Evaluation Process for Liver Transplant Candidates
|
|
- Abigail Edwards
- 5 years ago
- Views:
Transcription
1
2 Evaluation Process for Liver Transplant Candidates 2
3 Objectives Identify components of the liver transplant referral to evaluation Describe the role of the liver transplant coordinator Describe selection committee criteria Discuss the MELD system and organ allocation 3
4 Goals of the Evaluation Determine if the patient needs a liver transplant Are they a good surgical candidate for transplant Will they have a good outcome Will they take care of themselves and their new liver 4
5 Liver Transplant Evaluation Volume Chart Title evaluations 2017 evaluations 2018 inpatient outpatient 5
6 Causes of Liver Failure Common causes in adults Viral Hepatitis A, B and/ or C Alcoholic Cirrhosis Fatty Liver Disease Liver Tumors Autoimmune Hepatitis Primary Biliary Cirrhosis Primary Sclerosing Cholangitis Acute Liver Failure Drug ingestion/ toxins 6
7 About the Liver It helps digest food It metabolizes waste, medications and toxins from your blood It makes proteins that help your blood to clot It makes chemicals that protect the body 7
8 Symptoms of Liver Disease When the liver is damaged it cannot grow enough new liver tissue to heal itself. This can lead to cirrhosis which is severe chronic liver damage. Common Symptoms Encephalopathy Bleeding from the nose, esophagus, stomach or rectum Muscle loss Ascites Itching Jaundice Fatigue 8
9 Treatment of Chronic Liver Disease Medical management Nutritional support Medications Procedures Paracentesis EGD with banding Blood transfusions Transplant from a deceased or living donor 9
10 Liver Transplant Process Transplant phases: Referral Evaluation Waiting List Transplant Surgery Post-Transplant recovery
11 Referral Process New transplant referral A physician or case manager calls in, faxes or s the referral to the transplant office to the referral coordinator. Role of referral coordinator Completes an intake, reviews records and reviews clinical with a liver transplant physician for medical acceptance or denial. Requests financial clearance for the evaluation. Reviews records to determine necessary testing needed to complete the evaluation. The transplant team and patient placement are notified for inpatient evaluations. Assists with triaging transfer priority with the transplant fellow when there are multiple referrals pending bed placement. 11
12 Referral Process Role of referral coordinator When financially clear for transplant evaluation and the bed becomes available the patient is transported to UCLA from an outside hospital. Once admitted evaluation orders are placed and the consulting teams are notified. Bedside RN reviews orders and ensures that all orders are completed in a timely manner. 12
13 Liver Transplant Evaluation Consultations for transplant evaluation Transplant Hepatologist Transplant Surgeon Transplant Coordinator Transplant Social Worker Transplant Psychiatrist Transplant Cardiologist Transplant Pulmonologist Transplant Dietitian Other consults may be required due to diagnosis or assessment findings. 13
14 Liver Transplant Evaluation Evaluation workup: Blood Work Serologies Type and screen X 2 Hematology and chemistry panels Drug toxicology screens Imaging Studies Abdominal Ultrasounds, CAT scan or MRI Chest X-ray and/ or CAT scan chest Cardiac and Pulmonary Tests Echocardiogram, Stress test or cardiac angiogram Pulmonary Function Tests 14
15 Liver Transplant Evaluation Evaluation workup: Routine testing is performed per US preventive task force guidelines Mammogram or bilateral breast ultrasound PAP Smear Colonoscopy 15
16 Evaluation Process Role of the evaluation coordinator Reviews and obtains consents for the evaluation from the patient and/or caregivers. Interviews the patient and caregivers. Provides liver transplant education. Pre-transplant alternatives to transplant, evaluation process, selection committee, UNOS, organ allocation, waitlist maintenance, drug and alcohol abstinence Transplant surgery About the procedure, potential medical and surgical complications Post-transplant potential psychological concerns, post-transplant medications, patient responsibilities 16
17 Evaluation Process Role of the evaluation coordinator Reviews diagnostic testing results and consultants recommendations. Prepares patient case for presentation at the selection committee meeting. 17
18 Liver Transplant Evaluation Patient Transplant Selection Committee (PSCM) All patients are presented at the PSCM after the workup has been completed and the results are available. Acceptance criteria No significant comorbidities that would preclude a satisfactory outcome Patient s ability to function normally is severely compromised by their liver disease Social support and compliance 18
19 Liver Transplant Evaluation Patient Transplant Selection Committee (PSCM) Contraindications Advanced cardiopulmonary disease Uncontrolled infection outside of the liver Psychological instability Lack of social support Recent alcohol or substance use Cancer outside of the liver Large tumor burden or portal vein thrombosis with hepatocellular carcinoma 19
