Barriers to Transplantation
|
|
|
- Samantha Shaw
- 6 years ago
- Views:
Transcription
1 Barriers to Transplantation Ruth McCarrell RN BSN CNeph(C) Clinical Nurse Leader Kidney transplant Program St. Paul s Hospital rmccarrell@providencehealth.bc.ca
2 Overview Transplant Basics Living Donor vs Deceased Donor Transplant Referral and assessment processes Barriers to Transplant Strategies to decrease the barriers
3 Transplant Referral & Assessment Primary Nephrologist completes baseline testing Transplant referral not too early / too late Transplant Assessment when: A living donor is in work up Highly sensitized Predicted to be within 2 years of DDTx
4 Types of Kidney Transplants Deceased Donor Transplant with allocation by: Blood type, dialysis waiting time, age appropriate kidney Living Donor Transplant Direct Donation (includes OOP and OOC) Living Donor Paired Exchange Program (LDPE) Non-directed Anonymous Donor (NDAD)
5 Blood Type Compatibility A Recipient of blood type. A Is compatible with a Donor of blood type. A or O B B or O AB A, B, AB or O O O The Rh Factor (+ or -) is NOT Important for Kidney Transplant
6 Immunology Testing Tissue Typing (blood sample) Identifies genetic make up Tells how genetically similar/dissimilar a recipient is to the donor Antibody identification Identifies Recipient sensitivities Commonly sensitized through blood transfusions, pregnancy, or previous transplant Crossmatch Ensures no reaction between recipient and donor blood specimens A predictor of kidney rejection
7 BC Transplant Stats British Columbia Totals Year Live donors Deceased Total Donors (to-date Oct 9, 2012)
8 Average Wait Times for First Deceased Donor Transplant Year of Transplant Years Months
9 Adult Average Wait Times (in Years) by Blood Type for First Deceased Donor Transplant Year Type A Type B Type AB Type O n/a n/a
10 Deceased Donor Blood Group
11 Why Living Donation Living donor kidney transplantation is an accepted and preferred treatment option for people with kidney disease Advantages include: Better success rates Recipient can avoid long wait times Can be planned before starting dialysis (pre-emptive transplant)
12 Graft Survival and Year of Transplant
13 Graft Survival and Year of Transplant
14 Relationship of Living Donor to Recipient in BC Relation Oct 9/12 Total Related vs Unrelated Biologically Unrelated Sibling Spouse Parent Offspring Other Biologically Related
15 Living Donor Paired Exchange Program For pairs where direct donation is not possible Incompatible blood type Positive cross match donor Started in January 2009 Managed by Canadian Blood Services Now a Canada-wide program
16 Types of Exchanges Closed Chain (Paired Exchange) Domino Chain Closed Chain (Multiple Pairs) 16
17 LDPE Current Stats
18 Non-Directed Anonymous Donor (NDAD) Willing to give to an unknown recipient Testing is the same as other living donors In addition: Must be at least 25 years old Has a psychological assessment Not able to influence the Recipient selection Donates: Directly to the waitlist helps one person Through LDPE Program triggers multiple transplants
19 Barriers to Transplant Too early/too sick Blood Type Longer wait times for some Highly sensititized - PRA No Living Donor
20 Case Study #1 T.M., 52 years, ABO: O, PRA: 0% Dx: Focal, proliferative Glomerulonephritis Etiology unknown Feb 2004: Registered in KFC Mar 2008: Transplant Referral Cr: 501 egfr: 11 Apr 2008: One donor registered May 2008: Seen and approved for Tx
21 Case Study #1(cont) Barrier: Blood type: O Current wait for DDTX: 6.9 years May 2008: Attended Tx education session with 4 family members. 1 Donor previously registered, following TX education 4 more donors registered and started work up. When the first donor was declined another was able to quickly complete their assessment. July 2008: Pre-emptive LDTx Strategies: Early enough referral for pre-emptive Tx, Early Tx Education, Multiple Donors in work up
22 Case Study #2 M.J., 66 years, ABO: O, PRA: 0% Dx: Nephropathy caused by drug toxicity Mar 2000: Registered in KFC Sept 2007: Referred to Tx Cr: 260 egfr: 16 No Living Donors identified Barriers: Blood type: O, No Living Donors Current wait time for DDTx: 6.8 years
