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OPTN/UNOS Thoracic Organ Transplantation Committee

OPTN/UNOS Thoracic Organ Transplantation Committee. Spring 2013 Update . Ongoing Committee Initiatives. Modifying the Heart Allocation System Clarifying Heart-Lung Allocation Policy Creating Ex Vivo Lung Perfusion Policy. Ongoing Committee Initiatives. Modifying the Heart Allocation System

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OPTN/UNOS Thoracic Organ Transplantation Committee

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  1. OPTN/UNOS Thoracic Organ Transplantation Committee Spring 2013 Update

  2. Ongoing Committee Initiatives • Modifying the Heart Allocation System • Clarifying Heart-Lung Allocation Policy • Creating Ex Vivo Lung Perfusion Policy

  3. Ongoing Committee Initiatives • Modifying the Heart Allocation System • Problems with Current Heart Allocation System: • Too many Status 1A candidates • Waiting list mortality still high • Insufficient qualifying criteria for Status 1B • Specific patient populations disenfranchised

  4. Ongoing Committee Initiatives • Clarifying Heart/Lung Allocation Policy • Problems: • Policy does not clearly advise OPOs how to allocate heart-lung blocs • Policy does not include guidance for “breaking ties” • Potential Solutions • Re-write heart/lung policy to provide clear guidance for allocating heart-lung blocs

  5. Ongoing Committee Initiatives • Creating Ex Vivo Lung Perfusion Policy • Adopt an allocation model • Data collection elements • Implementation

  6. Additional Information • Reporting data for lung transplant candidates on ECMO • Criterion (b) Guidelines

  7. Questions? • Steven Webber, M.D., MBChB, MRCPCommittee Chairsteven.a.webber@vanderbilt.edu • Name UNOS Region # Representativename@unos.org • Liz RobbinsThoracic Organ Transplantation Committee Liaisonliz.robbins@unos.org

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