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UNOS leadership requests USDS engagement concerning leaked report and impact on patients
Leaders in organ donation and transplantation seek meeting and assessment with U.S. Digital Service concerning IT systems that make over 41,000 transplants possible per year.
UNOS seeks better air transportation for lifesaving organs
Board Presidents and Interim CEO request meeting with DOT, HRSA, FAA and TSA to find paths for improvement.
UNOS CEO calls for expanded improvements in the organ donation and transplant field
Nonprofit leader acknowledges public concerns and seeks stakeholder collaboration during pivotal moment for the U.S. donation and transplantation community.
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Kidney – Pancreas
OPTN Board of Directors expected to require transplant hospitals to use race-neutral calculations in assessing patients
Changes will reduce disparities and increase equity in access to transplant.
Interactive visualizations now available as part of policy development for kidney and pancreas allocation
Sensitivity tools help analyze effects of specific potential changes.
Annual kidney allocation calculator updates to KDPI and EPTS reference populations
Reference populations have been updated for the KDPI and EPTS calculators.
Liver – Intestine
Expedited Liver Placement policy implementation begins March 25, 2021
Guidance for organ procurement organizations and transplant centers surrounding expedited placement of deceased donor livers
Expedited Liver Placement: Phase 1 implementation underway
Transplant centers need to opt-in their candidates to receive expedited liver offers from deceased donors
Updated National Liver Review Board guidance in effect
Guidance updated relating to candidates with polycystic liver disease.
Heart – Lung
Updated Cohort for Calculation of the Lung Allocation Score (LAS) will be implemented on September 30
Candidates’ Lung Allocation Scores (LAS) will be changing according to revised calculation approved by the OPTN Board of Directors in December 2020.
National webinar held on Aug. 9 to review the continuous distribution of lungs proposal
The proposal is now open for public comment until September 30 on OPTN’s public comment page.
National Heart Review Board for Pediatrics is now live
The NHRB was created to improve quality and consistency in evaluation of exceptions for pediatric heart candidates.
VCA
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Improving the system together
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UNet
Coming soon: Predictive analytics for adult kidney offers
The goal is to help decision makers make evidence-based decisions to benefit candidates when determining whether to accept or refuse an offer.
Update: CPRA calculation
The new formula for Calculated Panel Reactive Antibody (CPRA) will now go into effect on Jan. 26, 2023.
TransNet Android update available
A new version of TransNet is available for Android users to download
“… policy is the living, breathing expression of group values.”
Martha Pavlakis, M.D.
Policy changes
OPTN Board approves improvements to medical urgency scoring of liver transplant candidates
The actions will increase the equity of access to liver transplant, and were among a number of additional measures adopted by the board.
Pre-implementation notice: Requirement for race-neutral eGFR formulas
A transition plan will allow race-neutral recalculation of certain candidates’ eGFR values and modifications to their waiting times.
OPTN Board approves elimination of race-based calculation for transplant candidate listing
The action, to take effect July 27, will ensure that all candidates are consistently assessed in an equitable fashion.
Policy monitoring
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Learn: Collaborative improvement and educational resources
IN FOCUS
Analysis of allocation changes for en bloc deceased donor kidneys
Data shows that the proportion of en bloc transplants to low EPTS patients more than doubled after implementation.
Collaboration
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Education
March 15 policy implementation: Removal of DSA from kidney and pancreas allocation
New distance-based approach includes changes to released organ allocation, medical urgency prioritization for kidney candidates and allocation of organs recovered in Alaska.
Policies implemented to align with PHS guideline
Resource toolkit, webinar recording, and instructions for cases in progress at implementation
Effective practices
Learn about collaborative improvement projects
Learn about issues impacting patients, donors, donor families, and the national system. Issues and advocacy
Patient safety
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Transplant hospital
OPTN Board of Directors expected to require transplant hospitals to use race-neutral calculations in assessing patients
Changes will reduce disparities and increase equity in access to transplant.
UNOS researchers present studies at 2022 American Transplant Congress
Meeting held in Boston June 4-8.
A message from Matt Cooper, M.D.: 2022 UNOS Member Survey
Member survey closes June 17
OPO
New OPTN policies to align with updated U.S. Public Health Service Guideline
OPTN policy, and related programming, will soon align with 2020 U.S. Public Health Service Guideline for assessing solid organ donors and monitoring transplant recipients for HIV, HBV, and HCV.
LifeChoice Donor Services and New England Organ Bank to merge Jan. 1
The merger will create a single OPO that will serve nearly 200 hospitals and approximately 14 million New England residents.
Coming to DonorNet® Dec. 15: Changes to notification limits for intestine, pancreas, kidney-pancreas and kidney matches
OPOs should review their settings to determine if updates are needed.
Histocompatibility
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