23 Case Study #2 (cont) Oct 2009: Met with Tx Social Worker to discuss donor outreach, sample letters given and family was written to Dec 2009: Living Donor registered and started work up Jan 2010: Transplant assessment Apr 2010: Approved for LDTx Jun 2010: Pre-emptive LDTX Strategies: LD outreach, tools included recipient education, coaching, donor sample letters
24 Case Study # 3 S.S., 40 years, ABO: B DX: Lupus Erythematous PRA: 80-93% Sensitization history: Pregnancies, blood transfusions, autoimmune disorder Oct 2006: Referred to KFC Dec 2006: Dialysis start date & Referred to Tx currently medically unsuitable Dec 2008: Approved for Tx Activated to DDTx Wait list Current wait time for B DDTX: 7.2 Wait time for S.S. unknown due to PRA
25 Case Study # 3 (cont) Feb 2007 Apr 2009: 45 Donors registered All declined medical, wrong blood type, crossmatch positive Barriers: Blood type: B, PRA Strategies: Activation to highly sensitized WL, Continue outreach to donors: family, friends, social/work groups New initiative Jan 2009: LDPE Program started S.S. Immediately registered with spouse (Blood type: O) Initial LDPE enrollment numbers were small. High PRA remained a challenge. Sep 2010: Received LDPE proposal. Nov 2010: LDPE LDTx, Donor travelled OOP for donation
26 LDPE Domino Proposal NDAD ABO: O Travel: No Paired Donor ABO: O Travel: Yes Paired Donor ABO: A Travel: Yes Recip: SS ABO: B PRA: 93% Recip: OOP ABO: O PRA: 0% Recip: BC WL ABO: A PRA: 9%
27 Case Study #4 S.C., 51 years, ABO: O Dx: Membranous glomerulonephropathy PRA: 89% Sensitization history: 3 previous transplants May 2011: Referred to Tx failing graft Cr: 328 egfr:18 Registered Blood Type O, crossmatch positive donor Dec 2011: approved for LDTx
28 Case Study #4 (cont) Barriers: Eligibility for 4 th DDTx, PRA, Incompatible living donor Strategy: Jan 2012: Registered in LDPE Program with incompatible donor Feb 2012: LDPE proposal August 2012: Pre-emptive 4 th Tx
29 Case Study #4 LDPE Chain Paired Donor ABO: A Travel: Yes Paired Donor ABO: O Travel: Yes Paired Donor ABO: O Travel: Yes Recip: OOP ABO: A PRA: 99% Recip: SC ABO: O PRA: 89% Recip: OOP ABO: O PRA: 19%
30 Case Study #5 D.C., 67 years, ABO: A Dx: Type II Diabetes, HTN PRA: 89% Sensitization: 5 Pregnancies Dialysis start date: Aug 2006 Initially did well on PD. Developed increasing complications. Geographically not near HD unit Referred to Tx: Oct 2010 Oct 2010: Living donor (spouse) registered ABO O but crossmatch positive Dec 2010: TX assessment Required cardiac and respiratory work up
31 Case Study #5 (cont) Feb 2011: Approved for Tx Incompatible LD also approved Current Wait time for DDTX unknown due to PRA Barriers: PRA, Crossmatch positive LD, Medical testing to be completed Strategy: List in LDPE Program Mar 2011: LDPE proposal Jul 2011: LDPE LDTx
32 Case Study #5 LDPE Chain Paired Donor Lives OOP ABO: A Travel: Yes Paired Donor ABO: O Travel: No Paired Donor ABO: O Travel: Yes Paired Donor ABO: A Travel: Yes Recip: DC (SPH) ABO: A PRA: 89% Recip: SPH #2 ABO: O PRA:45 % Recip: OOP ABO: B PRA: 56% Recip: VGH ABO: O PRA: 96%
33 Case Study # 6 S.W., Age: 38 years, ABO: O, PRA: 0% Dx: Polycystic Kidney Disease Aug 2006: Referred to Tx Cr 259 egfr: 24 (early) May 2009: Suitable for LD Tx May 2009: 1 Donor ABO: A2 - Incompatible May 2009: Registered in LDPE Program
34 Case Study #6 (cont) Barrier: ABO incompatible donor, No immediate match in LDPE Program Strategy: Investigate Anti-a titre and if low consider ABO incompatible Tx Low Anti- A titre: Desensitization with plasma exchange and Rituximab pre- LDTx Jul 2009: ABO incompatible LDTX
35 Keep Options Open LD Direct Donation Will consider OOP/OOC OOC donor work ups will be slower and can be more costly Multiple donors can come forward at once LDPE Paired Exchange If approved incompatible donor Deceased Donor Wait List Wait times longer for some blood types ABO Incompatible donation Suitable for small number
36 Successful Strategies Bring family and friends to education sessions Provide Donor outreach tools Sample letters Importance of LDPE A large donor pool Register more than one donor if different characteristics Consider for multiple repeat transplant Revisit Transplant option if dialysis no longer optimal
37 Transplant Education Tools coming soon. Recipient and Living Donor brochures Online videos Lets talk about Kidney transplant..
