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Kidney Transplantation Committee

Kidney Transplantation Committee. Spring 2014. Allocation component changes. Waiting time calculation - pre-registration dialysis time added Candidate classification - Estimated Post Transplant Survival (EPTS ) score

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Kidney Transplantation Committee

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  1. Kidney Transplantation Committee Spring 2014

  2. Allocation component changes • Waiting time calculation - pre-registration dialysis time added • Candidate classification - Estimated Post Transplant Survival (EPTS) score • Kidney donor classification - replace SCD/ECD with Kidney Donor Profile Index (KDPI) • Priority for sensitized candidates - calculated panel reactive antibody (CPRA) sliding scale

  3. Allocation component changes • Blood type eligibility - A2 and A2B to B compatible • Pediatric kidney allocation – KDPI priority • Kidney payback policy – eliminated • Kidney variances – eliminated

  4. Action: Input and confirm data

  5. Action: Update donor acceptance criteria

  6. Acceptance criteria • Be mindful that other independent acceptance criteria may conflict with KDPI • Examples: • candidate opts out of DCD but selects KDPI max of 60% = will not see any DCD offers, even from KDPI 50% or less donors • candidate selects max donor age of 55 and KDPI of 60% = will not see offers from 56 y/o donor with KDPI 36%

  7. Action: Update consent forms

  8. Action: Assess candidates for prior living donation • Prior living donors get 4 points

  9. Action: Update unacceptable antigens (UAs)

  10. Action: Review and Approve UAs

  11. Action: Develop written policy for Blood Type B Candidates

  12. Implementation

  13. More information Recorded webinars, podcasts, toolkits, etc. available on: OPTN web site - http://optn.transplant.hrsa.gov (click ‘Resources’ and ‘Professional Resources’) Transplant Pro* - http://transplantpro.org (click ‘I am Looking For’ and ‘Kidney Allocation System’) *These are a service of United Network for Organ Sharing and are not produced under the OPTN contract. Subscribe to RSS feeds and a monthly newsletter at http://www.transplantpro.org

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