UNOS data scientists explore donor admission text to help understand and predict how kidney acceptance decisions are made.
Natural language processing models applied to deceased donor admission text may offer additional insights into kidney discard behavior.
Approximately 13 end-stage renal disease patients die each day awaiting a transplant in the U.S., according to data from the Organ Procurement and Transplantation Network, while 20 percent of kidneys recovered from deceased donors are not transplanted.
“The potential to improve existing kidney utilization prediction models is limited if further attempts are based solely on the same traditional OPTN data sources,” said United Network for Organ Sharing data science manager Andrew Placona. “Often the only way to improve model performance is by incorporating new data sources or finding new insights within the data.”
Placona is corresponding author in a new proof-of-concept article published in the American Journal of Transplantation that explores the possibility of using natural language processing to mine the free text fields of deceased donor registration forms for information that might predict kidney utilization rates. Existing predictive algorithms have only leveraged structured data, such as yes or no questions, which may not provide sufficient detail to enable fully informed organ offer acceptance.
“We’re using data that traditionally UNOS has never touched,” Placona said. “No one has really looked at the clinical text yet and it’s gone unnoticed for decades because it is not easy data to work with.”
Placona, A., Martinez, C., McGehee, H., Carrico, B., Klassen, D.K. and Stewart, D. (2019), Can Donor Narratives Yield Insights? A Natural Language Processing Proof of Concept to Facilitate Kidney Allocation. Am J Transplant. Accepted Author Manuscript. doi:10.1111/ajt.15705
Education has become an essential tool transplant programs are using to increase understanding and awareness of the procedure.
Center Acceptance and Refusal Evaluation (CARE) Report allows transplant centers to see all of the offers they accept as well as all those they refuse.
Research shows family patterns affecting risk can predict whether a living donor will develop end-stage renal disease decades after donating a kidney to a related recipient.