38 Questions???? Contact: Ruth McCarrell RN BSN CNeph(C) Clinical Nurse Leader Kidney Transplant Program St. Paul s Hospital rmccarrell@providencehealth.bc.ca
Living Donor Paired Exchange (LDPE)
Living Donor Paired Exchange (LDPE) Why do we need Living Donation? 3,796 patients waiting for an organ transplant 2,679 (71%) waiting for a kidney transplant 249 people died while waiting for an organ
Highly Sensitized Patient Registry: Update and Successes
Highly Sensitized Patient Registry: Update and Successes Dr. Olwyn Johnston Medical Director Kidney and Pancreas Transplant Program Vancouver General Hospital Conflict of Interest Transplant Nephrologist
Paired Donation. Andrew Bradley Rachel Johnson Joanne Allen Susan V Fuggle. Cambridge University NHS Hospitals NHS Foundation trust
Paired Donation Andrew Bradley Rachel Johnson Joanne Allen Susan V Fuggle Cambridge University NHS Hospitals NHS Foundation trust Showing a preference 1860 John Calcott Horsley UK Living Donor kidney transplant
Renal Transplant Past Present and Future David Landsberg
2012 Renal Transplant Past Present and Future David Landsberg Outline Changing pattern of Donors Types of Donors Allocation Results Challenges in the Elderly LDPE Transplants By Year LD LRD LUD NDAD DD
UCLA Kidney Exchange. An option for patients with incompatible living donors
UCLA Kidney Exchange An option for patients with incompatible living donors What is a kidney exchange? A kidney exchange is an innovative twist on efforts aimed at increasing the donor pool by giving people
DONATION & TRANSPLANTATION. Interprovincial. Programs Report
DONATION & TRANSPLANTATION Interprovincial Programs Report 29-216 TERMINOLOGY AND USE OF DATA A glossary of terms can be found in Appendix 1. Extracts of the information in this report may be reviewed,
Welcome to Your DSA Action Team Meeting. February 29, 2012
Welcome to Your DSA Action Team Meeting February 29, 2012 Who s on the Call? Questions??? Use the Q & A panel displayed on your screen Type your question in at the very bottom portion of the Q & A panel.
Overview of organ donation and transplantation
BTS Congress, March 2018 Overview of organ donation and transplantation Rachel Johnson Statistics and Clinical Studies NHS Blood and Transplant Organ Donation and Transplantation: the headlines Subject
Transplant Options for Patients: Choices and Consequences. Olwyn Johnston Medical Director Kidney Transplantation Vancouver General Hospital
Transplant Options for Patients: Choices and Consequences Olwyn Johnston Medical Director Kidney Transplantation Vancouver General Hospital BC Kidney Days October 6 th 2017 Non contributory Conflict of
Update on organ donation in British Columbia
Update on organ donation in British Columbia Jagbir Gill MD MPH FRCPC Associate Professor of Medicine, UBC Vice President, CORR Board 2017 BC Kidney Days October 5, 2017 Canadian Institute for Health Information
Donation and Transplantation Kidney Paired Donation Program Data Report
Donation and Transplantation Kidney Paired Donation Program Data Report 2009-2013 Extracts of the information in this report may be reviewed, reproduced or translated for educational purposes, research
Commonly Asked Questions about Kidney Transplants
Commonly Asked Questions about Kidney Transplants Should I consider having a kidney We encourage you to get as much information as possible. Ask questions. Talk with other transplant patients and talk
LUNG ALLOCATION SCORE SYSTEM UPDATE
LUNG ALLOCATION SCORE SYSTEM UPDATE Current Lung Allocation System System was implemented on May 4, 25 The Lung Allocation Score (LAS) is based on a combination of Expected survival in next year without
9/30/2016. Chris E. Freise, MD Professor of Surgery UCSF Transplant Division
Chris E. Freise, MD Professor of Surgery UCSF Transplant Division Clear advantages over deceased donation for kidney transplant Shorter wait times Better short and long term function Improved graft half-life
Green Light to Transplant: A Stepwise Approach
Green Light to Transplant: A Stepwise Approach Andrea O Shaughnessy RN, BSN, PGDip. ICU/ER, Transplant Coordinator Vancouver General Hospital Sharon Duncan BA, RN, BSN, Patient Services/Transplant Coordinator/Educator
Donation & Transplantation Interprovincial Programs Report
Donation & Transplantation Interprovincial Programs Report 29-214 Donation & Transplantation Interprovincial Programs Report 9-214 TERMINOLOGY & USE OF DATA A glossary of terms can be found in Appendix
The New Kidney Allocation System: What You Need to Know. Anup Patel, MD Clinical Director Renal and Pancreas Transplant Division Barnabas Health
The New Kidney Allocation System: What You Need to Know Anup Patel, MD Clinical Director Renal and Pancreas Transplant Division Barnabas Health ~6% of patients die each year on the deceased donor waiting
Oxford Transplant Centre. Live donor kidney transplantation what if we are not a match?
