Data Collection to Evaluate Organ Logistics and Allocation

At a glance

Current policy

The purpose of this data collection proposal is to monitor current data elements and propose new data elements in order to provide more insight into organ logistics and allocation patterns to inform future policy development. Additionally, the review and recommendations to modify or remove current OPTN data elements is to ensure data collection efforts that are more efficient, current, and relevant.

Supporting media

Presentation

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Proposed changes

• Proposed new data elements:
  • Organ check-out
  • Organ check-in
  • Time of first anastomosis
• Proposed data element modifications:
  • Type of Liver machine perfusion (DonorNet^®)
    • Proposed Change: Remove non-specified response field, "Other/Specify"
  • Kidney(s) received on (Kidney - TRR)
    • Proposed Change: Remove non-specified response field, "N/A"
  • Kidney Pump Values: Time, Flow, Pressure, and Resistance (DonorNet^®)
    • Proposed Change: Collect initial, low/peak, and final values
• Organ Not Recovered Codes:
  • Deleting code #208 – No Recipient Located
  • Deleting code #211 – Positive Human T-lymphotopic virus (HTLV-1)
  • Adding code for “No candidates on the match run”

Anticipated impact

• What it's expected to do
  • Promote data collection efforts to evaluate organ allocation and logistics and inform future policies
• What it won't do
  • This is a data collection proposal and does not change any current allocation policies

Themes

• Data collection
• Organ allocation
• Organ distribution logistics

Terms to know

• DonorNet^®: Is the component of the UNet^SM system that focuses on the registration of deceased donors, organ matching, organ offers and placement.”
• Deceased Donor Registration Form (DDR):  The form submitted by the OPO when reporting a new donor to the OPTN. The form contains information on donor demographics, cause of death, procurement and consent, current clinical measures, medical and social history and organ recovery information.
• Waitlist^SM (WL): The list of candidates registered to receive organ transplants. When a donor organ becomes available, the matching system generates a new, more specific list of potential recipients based on the criteria defined in that organ's allocation policy (e.g., organ type, geographic local and regional area, genetic compatibility measures, details about the condition of the organ, the candidate's disease severity, time spent waiting, etc.).
• Transplant Recipient Registration Form (TRR): The data collection instrument completed and submitted by the transplant center when a patient is transplanted. The form contains patient status, pre-transplant clinical measures, transplant procedure, post-transplant clinical measures, graft status, treatment and immunosuppression.
• TransNet^SM: OPTN system that uses barcode scanning technology at the point of organ recovery to help label, package, and track organs and other biologic materials being shipped for transplantation.

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