20 Liver Transplant Evaluation Transplant Selection Committee: The patient is notified by the transplant coordinator with the outcome of the selection committee meeting by verbal notification and a letter. Early: transplant is not needed at this time Re-present: Additional testing and information is required Denied: there may be psychosocial or medical barriers to transplant. Accepted: ok to be listed for transplant 20
21 Patient Acceptance Financial clearance for listing If accepted for transplant request for listing authorization is submitted to the insurance company for liver transplant. UCLA then verifies that the patients has adequate benefits for transplant. Once financial clearance is received the patient can be listed for liver transplant by the coordinator. 21
22 Listing Process United Network of Organ Sharing (UNOS) A national organization mandated by the federal government to distribute donated organs. Facilitates all organ allocation in the United States. Monitors every organ allocation to ensure compliance. Patients are listed in the UNOS database and there is one waiting list for our entire country. 22
23 Listing Process Criteria needed to list Recipients first and last name Date of birth Social security number or UNOS assigned patient identifier code if no SS# is available Current height and weight Type and screen (2 required) Up to date serologies hepatitis B, hepatitis C and HIV Most recent listing labs sodium, total bilirubin, creatinine, albumin and INR Had dialysis twice, or 24 hours of CVVHD, within a week prior to the serum creatinine test? yes/ no 23
24 Liver Allocation MELD: Model For End Stage Liver Disease Utilized to allocate donor livers and distribute organs to the sickest patients and is used for candidates who are 12 years and older. It is calculated with the following labs. Sodium Creatinine Total Bilirubin Albumin INR The higher the score the more urgent the need for a transplant. Patients on dialysis receive the equivalent of a creatinine of 4. 24
25 Waiting List MELD Lab Schedule MELD SCORE Recertification Due Lab values must be no older than MELD 25 or higher MELD MELD MELD 6-10 every 7 days every 1 month every 3 months every 6 months 48 hours 7 days 14 days 30 days 25
26 Organ Procurement Process Donor Organ Procurement Agency (OPO) UNOS Organ Center Transplant Center Recipient 26
27 Waiting Time It is not possible for us to predict how long a patient will wait for a donor liver as we are waiting for a random event to occur (death of a potential donor). Some patients wait days while others wait weeks, months or years. Waiting times vary by regions of the country. 27
28 Allocation 28
29 Allocation Adult livers are allocated by the following Status 1A Patients who have sudden onset of liver failure with no known history of liver disease, usually fatal unless transplanted quickly MELD Higher MELD scores have priority over lower scores, ranges 6-40 Blood Type Size The donor must have the same or compatible blood type The donor or segment of the donor s liver must be a comparable size to the recipient 29
30 Allocation In June 2012, the Board passed Share 35, a policy that sought to improve access to transplant for the sickest patients with chronic liver disease through: National sharing for candidates with MELD/PELD scores greater than 15 Regional sharing for candidates with MELD/PELD scores of at least 35 National sharing for liver-intestine candidates 30
31 Allocation Share 35 Two year post-implementation outcome analysis showed: the percentage of transplants was increased from 19%- 27% in patients with a MELD or PELD of at least 35 and increased sharing within each region from 19% to 50% Despite several efforts to expand liver sharing to regional candidates with the greatest medical urgency, the geographic disparity in disease severity at transplant persists. 31
32 Allocation New Allocation Policy 150 nautical mile radius sharing circle around the donor hospital and increased sharing within the region. May include candidates outside of the region. Candidates at transplant hospitals within the circle will receive 3 additional MELD or PELD points. Candidates with a MELD/PELD score 32 or higher will be prioritized for organ offers. 32
33 Allocation New Allocation Policy Before the match run, candidates with a MELD/PELD of at least 15 and who are either within the same DSA as the donor or are within 150 nautical miles of the donor hospital but in a different DSA will receive additional transplant priority (equivalent to 3 MELD/PELD points). Livers from deceased donors who are 70 or older or donation after cardiac death (DCD) donors will be in a separate allocation that gives priority to candidates in the DSA after allocating to Status 1 candidates in the region or circle. The MELD may go above 40 with the inclusion of proximity points. 33
34 Summary Identify the components of the liver transplant evaluation. Describe the role of the liver pre-transplant coordinator. Describe selection committee criteria. Discuss the MELD system and organ allocation. 34
35
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
More informationOrgan 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.