Oxford Transplant Centre Live donor kidney transplantation what if we are not a match? page 2 You will already have been provided with information about different types of kidney transplant and the tests
ABO mismatched Renal Transplants
ABO mismatched Renal Transplants Nicos Kessaris Renal Transplant Surgeon St George s Hospital, London 7 th March 2012 Why? Protocol Risks Experience abroad Experience in UK Experience at St George s Conclusions
STEP-programme S-candiaT-ransplant kidney E-xchange P-rogramme (STEP) Version 1.8
STEP-programme S-candiaT-ransplant kidney E-xchange P-rogramme (STEP) Version 1.8 June 12, 2017 General guidelines Purpose To increase the likelihood of offering a suitable kidney graft to immunized (HI)
TA L K I N G A B O U T T R A N S P L A N TAT I O N
TA L K I N G A B O U T T R A N S P L A N TAT I O N Frequently Asked Questions about Kidney Transplant Evaluation and Listing If your kidneys have stopped working properly, or may stop working soon, you
Georgia Regents. Kidney and Pancreas Transplant Program. Welcome!
Georgia Regents. Kidney and Pancreas Transplant Program Welcome! Orientation Packet Your packet includes forms for you to review. The forms will be explained again during your work up. Patient Education
Organ Donation Breakthrough Collaborative Institute of Medicine
Organ Donation Breakthrough Collaborative Institute of Medicine June 20, 2005 Jade Perdue, M.P.A Department of Health and Human Services Health Resources and Services Administration Healthcare Systems
Paired Exchange Results Quarterly Report
Paired Exchange Results Quarterly Report As of September 3, 213 Table of Contents Message From the Founder... 1 Transplants Facilitated by Year... 2 Patient Referrals to NKR Member Centers... 2 New Pair
A Guide to Better Living
Transplantation What Is a Kidney Transplant? Kidney transplantation is placing a kidney from one person (donor) into a patient with kidney failure (recipient). This is done by surgery where the donated
HIV POSITIVE YOUTH: LINKAGE & RETENTION IN CARE
HIV POSITIVE YOUTH: LINKAGE & RETENTION IN CARE Site C Youth clinic HIV care pathway DAY 1 Test HIV + PIMA point of care CD4 count in in 3-5 days initiation + in session 3 session 4 1 month Youth Club
About kidney transplant care in New Zealand
About kidney transplant care in New Zealand A summary of the 2014 New Zealand Nephrology Activity Report: Kidney transplant care provided in 2014 1 ABOUT THIS REPORT This report is for people who have
Chapter 9. Kidney Donors. ANZDATA Registry 37th Annual Report. Data to 31-Dec-2013
Chapter 9 Kidney Donors 214 37th Annual Report Data to 31-Dec-213 9-2 Deceased Kidney Donors The data for this section come from the Australia and New Zealand Organ Donor (ANZOD) Registry. Much more information
Transplantation in Australia and New Zealand
Transplantation in Australia and New Zealand Matthew D. Jose MBBS (Adel), FRACP, FASN, PhD (Monash), AFRACMA Professor of Medicine, UTAS Renal Physician, Royal Hobart Hospital Overview CKD in Australia
Directed altruistic donation dilemmas: a transplant surgeon s perspective
CHENV20180192g March 2018 Directed altruistic donation dilemmas: a transplant surgeon s perspective Frank JMF Dor, MD PhD FEBS(Hon) FRCS Consultant Transplant Surgeon, Head of Transplantation, Imperial
New Ways to Tackle a Growing Health Care Dilemma - ESRD
New Ways to Tackle a Growing Health Care Dilemma - ESRD J. Keith Melancon, M.D., F.A.C.S. George Washington University Professor of Surgery Chief, Transplant Surgery and Transplant Institute Thanks to
Transfusion support in Transplantation
Transfusion support in Transplantation Patricia Campbell University of Alberta Hospitals University of Alberta Objectives UofA transplant programs What we do and why? HLA and ABO incompatible transplants
East London Community Kidney Service
East London Community Kidney Service Sally Hull, Neil Ashman, Sec Hoong, Nicola Thomas, Helen Rainey April 2017 Haemodialysis/million population What is the Problem? Fast rising ESRD rates in East London
U.S. changes in Kidney Allocation
U.S. changes in Kidney Allocation Match kidneys with longest survival to patients with longest survival No parallel matching for kidneys with lower survival potential Decrease discard of kidneys with lower
NHSBT Board July Update on UK Living Kidney Sharing Scheme
1. Status Public 2. Executive Summary NHSBT Board July 27 2017 Update on UK Living Kidney Sharing Scheme This paper provides an update on activity and plans for the UK Living Kidney Sharing Scheme (UKLKSS),
HAVING HOPE: how plasma exchange is helping more organ transplant patients BY LORI ALEXANDER, AABB CONTRIBUTING WRITER AT
