1 / 11

CAPE ORGAN ALLOCATION POLICY

CAPE ORGAN ALLOCATION POLICY. Fiona McCurdie 4 th SATS Controversies Meeting May 2011. CURRENT SYSTEM. Initiated in 2001 following meetings and extensive discussion and consultation between 4 transplant centres - has generally worked well - needs to be reassessed.

george-alford
Download Presentation

CAPE ORGAN ALLOCATION POLICY

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. CAPE ORGAN ALLOCATION POLICY Fiona McCurdie 4th SATS Controversies Meeting May 2011

  2. CURRENT SYSTEM Initiated in 2001 following meetings and extensive discussion and consultation between 4 transplant centres - has generally worked well - needs to be reassessed

  3. Transplant Centres Involved • CBMH - private recipients from W Cape, E Cape, N Cape • GSH / RXH - state recipients from W Cape, E Cape, N Cape (Paed – KZN) - private recipients from W Cape, E Cape, N Cape • TBH - state recipients from W Cape

  4. Aims of allocation system • To achieve the best result in terms of graft and patient and graft outcome • Produce a fair and equitable sharing of the scarce resource • User friendly

  5. Priorities used - • ABO matching • HLA match • PRA • Donor of <12yrs - kidneys allocated to paediatric recipient (<14yrs)

  6. Allocation of “Local”/W Cape Kidneys • 1st Kidney - donor / harvesting team • 2nd Kidney – pool kidney Allocated by following criteria - ABO Grp (never O to A, B, AB) - Length of time waiting - HLA matching - PRA - Paediatric to paediatric

  7. Allocation of “Out of Town”/NCape and ECape Kidneys • Ist Kidney –patient from the region supplying the kidneys • 2nd Kidney – harvesting team/ W Cape choice then - another patient from supplier region then - patient from general pool

  8. Practical Points • Date of tissue typing defines length of time on waiting list • Allocating person is from original “donor team” • Pool kidney allocated to a patient not a unit • If first pool patient is not well/ unavailable, kidney gets allocated to next pool patient on list. Not another patient from same unit

  9. Current Situation / Issues • Harvesting team not always from centre donor originally referred to – potential confusion/ conflict • Length of cold ischaemic time can influence allocation (E Cape / N Cape / W Cape flight availability and timing) • E Cape requesting to be part of general pool • NHBD programme only at GSH – kidneys remain at GSH • Consensus needed on definition of “paediatric” with respect to donor age, recipient age and priority status

  10. Plans • Meeting planned for 27 May - reps from all regions attending • Variety of issues – - Review of current system - Allocation options - Criteria for list - Public /Private - Increased Tissue Typing Lab involvement - Contributions vs benefit

  11. “A work in progress”

More Related