More informationInformed Consent for Liver Transplant Patients
Informed Consent for Liver Transplant Patients Evaluation Process You will be evaluated with consultations, lab tests and various procedures to determine the medical appropriateness of liver transplant.
More informationSeptember 28, 2013 Jennifer Butler, RN, CCTC
How To Get Listed for Kidney Transplant September 28, 2013 Jennifer Butler, RN, CCTC Objectives What kidney failure is 3 major forms of treatment Kidney transplant evaluation Kidney transplant List Functions
More informationYour Health Matters. What You Need to Know about Adult Liver Transplantation. Access our patient education library online at
Access our patient education library online at www.ucsfhealth.org Your Health Matters What You Need to Know about Adult Liver Transplantation Table of Contents 1. Introduction 2. The Preliminary Process
More informationChronic Hepatic Disease
Chronic Hepatic Disease 10 th Leading Cause of Death Liver Functions Energy Metabolism Protein Synthesis Solubilization, Transport, and Storage Protects and Clears drugs, damaged cells Causes of Liver
More informationLIVER CIRRHOSIS. The liver extracts nutrients from the blood and processes them for later use.
LIVER CIRRHOSIS William Sanchez, M.D. & Jayant A. Talwalkar, M.D., M.P.H. Advanced Liver Disease Study Group Miles and Shirley Fiterman Center for Digestive Diseases Mayo College of Medicine Rochester,
More informationChronic liver failure Assessment for liver transplantation
Chronic liver failure Assessment for liver transplantation Liver Transplantation Dealing with the organ shortage Timing of listing must reflect length on waiting list Ethical issues Justice, equity, utility
More informationThe Continuum of Care for Advanced Liver Disease: Partnering with the Liver Specialist. K V Speeg, MD, PhD UT Health San Antonio
The Continuum of Care for Advanced Liver Disease: Partnering with the Liver Specialist K V Speeg, MD, PhD UT Health San Antonio Objectives Review staging of liver disease Review consequences of end-stage
More informationPatient Education. Transplant Services. For a liver transplant
Patient Education Preparing for Medical Evaluation, Labs & Tests For a liver transplant The evaluation process is complex and is unique to each patient. The Transplant Team will determine whether the real
More informationIowa Methodist Medical Center Transplant Center. Informed Consent for Kidney Transplant Recipient
Iowa Methodist Transplant Center Iowa Methodist Medical Center Transplant Center 1215 Pleasant Street, Suite 506 Des Moines, IA 50309 515-241-4044 Phone 515-241-4100 Fax Iowa Methodist Medical Center Transplant
More informationEVALUATION & LISTING. Your Child s Liver Transplant Evaluation. What is the Liver?
EVALUATION & LISTING Your Child s Liver Transplant Evaluation The University of Michigan is a national leader in liver transplantation, as well as the surgical and medical management of patients with liver
More informationInformation for patients (and their families) waiting for liver transplantation
Information for patients (and their families) waiting for liver transplantation Waiting list? What is liver transplant? Postoperative conditions? Ver.: 5/2017 1 What is a liver transplant? Liver transplantation
More informationLiver Transplantation for the Primary Care Provider. Atif Zaman MD MPH Oregon Health & Sciences University
Liver Transplantation for the Primary Care Provider Atif Zaman MD MPH Oregon Health & Sciences University Disclosures 1. The speaker/planner Atif Zaman, MD MPH have no relevant financial relationships
More informationOrgan Allocation in Pennsylvania: Current concepts and future directions
Organ Allocation in Pennsylvania: Current concepts and future directions David Goldberg, MD, MSCE Assistant Professor of Medicine and Epidemiology Medical Director of Living Donor Liver Transplantation
More informationFAIRNESS/EQUITY UTILITY/EFFICACY EFFICIENCY. The new kidney allocation system (KAS) what has it done? 9/26/2018. Disclosures
The new kidney allocation system (KAS) what has it done? Disclosures No financial disclosure Ryutaro Hirose, MD Professor in Clinical Surgery University of California San Francisco Objectives Describe
More informationOverall Goals and Objectives for Transplant Hepatology EPAs:
Overall Goals and Objectives for Transplant Hepatology EPAs: 1. DIAGNOSTIC LIST During the one-year Advanced Pediatric Transplant Hepatology Program, fellows are expected to develop comprehensive skills
More informationJohns Hopkins Hospital Comprehensive Transplant Center Informed Consent Form for Thoracic Organ Recipient Evaluation
Johns Hopkins Hospital Comprehensive Transplant Center Informed Consent Form for Thoracic Organ Recipient Evaluation The decision to undergo transplantation can be extremely difficult and often confusing.