HAVING HOPE: how plasma exchange is helping more organ transplant patients BY LORI ALEXANDER, AABB CONTRIBUTING WRITER AT age 18, Dachia Pinkard learned she had kidney disease, and at just 21 she had renal
End Stage Renal Disease (ESRD) Network Learning and Action Network (LAN) Series: Bloodstream Infection (BSI) Quality Improvement Activity
End Stage Renal Disease (ESRD) Network Learning and Action Network (LAN) Series: Bloodstream Infection (BSI) Quality Improvement Activity October 2, 2018 Note: Computer speakers or headphones are necessary
The number of patients registered on the kidney transplant list this year fell by 7% from 5686 to 5275
5 Kidney Activity Kidney Activity Key messages The number of patients registered on the kidney transplant list this year fell by 7% from 5686 to 5275 The number of deceased kidney donors increased by 7%
Strategies for Desensitization
Strategies for Desensitization Olwyn Johnston MB, MRCPI, MD, MHSc BC Nephrology Day October 8 th 2010 Pre-transplant crossmatch (CMX) with donor lymphocytes has been standard of practice Positive CDC CXM
The number of patients registered on the kidney transplant list this year fell by 4% from 5,233 to 5,033
5 Kidney Activity Kidney Activity Key messages The number of patients registered on the kidney transplant list this year fell by 4% from 5,233 to 5,033 The number of deceased kidney donors increased by
Are Your Patients Well Prepared for Kidney Transplant?
Are Your Patients Well Prepared for Kidney Transplant? Venkatesh Kumar Ariyamuthu MD FASN Disclosures National Kidney Foundation Scientific Advisory Board 78 year old Hispanic female ESRD secondary to
Getting a New Kidney UHN. Information for patients and families. Is a kidney transplant right for me? Read this booklet to learn:
Getting a New Kidney UHN Information for patients and families Read this booklet to learn: about kidney transplants who can be donors how to start the transplant process how long the process might take
Social deprivation, ethnicity and access to kidney transplantation in England and Wales. Udaya Udayaraj
Social deprivation, ethnicity and access to kidney transplantation in England and Wales Udaya Udayaraj Introduction (1) Kidney transplantation Improved survival compared to remaining on dialysis Better
Chi-Square Goodness-of-Fit Test
STAT 250 Dr. Kari Lock Morgan Chi-Square Goodness-of-Fit Test SECTION 7.1 Testing the distribution of a single categorical variable : χ 2 goodness of fit (7.1) Multiple Categories So far, we ve learned
Living Kidney Donation. Dr. Joseph Keith Melancon
Living Kidney Donation Dr. Joseph Keith Melancon Thanks to our speaker! Keith Melancon, MD Chief Transplant Institute And Division Of Transplant Surgery; Medical Director GW/ Ron And Joy Paul Kidney Center
Guide to Transplantation and Living Donation
Guide to Transplantation and Living Donation About transplantation With more than 100,000 people waiting for a kidney in the United States, it is important to educate yourself and your family about transplantation
STRENGTHENING THE COORDINATION, DELIVERY AND MONITORING OF HIV AND AIDS SERVICES IN MALAWI THROUGH FAITH-BASED INSTITUTIONS.
STRENGTHENING THE COORDINATION, DELIVERY AND MONITORING OF HIV AND AIDS SERVICES IN MALAWI THROUGH FAITH-BASED INSTITUTIONS. Acknowledgements This project was fully funded by Center For Disease Control
Why so Sensitive? Desensitizing Protocols for Living Donor Kidney Transplantation
Why so Sensitive? Desensitizing Protocols for Living Donor Kidney Transplantation Stephen J Tomlanovich MD Objectives of this Talk Define the sensitized patient Describe the scope of the problem for a
City of Vancouver s Response to the Opioid Crisis Fire Chief Darrell Reid Vancouver Fire & Rescue Services (VF&RS)
City of Vancouver s Response to the Opioid Crisis Fire Chief Darrell Reid Vancouver Fire & Rescue Services (VF&RS) Vancouver Vancouver Fire Rescue Services Opioid Crisis Background Crisis Overview April
The New Kidney Allocation Policy: Implications for Your Patients and Your Practice
The New Kidney Allocation Policy: Implications for Your Patients and Your Practice Clinical Practice Today CME Co-provided by Learning Objectives Upon completion, participants should be able to: Explain
Empowering Our Communities:
Empowering Our Communities: Starting the Conversation About Living Organ Donation Karina Fernandez Director of Education and Outreach The Living Bank Lori Taylor- LeDett Living Donor The Living Bank Raising
Implementing Rapid Response Teams (RRT) National Call September 13, 2007
Implementing Rapid Response Teams (RRT) National Call September 13, 2007 Purpose By the end of this call, participants will have: Heard successes and learnings from Improvement Teams Updated information
