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OPTN/UNOS Minority Affairs Committee. Spring 2013 Update . Ongoing Committee Initiatives. Educational guidance on patient referral to kidney transplantation KPD update Review of proposed kidney allocation system (KAS) - post public comment considerations. Ongoing Committee Initiatives.
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OPTN/UNOSMinority Affairs Committee Spring 2013 Update
Ongoing Committee Initiatives • Educational guidance on patient referral to kidney transplantation • KPD update • Review of proposed kidney allocation system (KAS) - post public comment considerations
Ongoing Committee Initiatives Educational guidance on patient referral to kidney transplantation • Targets Referring Providers • Default pathway for CKD/ESRD patients should be transplant referral • Preemptive transplant is the goal and can only be achieved with timely “early” referral • (GFR range = 25-30) • Transplant education must begin long before ESRD to be most effective • (Stage 3-4 CKD)
Ongoing Committee Initiatives Educational guidance on patient referral to kidney transplantation • Major feedback themes: • Incorporating KAS information (dialysis waiting time points) • Appropriate referral timing • Transplant system impacts • Incorporating KDIGO 2012 clinical practice guidelines • Non-adherence
Ongoing Committee Initiatives Kidney Paired Donation Pilot Program update • Update on status of pilot program • Efforts to expand participation in pilot • MAC examination of minority impact: • Requests for demographic information on donors and candidates/pairs in pilot program (age and ethnicity) • Waiting list at participating centers; geographic location
Ongoing Committee Initiatives Kidney allocation system update: post public comment considerations • Expanded waiting time definition • ABO titration methodology
Questions? • Silas P. Norman, MDMinority Affairs Committee Chairspnorman@umich.edu • Name UNOS Region # RepresentativeEmail address • Deanna L. Parker, MPAUNOS Minority Affairs Committee Liaisondeanna.parker@unos.org
Cumulative Distribution of Pre-Registration Dialysis Years Kidney Additions with Pre-Registration Dialysis;1/1/07-12/31/12
Cumulative Distribution of Pre-Registration Dialysis Years, by Ethnicity Adult Kidney Additions with Pre-Registration Dialysis; 1/1/07-12/31/12