More informationLIVER TRANSPLANTATION
Imtiaz Alam, M.D. Phone: [512] 719-4370 Mandy Mishra, CNS Fax: [512] 719-4371 Austin Hepatitis Center 12201, Renfert Way Suite 235 Austin, TX 78758 LIVER TRANSPLANTATION The liver is the largest and one
More informationNew Organ Allocation Policy in Liver Transplantation in the United States
REVIEW New Organ Allocation Policy in Liver Transplantation in the United States David A. Goldberg, M.D., M.S.C.E.,*,, Richard Gilroy, and Michael Charlton, MD., F.R.C.P. The number of potential recipients
More informationOrgan 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
More informationCandidates about. Lung Allocation Policy. for Transplant. Questions & A n s we r s 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 Questions & A n s we r s for Transplant Candidates about Lung Allocation Policy 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 What are the OPTN
More informationWho are UNOS and the OPTN? What is the lung allocation system?
TA L K I N G A B O U T T R A N S P L A N TAT I O N Who are UNOS and the OPTN? United Network for Organ Sharing (UNOS) is a non-profit charitable organization that manages the nation s transplant system
More informationLiver Transplantation
Liver Transplantation Dr Mathew Jacob - MRCS FRCS CCT (UK) Lead Consultant HPB/Transplant Surgeon Aster Integrated Liver Care Program AsterMedcity, kochi, kerala, India mathew@transplantationliver.com
More informationLiving Donor Liver Transplantation NATCO Introductory Course
Living Donor Liver Transplantation NATCO Introductory Course Patricia Harren, RN, ANP, MSN, PNP, CCTC New York Presbyterian Medical Center Center for Liver Disease & Transplant New York, NY Living Donor
More informationCurrent Liver Allocation Policies
C Current Liver Allocation Policies Policy 3.6 Organ Distribution 3.6 Allocation of Livers. Unless otherwise approved according to Policies 3.1.7 (Local and Alternative Local Unit), 3.1.8 (Sharing Arrangement
More informationPatient Acknowledgement for Kidney, Pancreas or Kidney-Pancreas Transplant
Patient Acknowledgement for Kidney, Pancreas or Kidney-Pancreas Transplant This form provides information about having a kidney transplant. It describes the purpose, process, tests, risks, benefits, and
More informationUW MEDICINE REGIONAL HEART CENTER HEART TRANSPLANT. Orientation Class at University of Washington Medical Center
UW MEDICINE REGIONAL HEART CENTER HEART TRANSPLANT Orientation Class at University of Washington Medical Center OVERVIEW This slideshow explains: Your Transplant Evaluation Transplant Listing Heart Transplant
More informationMedical Writers Circle October 2008
The HCV Advocate www.hcvadvocate.org Medical Writers Circle October 2008 a series of articles written by medical professionals about the management and treatment of hepatitis C Lorenzo Rossaro, M.D., F.A.C.P.,
More informationGeographic Differences in Event Rates by Model for End-Stage Liver Disease Score
American Journal of Transplantation 2006; 6: 2470 2475 Blackwell Munksgaard C 2006 The Authors Journal compilation C 2006 The American Society of Transplantation and the American Society of Transplant
More informationSeverity and Mortality Prediction in Chronic Liver Disease using Child PUGH and MELD scales
International Journal of Advanced Biotechnology and Research (IJABR) ISSN 0976-2612, Online ISSN 2278 599X, Vol-10, Issue-1, 2019, pp519-524 http://www.bipublication.com Research Article Severity and Mortality
More informationDisparities in Liver Transplant Allocation: An Update on MELD Allocation System
Disparities in Liver Transplant Allocation: An Update on MELD Allocation System Naudia L. Jonassaint, MD MHS Assistant Professor of Medicine and Surgery University of Pittsburgh School of Medicine Historical
More informationLiver Transplantation Evaluation: Objectives
Liver Transplantation Evaluation: Essential Work-Up Curtis K. Argo, MD, MS VGS/ACG Regional Postgraduate Course Williamsburg, VA September 13, 2015 Objectives Discuss determining readiness for transplantation
More informationStep One: The Referral