East of Scotland Renal Transplantation Service. Annual Report. The Royal Infirmary of Edinburgh
East of Scotland Renal Transplantation Service Annual Report The Royal Infirmary of Edinburgh April 1 st 29 to March 31 st 21 November 21 CONTENTS Page Introduction 3-4 Recipient Transplant Co-ordinators
Transplantation in 2012:
Transplantation in 2012: Optimizing Outcomes through Seamless Communication Kidney, Pancreas and Islet Breakout Session Kidney Transplantation as a Treatment of Choice for ESRD Uday S. Nori, MD Assistant
Organ Procurement and Transplantation Network
OPTN Organ Procurement and Transplantation Network POLICIES This document provides the policy language approved by the OPTN/UNOS Board at its meeting in June 2015 as part of the Operations and Safety Committee
Frequently Asked Questions about Kidney Transplantation
NHS Logo here Frequently Asked Questions about Kidney Transplantation Patient Information Health & care information you can trust The Information Standard Certified Member Working together for better patient
Update on Kidney Allocation
Update on Kidney Allocation 23rd Annual Conference Association for Multicultural Affairs in Transplantation Silas P. Norman, M.D., M.P.H. Associate Professor Division of Nephrology September 23, 2015 Disclosures
Flu Watch. MMWR Week 3: January 14 to January 20, and Deaths. Virologic Surveillance. Influenza-Like Illness Surveillance
Flu Watch MMWR Week 3: January 14 to January 2, 218 All data are provisional and subject to change as more reports are received. Geographic Spread South Carolina reported widespread activity this week.
Welcome KATHY SCHWAB, DSA ACTION TEAM CHAIR. Compliance Coordinator, Mayo Clinic Transplant Center
Welcome KATHY SCHWAB, DSA ACTION TEAM CHAIR Compliance Coordinator, Mayo Clinic Transplant Center LifeSource DSA Questions or Requests Use the Q & A panel displayed on your screen Type your question in
New Zealand Kidney Allocation Scheme
New Zealand Kidney Allocation Scheme The New Zealand Kidney Allocation Scheme (NZKAS) has been developed to ensure that kidney allocation in NZ is performed on an equitable, accountable and transparent
Organ Donation & Allocation. Nance Conney Thomas E. Starzl Transplantation Institute
Organ Donation & Allocation Nance Conney Thomas E. Starzl Transplantation Institute History of Transplantation Dr. Sushruta second century B.C. Solid Organ Transplantation 1954 Living-Related Kidney (Dr.
FAQs about Provider Profiles on Breast Cancer Screenings (Mammography) Q: Who receives a profile on breast cancer screenings (mammograms)?
FAQs about Provider Profiles on Breast Cancer Screenings (Mammography) Q: Who receives a profile on breast cancer screenings (mammograms)? A: We send letters and/or profiles to PCPs with female members
Consultant-led Referral to Treatment (RTT) waiting times collection timetable: outcome of consultation
Consultant-led Referral to Treatment (RTT) waiting times collection timetable: outcome of consultation Summary Between January and March 2014, NHS England consulted on a proposed change to the timetable
Chapter 9. Kidney Donors. ANZDATA Registry 39th Annual Report. Data to 31-Dec-2015
Chapter 9 Kidney Donors 216 ANZDATA Registry 39th Annual Report Data to 31-Dec-215 Deceased Kidney Donors The data for this section come from the Australia and New Zealand Organ Donor (ANZOD) Registry.
ANNUAL REPORT The Norwegian Renal Registry. (Norsk Nefrologiregister)
ANNUAL REPORT 21 The Norwegian Renal Registry (Norsk Nefrologiregister) This report will also be available on: http://152.94.12.23/nyreforening/uremiregisteret/esdr.html Correspondence to: Overlege dr.med
University of Pittsburgh Critical Care Medicine
University of Pittsburgh Critical Care Medicine www.ccm.pitt.edu Intensivist-led Donor Care in the Intensive Care Unit Raghavan Murugan MD, MS, FRCP Assistant Professor Dept. of Critical Care Medicine
End Stage Kidney Disease Among Indigenous Peoples of Australia and New Zealand
Chapter 12 End Stage Kidney Disease Among Indigenous Peoples of and New Zealand 216 ANZDATA Registry 39th Annual Report Data to 31-Dec-215 Introduction In this chapter, rates of end-stage kidney disease
Thanks to our Speakers!
Thanks to our Speakers! Fizza Naqvi, MD Assistant Professor at the Department of Medicine (Nephrology), Johns Hopkins Attending physician at Johns Hopkins hospital. Involved with kidney recipient evaluation
Flu Watch. MMWR Week 4: January 21 to January 27, and Deaths. Virologic Surveillance. Influenza-Like Illness Surveillance
Flu Watch MMWR Week 4: January 21 to January 27, 218 All data are provisional and subject to change as more reports are received. Geographic Spread South Carolina reported widespread activity this week.
