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RENAL TRANSPLANT ALLOCATION IN KZN

RENAL TRANSPLANT ALLOCATION IN KZN. Ms V. C. Wentink Regional Manager - KZN Transplant Division. CURRENT PRIVATE PROGRAM. 70 patients presently being worked up for listing. 116 patients listed and ready for call up – includes 11 patients from Entabeni Hospital.

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RENAL TRANSPLANT ALLOCATION IN KZN

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  1. RENAL TRANSPLANT ALLOCATION IN KZN Ms V. C. Wentink Regional Manager - KZN Transplant Division

  2. CURRENT PRIVATE PROGRAM • 70 patients presently being worked up for listing. • 116 patients listed and ready for call up – includes 11 patients from Entabeni Hospital. • SAN currently having performed 556 renal transplants

  3. CURRENT PRIVATE PROGRAM • 8% AB group, 16% A group; 28% B group, 48% O group • Only 1 B group donor in 2009 / 2010 • 8 patients listed for 2nd transplant. • Average waiting time for transplant in 2010 was 47 (6 - 85) months

  4. ALLOCATION PROPOSAL IN 2006 • Current KZN patients to listed on the computer allocation system (similar to that in Gauteng.) • Proposal that Private and Provincial patients be presented at combined regional Renal Panel Meetings. .

  5. POPOSED ALLOCATION IN 2006 • Borrowed the Cape basic allocation model, also used by UNOS: 1st Kidney to best match (highest computer generated score recipient) from referring donor hospital sector (ie: private / province), 2nd Kidney to best match ie: highest computer generated score recipient, regardless of recipient’s hospital sector. • Eg: Donor referral at Umhlanga = • KIDNEY 1: Best match at SAN transplant centre • KIDNEY 2: Best match in pvt / prov pool

  6. COMPUTER GENERATED SCORING SYSTEM • Borrowed elements of Gauteng computer allocation model, with added UNOS weightings. • Includes blood grouping, cross match, A,B, DR matching, time on list, preformed antibodies. • Should include BMI

  7. SHARING SYSTEM IN KZN • In 2006 an attempt was made to work with and share with the provincial sector • The state sector opted not to present patients at the Renal Panel Meetings but rather hold their own meetings. • Currently no sharing system between state and private. • Each transplant program procures and transplants their own patients.

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