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Dual and en bloc kidney changes

Dual and en bloc kidney changes

Audience

Kidney transplant program and OPO staff

At-a-glance

We will implement policy and system changes for dual kidney and en bloc kidney allocation in the coming months. The two-part implementation for these changes will occur in the summer of 2019.

  • 7/25/2019: Phase 1 – Policy and WaitlistSM
  • 9/5/2019: Phase 2 – DonorNet®

Instructional offerings for phase 1 changes are now available through UNOS Connect.

  • Improving Dual and En bloc Kidney Allocation Policy (KID110) (15 minutes)
  • Waitlist functionality: Improving Dual and En bloc Kidney Allocation (SYS142) (5 minutes)

More details

The OPTN Board of Directors approved changes in December 2017. The Kidney Transplantation Committee sponsored two separate policy proposals to increase transplants, improve patient outcomes and increase efficiency.

Dual kidney allocation: Revised policy identifies which kidneys must be offered as dual kidneys and indicates when OPOs must make dual kidney offers. To increase efficiency in placing dual kidneys, the policy also requires kidney transplant programs to indicate in UNet which candidates are willing to accept dual kidney offers.

Transplant hospitals that wish to accept dual kidney offers will need to opt-in after we implement changes to Waitlist in phase 1.

En bloc kidney allocation: New policy adds weight as required deceased donor information. Kidneys recovered from deceased donors who weigh less than 18 kg must be offered together (en bloc).

Kidney programs will be required to indicate in UNet which candidates are willing to accept en bloc kidney offers.

Contacts

If you have questions about OPTN policy, please contact member.questions@unos.org or (844) 395-4428. For UNetSM system questions, contact UNOS customer service at unethelpdesk@unos.org or (800) 978-4334.

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