Step One: The Referral There are 3 phases of your journey through kidney transplant. They are: 1. Referral and Evaluation 2. Wait List 3. Post-Kidney Transplant In this section, you will find information
More informationThe transplant benefit score and the national liver offering scheme
The transplant benefit score and the national liver offering scheme New national offering scheme The development of a national set of rules to offer livers to named adult patients on the elective liver
More informationInova Transplant Center
Inova Transplant Center I think I am a great candidate! Out with the old! in with the new! Help us help you! Pretransplant evaluation: goals Determine suitability as candidate Nature of surgery Optimize
More informationOntario s Adult Referral and Listing Criteria for Liver Transplantation
Ontario s Adult Referral and Listing Criteria for Liver Transplantation Version 3.0 Trillium Gift of Life Network Ontario s Adult Referral & Listing Criteria for Liver Transplantation PATIENT REFERRAL
More informationNew Horizons. Liver. A patient s guide to pre-transplantation. Genentech Transplantation, your partner in patient education
New Horizons Liver A patient s guide to pre-transplantation Genentech Transplantation, your partner in patient education 2 You Need a Liver Transplant... Now What? If you are anticipating or considering
More information2017 UNOS Liver Distribution Proposal Discussion: David Goldberg
2017 UNOS Liver Distribution Proposal Discussion: David Goldberg Who am I? Transplant hepatologist at the University of Pennsylvania Medical Director of Living Donor Liver Transplant NIH-funded epidemiologist
More informationTA 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
More informationOrgan allocation for liver transplantation: Is MELD the answer? North American experience
Organ allocation for liver transplantation: Is MELD the answer? North American experience Douglas M. Heuman, MD Virginia Commonwealth University Richmond, VA, USA March 1998: US Department of Health and
More informationThe pediatric end-stage liver disease (PELD) score
Selection of Pediatric Candidates Under the PELD System Sue V. McDiarmid, 1 Robert M. Merion, 2 Dawn M. Dykstra, 2 and Ann M. Harper 3 Key Points 1. The PELD score accurately predicts the 3 month probability
More informationUpdate 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
More informationWelcome 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.
More informationKeeping 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
More informationLiver Transplantation By: Kay R. Brown, CLCP
Liver Transplantation By: Kay R. Brown, CLCP Dr. Jeffrey Crippin, Director of Hepatology at the Baylor Institute of Transplantation in Dallas, Texas outlined during the Transplantation '97 seminar the
More informationEVALUATION. When is a Heart Transplanted?
EVALUATION When is a Heart Transplanted? The heart is a pump. Its only job is to move blood into the lungs and throughout the body. This movement of blood is essential to supply the body tissue with nutrients
More informationNational liver offering scheme
1 National liver offering scheme Outline 1 Hub Specialist Nurse Organ Donation (SNOD) registers donor with Operations 2 matching Hub Operations initiates the run 3 Hub Matching run offering list printed
More information4/26/2017. Liver Transplant and Palliative Care: Teaming up to improve care
Liver Transplant and Palliative Care: Teaming up to improve care Jody C. Olson, M.D., FACP Assistant Professor of Medicine and Surgery Hepatology and Critical Care Medicine All patients with end-stage
More informationThe Gift of Life. Organ Donation and its Challenges Presented by Jessica Roth, RN, BSN, CPTC
The Gift of Life Organ Donation and its Challenges Presented by Jessica Roth, RN, BSN, CPTC Nebraska Organ Recovery System (NORS) Federally designated as an organ procurement organization (OPO) Tasked
More informationThanks 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
More informationWhat You Need to Know about a Kidney Transplant
Page 1 of 5 What You Need to Know about a Kidney Transplant This information will help you understand the risks, benefits and possible complications involved in a kidney transplant. Please read it carefully.
