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This document outlines the upcoming changes to the pancreas allocation system, focusing on combining pancreas and kidney-pancreas matching, introducing qualifying criteria for kidney-pancreas candidates, and the implementation date set for October 30, 2014. It specifies the criteria for candidates who register after implementation and clarifies the waiting time for existing candidates. Additionally, ongoing initiatives like the Pancreas Underutilization project and discussions on improving the process are highlighted. Contact information for Committee Chair Jonathan Fridell and Committee Liaison Kristina Tyler provided.
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Pancreas Transplantation Committee Fall 2014
Policy Implementation Dates Upcoming changes to the pancreas allocation system • Combines pancreas and kidney-pancreas (KP) on same match run • Creates qualifying criteria for kidney-pancreas candidates to begin to accrue waiting time • Implementation date: October 30, 2014
Qualifying Criteria for KP Candidates Who Register After Implementation • Candidate registered for a KP • Candidate must qualify for kidney waiting time according to Policy 8.4 Waiting Time • Candidate meets at least one of the following criteria: • on insulin and c-peptide is less than or equal to 2 ng/mL • on insulin and c-peptide is greater than 2 ng/mL and BMI is less than or equal to 28
Waiting Time for Existing KP Candidates KP candidates that have accrued KP waiting time before implementation • Will retain KP waiting time • Will continue to accrue KP waiting time • Do not have to meet qualifying criteria #3
Ongoing Committee Initiatives Pancreas Underutilization project • Updates to policy and process: Facilitated Pancreas Allocation • Would you support creating qualifying criteria for participating transplant programs? • Would you support creating a routine monitoring process for participating transplant programs? • Investigation: High pancreas discards
Questions? • Jonathan Fridell MD Committee Chairjfridell@iupui.edu • Regional representative name (RA will complete) Region X Representative email address • Kristina Tyler JD Committee LiaisonKristina.Tyler@unos.org