GHEC affiliate profile JC Lai Sept 2014 Name Affiliations Narrative (brief; refer to detailed information on projects and publications below) Goals Selected projects and plans Collaborators (selected) 5 key publications Teaching Jennifer C. Lai, MD, MBA UCSF Department of Medicine Eight years of experience with outcomes research in the field of hepatology and liver transplantation. Improve clinical outcomes among patients with end-stage liver disease Integrate geriatric assessments of functional status into the evaluation and management of liver transplant patients Optimize deceased donor liver allocation and distribution Functional Assessments in Liver Transplantation (FrAILT Study) – Established an NIH funded (2013-2019) prospective cohort study of liver transplant patients to evaluate assessments of functional status as determinants of outcomes in liver transplantation, both pre- and post-transplant. Desire to develop physical activity interventions to reverse functional decline in liver transplant candidates to optimize both pre- and post-transplant outcomes. Deceased Donor Liver Allocation and Distribution – Conducted secondary dataset analyses of prospectively collected data from all liver transplant candidates, recipients, and donors in the U.S. (Standard Transplant Analysis and Research files from the United Network for Organ Sharing). Identified disparities in access to transplant and distribution practices based on gender and geography. Age in Liver Transplantation – Characterized national trends of aging in the liver transplant wait-list, transplant recipient, and deceased liver donor pools. Identified geographic disparities in transplant rates and outcomes by age. Lai JC, Verna EC, Brown RS Jr., Forman LM, Duman J, Foster RG, Stravitz RT, Terrault NA for the ConsoRtiUm to Study Health Outcomes in HCV Liver Transplant Recipients (CRUSH-C). Hepatitis C virus infected females are at higher risk of graft loss after liver transplantation than males: A Multicenter Cohort Study. Hepatology 2011 Apr; 54(2): 418-424. PMID: 21538434; PMCID: PMC3144983 Lai JC, Roberts JP, Terrault NA, Feng S. Patient, Center, and Geographic Characteristics of Nationally Placed Livers. Am J Transplant 2012;12 (4):947-953. PMID: 22300591; PMCID: PMC3689311 Lai JC, Feng S, Roberts JP. An Examination of Liver Offers to Candidates on the Liver Transplantation Wait-List. Gastroenterology 2012; 143 (5): 1261-65. PMID: 22841780; PMCID: PMC3480537 Lai JC, Kahn JG, Tavakol M, Peters MG, Roberts JP. Reducing infection transmission in solid organ transplantation through donor nucleic acid testing: A costeffectiveness analysis. Am J Transplant 2013 Oct; 13(10):2611-8. PMID: 24034208 Lai JC, Feng S, Terrault NA, Lizaola B, Hayssen H, Covinsky K. Frailty predicts wait-list mortality in liver transplant candidates. Am J Transplant 2014; in press. PMID: 24935609 Liver Transplant Unit service Individual mentoring Page 1 of 2 Skills Survival analysis; prediction model development and validation Substantive areas Cirrhosis, Liver Transplantation, Organ Allocation/Distribution, Chronic Disease (in the context of hepatology, including chronic hepatitis C) Page 2 of 2