Manchester Royal Infirmary Renal & Pancreas Transplant Unit / 2012 Activity Annual Report
Manchester Royal Infirmary Renal & Pancreas Transplant Unit 211 / 212 Activity Annual Report Vicki Bowman Renal Transplant Audit & Data Manager Dr Susan Martin Consultant Clinical Scientist / Transplantation
Chest x-ray Cardiovascular tests (EKG, echocardiogram, angiogram, stress test) Upper and lower G.I. (gastrointestinal) tests Blood tests
Transplantation_Eng.indd 1 1/25/10 1:50:53 PM This booklet is an introduction to transplantation for people with advanced kidney disease. If you have been told that your kidneys are failing, or you are
Chapter 7. Australian Waiting List. ANZDATA Registry 39th Annual Report. Data to 31-Dec-2015
Chapter 7 Australian Waiting List 216 ANZDATA Registry 39th Annual Report Data to 31-Dec-215 Stock and Flow The waiting list data reported here are derived from the Australian National Organ Matching System
Annual Statistics on Organ Replacement in Canada
CIHI Snapshot December 2017 Annual Statistics on Organ Replacement in Canada Dialysis, Transplantation and Donation, 2007 to 2016 This summary document provides key findings from the latest annual statistics
Nurse-led Rapid Access Chest Pain Clinic at the Royal Glamorgan Hospital. by Sharon Cassidy/Andrea Gasson
Nurse-led Rapid Access Chest Pain Clinic at the Royal Glamorgan Hospital by Sharon Cassidy/Andrea Gasson The team consists of :-: Cardiology nurse specialist Sharon Cassidy Part time clinic administrator
Finding a Living Donor: A RESOURCE GUIDE
Finding a Living Donor: A RESOURCE GUIDE A Resource Guide to Finding a Living Donor The Benefits of Living Donation...3 How to Find a Living Donor...7 The Facts about Living Donation... 4 Additional Tools
Finding a Living Donor: A RESOURCE GUIDE
Finding a Living Donor: A RESOURCE GUIDE The Benefits of Living Donation Welcome to Stony Brook Medicine s Kidney Transplant Program. Our program was established in 1979, making it the oldest and most
Living Donor Kidney Transplant
INFORMATION FOR PATIENTS AND FAMILIES Living Donor Kidney Transplant An overview of live kidney donation Who can be a donor What is involved in the review of a potential live donor What are some of the
Types of living donor transplants
TA L K I N G A B O U T T R A N S P L A N TAT I O N U N I T E D N E T W O R K F O R O R G A N S H A R I N G In response to the shortage of organs for transplantation, relatives, loved ones, friends, and
ANNUAL REPORT The Norwegian Renal Registry. (Norsk Nefrologiregister)
ANNUAL REPORT 1997 The Norwegian Renal Registry (Norsk Nefrologiregister) Correspondence to: Overlege dr.med Torbjørn Leivestad ITI, Rikshospitalet, 27 Oslo, Norway. Fax: 47-2223693 Tel: 47-22868559 Preface
Glossary. Anesthesiologist A doctor who puts you or parts of your body to sleep during surgery.
1-Glossary Glossary Acute rejection A type of rejection that occurs when immune cells from your body attack the transplanted organ(s). Acute rejection may occur at any time after a transplant. But it usually
NHS BLOOD AND TRANSPLANT KIDNEY OFFERING SCHEME WORKING GROUP ENDORSEMENT OF A NEW NATIONAL KIDNEY OFFERING SCHEME
NHS BLOOD AND TRANSPLANT KIDNEY OFFERING SCHEME WORKING GROUP ENDORSEMENT OF A NEW NATIONAL KIDNEY OFFERING SCHEME INTRODUCTION 1 Three working groups were established to consider whether changes were
Blood Component Testing and Labeling
Blood Component Testing and Labeling Each donor unite must be tested and properly labeled before its release for transfusion. Required Tests: In most blood banks, pretransfusion testing involves determining
CHAPTER 12 END-STAGE KIDNEY DISEASE AMONG INDIGENOUS PEOPLES OF AUSTRALIA AND NEW ZEALAND. Stephen McDonald. Matthew Jose. Kylie Hurst INDIGENOUS 12-1
ANZDATA Registry 213 Report INDIGENOUS END-STAGE KIDNEY DISEASE AMONG INDIGENOUS PEOPLES OF AUSTRALIA AND NEW ZEALAND CHAPTER 12 Stephen McDonald Matthew Jose Kylie Hurst 213 Annual Report - 36th Edition
Blood Supply and Wastage
Blood Supply and Wastage Inga Willett Lab Matters, Oake Manor, 21 st June 2017 Blood supply UK supplied by 4 blood services: SNBTS NIBTS NHSBT WBS http://commons.wikimedia.org/wiki/file:uk_map_home_nations.png
