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Deceased Organ Donation OPTN Organ Allocation Transplant Wait List Uncategorized

Proposed Kidney Allocation Policy Interpreted, part II

It’s election time again, which means 12 hour days training precinct election officials to keep the election safe and sound. But here’s a quickie…

 

(See Part I…)

 

Current:

Kidneys are allocated to candidates who are blood type identical to the donor when the donor has blood type O or blood type B.

The Problem:

Not all blood types are compatible with each other, and certain blood types are more rare than others. This means certain folks have longer wait times and/or a harder time obtaining a compatible kidney.

The Proposal:

Candidates with blood type B who meet defined clinical criteria will be eligible to accept kidneys from donors with blood type A2 or A2B. Otherwise, it’s still all about identical blood types for O or B.

 

 

The Problem:

Some would-be recipients, especially those who’ve had prior transplants, are more apt to reject a donor organ (sensitization).

Current:

A would-be recipient who tests at 80% or higher sensitivity, meaning that 80% or more of organs will be incompatible, receive 4 points of priority. Local candidates are prioritized over those with lower scores. [note: This is the same priority given to living kidney donors who find themselves in need of their own kidney transplant. It translates into approximately a year of wait time. ]

Proposal:

Those who score 20% or more will be given priority on a sliding scale.

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