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Living Donor Kidney Transplant

Living Donor Kidney Transplant. Margaret Leid Transplant Community Liaison Penn Transplant Institute margaret.leid@uphs.upenn.edu. April 15, 2012. Greater Philadelphia Region Kidney Transplant Centers Deceased & Living Donor Transplants: Volume*.

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Living Donor Kidney Transplant

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  1. Living Donor Kidney Transplant Margaret Leid Transplant Community Liaison Penn Transplant Institute margaret.leid@uphs.upenn.edu April 15, 2012

  2. Greater Philadelphia Region Kidney Transplant Centers Deceased & Living Donor Transplants: Volume* * Scientific Registry of Transplant Patients, January 2012.Time period 7/1/2010 – 6/30/2011. www.srtr.org

  3. Penn Transplant Institute Highest Volume Center in the Region Penn Transplant Institute Best 3-Year Graft Survival in Region Penn Transplant Institute 3-Year Patient Survival SRTR Data 1/2012. For patients transplanted between 1/1/2006 and 6/30/2008

  4. *Based on January 2012 SRTR data

  5. Clyde F. Barker Penn Transplant House For Reservations and Additional Information: 215-662-4540

  6. Questions to Run On • Why does a kidney from a living donor sometimes last twice as long as a kidney from a deceased donor? • How do I know it is safe for my friends or family to donate a kidney to me? • How does someone interested in learning about donating a kidney get information before committing to the surgery? • What are the health requirements for someone thinking about donating a kidney?

  7. DONOR HOSPITAL How Do Kidneys Become Available? Living Kidney Donors Deceased Donor Kidneys 4 to 6 Year Wait UNITED NETWORK OF ORGAN SHARING (UNOS) OR Living Donors Do Not Need to Be in Your Family

  8. Where do deceased donor kidneys come from? (UNITED NETWORK FOR ORGAN SHARING) Government contract to oversee the national system for U.S. organ procurement an transplantation One Central Database ACUTE CARE HOSPITALS Work with OPOs to coordinate the organ donation process TRANSPLANT CENTERS List patients for transplant Penn is 1 of 256 transplant centers in the U.S. Recipient data sent to UNOS computer system Family Says Yes to Donation Transplant Waiting List: Updated Every Time A Family Says Yes to Donation and Every Time a Patient is Added to the List Donor Data Sent to UNOS

  9. 112,637 KIDNEY = 80% 90,621 OPTN DATA 1/20/2012 http://optn.transplant.hrsa.gov U.S.TRANSPLANT WAITING LIST ALL ORGANS OPTN Our Region 5,335 GIFT OF LIFE DONOR PROGRAM DONATION YEAR 2009-2010 780 KIDNEY TRANSPLANTS WAITING AVERAGE WAITING TIME 3–5 YEARS (BASED ON BLOOD TYPE)

  10. 91,425 people in U.S. waiting for kidney An average of 16,000 people receive kidney transplants per year Donor Designation Pennsylvania 45.2% Philadelphia County 30% Gallup Poll of Americans 93% Would Donate Their Loved One’s Organs If They Knew Their Wishes Ahead of Time

  11. How Many of Your Patients Understand:Dialysis shortens life expectancy compared to transplant.The less time on dialysis before transplant, the better the kidney will function and the longer it will last.

  12. Optimum Strategies to Minimize Time On Dialysis Living Donors Consider Kidneys from Expanded Criteria Donors (ECD)

  13. Own healthy kidneys Living donor kidney Standard criteria kidney Expanded criteria kidney Dialysis Most life years Fewest life years Summary of Options

  14. Why does a kidney from a living donor sometimes last twice as long as a kidney from a deceased donor? • Kidney not impacted by brain death. • The time the kidney is without blood flow is dramatically reduced. • Living kidney donors are healthier than the average person. • Only very healthy people are accepted at Penn to be living kidney donors. • First living donor transplant at Penn more than 40 years ago. Donor and recipient still doing well.

  15. Benefits of Living Kidney Donor Transplantation Kidney lasts longer – improved quality Avoid dialysis completely or shorten time on dialysis Before complications develop Improved patient survival Avoid 4-6 year wait for deceased donor kidney Time of transplant operation is made at convenient time for donor and recipient Minimal delayed organ function Medicines post-transplant may be less aggressive Who can be a living donor? • Family member • Friend • Stranger

  16. MULTI- DISCIPLINARY EVALUATION NEPHROLOGY EVALUATION SURGICAL EVALUATION Living Donor Evaluation ProcessExtensive and Thorough DONOR EDUCATION SESSION DONOR SELECTION COMMITTEE REVIEW

  17. Interested in Living Kidney Donation? Steps for Potential Donors • Submit request for private preliminary consultation with the Living Kidney Donor team. • Learn about the living kidney donor process through the evaluation process • Talk with the team about concerns and questions. • Decide if this is the right option for you at this time. Steps for Listed Patients Complete all testing and attain status 1 on the transplant waiting list. Share with your family and friends your experiences with chronic kidney disease and dialysis. • Invite interested potential donors to complete the Living Kidney Donation Referral Form. • Encourage friends and family members to support organ donation awareness initiatives through Gift of Life.

  18. What Are the Top 5 Criteria to be a Living Kidney Donor? Good general health Stability in life maintenance issues. Between 21 and 60 years old Free from diabetes, cancer, kidney disease, heart disease and substantial high blood pressure. Physically fit - Body Mass Index (BMI) <30

  19. Paired Kidney Exchange

  20. How to Find a Living Donor Share your story about dialysis and needing a kidney transplant. - Volunteer organizations - Religious groups - Friends and family: consider a spokesperson Learn about living donor kidney transplant Penn Transplant Website http://www.pennmedicine.org/transplant/ American Society of Transplant Surgeons (ASTS) http://www.a-s-t.org/ National Kidney Foundation - http://www.kidney.org/ American Society of Transplantation http://www.asts.org/ResearchEducation/PatientEducation.aspx

  21. How does someone interested in learning about donating a kidney get information before committing to the surgery?

  22. PENN KIDNEY TRANSPLANT : PATIENT & STAFF EDUCATION SERVICES • Patient Education • Lobby Days • One to One Sessions • Intro to Kidney Transplant Multiple Listing • Dialysis Unit Staff Inservices/Luncheons • Transplant Eval Process • Organ Donation Protocols • Understanding SRTR Data

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