Older Living Kidney Donors and Recipients. Charles Le University of Colorado 6/24/11
Older Living Kidney Donors and Recipients Charles Le University of Colorado 6/24/11 Clinical Scenario HPI: 60 y/o healthy AAM with h/o CKD5 on HD x 2 yrs 2/2 HTN, was evaluated in transplant clinic for
KIDNEY TRANSPLANT - A TREATMENT OPTION
KIDNEY TRANSPLANT - A TREATMENT OPTION Page 1/5 WHAT IS A KIDNEY TRANSPLANT? When kidney failure becomes very advanced, your kidneys are so damaged they can no longer do their job. A transplant is a treatment
Transplants at University Hospital. Kidneys. Normal Kidneys
Transplants at University Hospital In 1964, a team of surgeons at the University of Michigan Health System (UMHS) performed the first kidney transplant operation in Michigan. Our transplant surgeons do
Waiting for a Kidney. Objectives
Waiting for a Kidney Department of Urologic Sciences Grand Rounds William Gourlay Christopher Nguan April 25, 2007 Objectives 1. review the waiting times for deceased-donor kidney transplants in BC and
ANNUAL REPORT The Norwegian Renal Registry. (Norsk Nefrologiregister)
Vedlegg 1 ANNUAL REPORT 25 The Norwegian Renal Registry (Norsk Nefrologiregister) This report will also be available on: http://www.nephro.no/registry.html Correspondence to: Overlege dr.med Torbjørn Leivestad
What Happens on Call?? June 02, 2016
What Happens on Call?? June 02, 2016 MSI Donor Registry High Status Organ Offers Referrals from NS NB & NL Donors National Open Organ Offers 4S Heart Offers General Inquires HSP Kidney Offers Potential
Embracing the Magic: Increasing Organ Acceptance Rates Through Data Review and Risk Stratification
Embracing the Magic: Increasing Organ Acceptance Rates Through Data Review and Risk Stratification Presented by: Sandy Felty, RN, MSN, MHA Lynette Martin del Campo, RN, MSN, FNP-C Sharon Norfles, RN, BSN
KPD transplants. Dutch Experience. Korean experience. NEAD chain
KPD transplants David Serur, MD Rogosin, NYP Weill Cornell May 2013 NEAD chain Milestones in Paired Exchange Rees, NEJM, 2009 Korean experience Single center Not computer matched 129 transplants over 11
Evaluation Process for Liver Transplant Candidates
Evaluation Process for Liver Transplant Candidates 2 Objectives Identify components of the liver transplant referral to evaluation Describe the role of the liver transplant coordinator Describe selection
Desensitization in Kidney Transplant. James Cooper, MD Assistant Professor, Kidney and Pancreas Transplant Program, Renal Division, UC Denver
Desensitization in Kidney Transplant James Cooper, MD Assistant Professor, Kidney and Pancreas Transplant Program, Renal Division, UC Denver Organ Shortage Currently there are >90,000 patients on the kidney
Final Report: Update on Prior Living Donors Who Were Subsequently Placed on the Waiting List
OPTN/UNOS Minority Affairs Committee Descriptive Data Request Final Report: Update on Prior Living Donors Who Were Subsequently Placed on the Waiting List Prepared for: Minority Affairs Committee Meeting
Keeping your options open. Transplant In Center Hemodialysis Home Hemodialysis Peritoneal dialysis No dialysis
Keeping your options open Transplant In Center Hemodialysis Home Hemodialysis Peritoneal dialysis No dialysis Survival With/Without Transplant % of Transplants 45% 40% 35% 30% 25% 20% 15% 10% 5% 0% Recipient
IMPLEMENTING RECOVERY ORIENTED CLINICAL SERVICES IN OPIOID TREATMENT PROGRAMS PILOT UPDATE. A Clinical Quality Improvement Program
IMPLEMENTING RECOVERY ORIENTED CLINICAL SERVICES IN OPIOID TREATMENT PROGRAMS PILOT UPDATE A Clinical Quality Improvement Program Today: National completion rates for OTP s hover between 11 14% Retention
Allocation of deceased donor kidneys. Phil Clayton NSW Renal Group 14 June 2012
Allocation of deceased donor kidneys Phil Clayton NSW Renal Group 14 June 2012 Outline Why study kidney allocation? Equity vs utility Current Australian model Previous work in Australia US allocation research
Renal Transplantation: Allocation challenges and changes. Renal Transplantation. The Numbers 1/13/2014
Renal Transplantation: Allocation challenges and changes Mark R. Wakefield, M.D., F.A.C.S. Associate Professor of Surgery/Urology Director Renal Transplantation Renal Transplantation Objectives: Understand