More informationPatient Information Leaflet Liver Transplantation Assessment
Patient Information Leaflet Liver Transplantation Assessment South West Liver Unit Derriford Hospital Plymouth PL6 8DH Tel: 01752 431320 Information about Liver Transplantation: Your specialist may recommend
More information9:00-9:30 Welcome and Update from Regional Councillor, Dr. Timothy M. Schmitt Non-Discussion Agenda (includes 5-10 minutes for voting preparation)
AGENDA OVERVIEW Region 8 Meeting Hilton Kansas City Airport 8801 NW 112 Street Kansas City, Missouri 64153 February 13 th, 2019 (Note: All times except the start time are approximate. Actual times will
More informationLiver transplantation is the only hope for patients with terminal. Indication and Prognosis of Liver Transplantation. Abstract
Indication and Prognosis of Liver Transplantation Jae Won Joh, M.D. Department of General Surgery Sungkyunkwan University School of Medicine Samsung Medical Center E mail: jwjoh@smc.samsung.co.kr Abstract
More information2018 OPTIONS FOR INDIVIDUAL MEASURES: REGISTRY ONLY. MEASURE TYPE: Process
Quality ID #400 (NQF 3059): One-Time Screening for Hepatitis C Virus (HCV) for Patients at Risk National Quality Strategy Domain: Effective Clinical Care 2018 OPTIONS F INDIVIDUAL MEASURES: REGISTRY ONLY
More informationAlpha-1 Antitrypsin Deficiency: Liver Disease
Alpha-1 Antitrypsin Deficiency: Liver Disease Who is at risk to develop Alpha-1 liver disease? Alpha-1 liver disease may affect children and adults who have abnormal Alpha-1 antitrypsin genes. Keys to
More informationValidation of Clinical Outcomes in Electronic Data Sources
Validation of Clinical Outcomes in Electronic Data Sources Vincent Lo Re, MD, MSCE Assistant Professor of Medicine and Epidemiology Center for Clinical Epidemiology and Biostatistics Center for Pharmacoepidemiology
More informationPRE-TRANSPLANT. Listing for Transplant. Steps for Listing Include the Following:
PRE-TRANSPLANT Listing for Transplant Getting your child listed by United Network for Organ Sharing (UNOS) on the national waiting list for a liver transplant requires several steps after your child has
More informationTransplant and Dialysis Information
Transplant and Dialysis Information Dialysis and Transplant Information This document is intended to be an easy-to-read guide to help patients, families and friends understand the options when addressing
More informationWhat You Need to Know about a Heart Transplant
Page 1 of 8 What You Need to Know about a Heart Transplant This information will help you understand the risks, benefits, and possible complications involved in a heart transplant. Please read it carefully.
More information10:55-12:00 Begin Discussion Agenda and OPTN/UNOS Committee Reports. 1:10-2:40 Conclude Discussion Agenda and OPTN/UNOS Committee Reports
AGENDA OVERVIEW Region 10 Meeting Radisson at the University of Toledo 3100 Glendale Ave Toledo, OH 43614 February 8, 2018 (Note: All times except the start time are approximate. Actual times will be determined
More information2014 Year End Review
End Review Transplants Kidney Kidney Pancreas Pancreas Liver Heart Number of Patients on WaitList as of.. 99 Number Of Patients 9 Kidney Kidney Pancreas Liver Heart Organ Donor Statistics Atlantic Canada
More informationWhat 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
More information10:00-10:30 Welcome and Update from Regional Councillor, Todd Pesavento, MD Non-Discussion Agenda (includes 5-10 minutes for voting preparation)
AGENDA OVERVIEW Region 10 Meeting Radisson at the University of Toledo 3100 Glendale Ave Toledo, OH 43614 February 8, 2018 (Note: All times except the start time are approximate. Actual times will be determined
More informationPolicy Specific Section: May 16, 1984 April 9, 2014
Medical Policy Heart Transplant Type: Medical Necessity and Investigational / Experimental Policy Specific Section: Transplant Original Policy Date: Effective Date: May 16, 1984 April 9, 2014 Definitions
More information1:15-3:40 Conclude Discussion Agenda and OPTN/UNOS Committee Reports. 3:45 Estimated Adjournment (depending upon the amount of discussion)
AGENDA OVERVIEW Region 5 Meeting San Diego Marriott Mission Valley 8757 Rio San Diego Drive, San Diego, CA February 7, 2019 (Note: All times except the start time are approximate. Actual times will be
More informationQuestions and Answers for Transplant Candidates about the Kidney Allocation System
