R Rodrigue
    Beth Israel Deaconess Medical Center, Boston, Mass, USA
    Prog Transplant 16:162-9. 2006
    ..Rates of living kidney donation have increased dramatically in recent years, in large part because of improved surgical techniques such as laparoscopic nephrectomy...
  53. ncbi request reprint Psychosocial support after simultaneous pancreas and kidney transplantation
    Shiro Fujita
    Transpl Int 18:755-6. 2005