TA L K I N G A B O U T T R A N S P L A N TAT I O N Questions and Answers for Transplant Candidates about the Kidney Allocation System United Network for Organ Sharing (UNOS) is a non-profit charitable
More information2.0 MINIMUM PROCUREMENT STANDARDS FOR AN ORGAN PROCUREMENT ORGANIZATION (OPO)
2.0 MINIMUM PROCUREMENT STANDARDS FOR AN ORGAN PROCUREMENT ORGANIZATION (OPO) In order to maximize the gift of donation and optimize recipient outcomes and safety, the Organ Procurement Organization (OPO)
More informationHeart Transplant Family Education Class
Heart Transplant Family Education Class Celebrating 30 years History of Heart Transplantation First successful adult heart transplant in United States- January 6, 1968 First heart transplant at OHSU -
More informationDictionary of Organ Donation and Transplantation Terms
Dictionary of Organ Donation and Transplantation Terms Acute Rejection: The body s attempt to destroy the transplanted organ. Acute rejection usually occurs in the first year after transplant. Adverse
More informationGlossary. 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
More informationElaine A. Leigh DNP, FNP-BC Mercy Health Hepatitis C Clinic Hackley Campus / Fax
Elaine A. Leigh DNP, FNP-BC Mercy Health Hepatitis C Clinic Hackley Campus 231-727-5575/231-728-4054 Fax » CURABLE» Most common blood borne infection» 75-85% of those exposed will develop chronic infection»
More informationRECANATI / MILLER TRANSPLANT INSTITUTE
RECANATI / MILLER TRANSPLANT INSTITUTE ADULT LIVER PRE-TRANSPLANT PATIENT EDUCATION GUIDE MOUNT SINAI HOSPITAL NEW YORK, NEW YORK 2 Dear Patient: We hope that you find this a helpful guide as you go through
More informationAGENDA Region 3 Meeting Hilton Garden Inn Atlanta Airport/Millenium Center 2301 Sullivan Rd College Park, GA August 25, 2017
AGENDA Region 3 Meeting Hilton Garden Inn Atlanta Airport/Millenium Center 2301 Sullivan Rd College Park, GA August 25, 2017 (Note: All times except the start time are approximate. Actual times will be
More information10:15-10:35 Welcome and update from Regional Councillor Lewis Teperman, MD Northwell Health Region 9 Councillor
AGENDA Region 9 Meeting Renaissance Albany Hotel 144 State Street, Albany, NY September 19, 2017 (Note: All times except the start time are approximate. Actual times will be determined by the amount of
More informationCorporate Medical Policy Liver Transplant
Corporate Medical Policy Liver Transplant File Name: Origination: Last CAP Review: Next CAP Review: Last Review: liver_transplant 12/1995 5/2017 5/2018 5/2017 Description of Procedure or Service Liver
More informationAnswers to Your Questions about a Change in Kidney Allocation Policy What you need to know
Answers to Your Questions about a Change in Kidney Allocation Policy What you need to know Who are UNOS and the OPTN? The United Network for Organ Sharing (UNOS) is a nonprofit organization that operates
More information10:30-10:55 OPTN/UNOS Update, Maryl Johnson, MD, OPTN/UNOS Vice President. 10:55-12:00 Begin Discussion Agenda and OPTN/UNOS Committee Reports
AGENDA OVERVIEW Region 1 Meeting New England Donor Services 60 First Avenue, Waltham, MA 02451 February 11, 2019 (Note: All times except the start time are approximate. Actual times will be determined
More informationJohns Hopkins Hospital Comprehensive Transplant Center Informed Consent Form for Abdominal Organ Recipient Evaluation
Johns Hopkins Hospital Comprehensive Transplant Center Informed Consent Form for Abdominal Organ Recipient Evaluation The decision to undergo transplantation can be extremely difficult and often confusing.
More informationSurvival Benefit-Based Deceased-Donor Liver Allocation
American Journal of Transplantation 2009; 9 (Part 2): 970 981 Wiley Periodicals Inc. No claim to original US government works Journal compilation C 2009 The American Society of Transplantation and the
More informationOrgan Allocation in the US: The Science, Technology, Demographics, Economics, Ethics, and Politics of Organ Sharing
Organ Allocation in the US: The Science, Technology, Demographics, Economics, Ethics, and Politics of Organ Sharing Tom Mone CEO, OneLegacy May 18, 2012 Introduction Allocation issues appeared as soon
More informationTreatment Options: Kidney Transplant
Patient Education Chapter 5 Page 1 Treatment Options: Kidney Transplant Objectives: 1. Understand pros and cons of kidney transplantation. 2. Understand care aspects linked with kidney transplant. Transplant
More informationOne of the areas where it's certainly made it difference is with the transplantation of the liver. Dr. Roberts thinks so much for joining us.
Benefits and Risks of Living Donor Liver Transplant Webcast May 28, 2008 John Roberts, M.D. Please remember the opinions expressed on Patient Power are not necessarily the views of UCSF Medical Center,
More information2012 Year In Review In Review. Number of Patients on WaitList as of Number Of Transplants Year. Number Of Patients
Number Of Patients Number Of Transplants In Review In Review Kidney Kidney Pancreas Pancreas Liver Heart Number of Patients on WaitList as of.. Kidney Kidney Pancreas Liver Heart Number of Donors Number
More informationEvaluating HIV Patient for Liver Transplantation. Marion G. Peters, MD Professor of Medicine University of California San Francisco USA
Evaluating HIV Patient for Liver Transplantation Marion G. Peters, MD Professor of Medicine University of California San Francisco USA Slide 2 ESLD and HIV Liver disease has become a major cause of death
More informationCirrhosis of the Liver
235 60th Street, West New York, NJ 07093 T: (201) 854-4646 F: (201) 854-4647 810 Main Street, Hackensack, NJ 07601 T: (201) 488-0095 Cirrhosis of the Liver The liver, the largest organ in the body, is
More informationStandards for OPOs (In addition to Section 59A-1.005)
Standards for OPOs (In addition to Section 59A-1.005) (20) Each OPO shall comply with 42 CFR Part 485, 1994, and make the records relating to the federal standards available upon request to surveyors for
More informationDefinitions. You & Your New Transplant ` 38
Definitions Acute Short, relatively severe Analgesic Pain medicine Anemia A low number of red blood cells Anesthetic Medication that dulls sensation in order to reduce pain Acute Tubular Necrosis (ATN)
More informationThe 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
More informationUpdate in abdominal Surgery in cirrhotic patients
Update in abdominal Surgery in cirrhotic patients Safi Dokmak HBP department and liver transplantation Beaujon Hospital, Clichy, France Cairo, 5 April 2016 Cirrhosis Prevalence in France (1%)* Patients
More informationCirrhosis. A Chronic Liver Problem
Cirrhosis A Chronic Liver Problem What Is Cirrhosis? Cirrhosis is a chronic (long-lasting) liver problem. It results from damaged and scarred liver tissue. Cirrhosis can t be cured, but it can be treated.
More informationYour Guide to. Liver Transplants.
Your Guide to Liver Transplants www.mytransplantlife.com If you and your doctor are considering a liver transplant You are probably wondering what happens next If your doctor has determined that your liver
More informationGetting 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
More information9/30/2016. 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
More information2017 Year End Review
Number Of Patients End Review Transplants 9 9 Kidney Kidney Pancreas Pancreas Liver Heart Number of Patients on WaitList as of..9 Kidney Kidney Pancreas Pancreas Liver Heart Number of Donors Number of
More informationRace (Check one): White Black Asian American Indian/Eskimo/ALEU Hawaiian Native/Pacific Islander Other
Please mail or fax to: Dallas Transplant Institute Pre-Transplant Group 1420 Viceroy Drive Dallas, TX 75235 Fax: (214) 366-6088 Donor Name: SS#: Date of birth: Age: Sex: Male Female Address: City/State/Zip
More informationThe New Kidney Allocation System (KAS) Frequently Asked Questions
The New Kidney Allocation System (KAS) Frequently Asked Questions Contents General: The Need for the New System and Key Implementation Details... 4 Why was the newly revised KAS necessary?... 4 What were
More informationASSESSMENT AND MANAGEMENT OF POTENTIAL LIVER TRANSPLANT CANDIDATES
ASSESSMENT AND MANAGEMENT OF POTENTIAL LIVER TRANSPLANT CANDIDATES James YY Fung MBChB, MD, FRACP, FHKCP, FHKAM Consultant & Hon. Assoc. Professor Liver Transplant Center Department of Surgery, Queen Mary
More information