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Impact of OPTN policy 3.7D providing waiting time modification for candidates affected by race-inclusive eGFR calculations: Early results from a single center.
Hoffman, Arika L; Westphal, Scott G; Wekesa, Debra; Miles, Clifford D.
Afiliación
  • Hoffman AL; Department of Surgery, University of Nebraska Medical Center, Omaha, Nebraska, USA.
  • Westphal SG; Nebraska Department of Internal Medicine, University of Nebraska Medical Center, Omaha, Nebraska, USA.
  • Wekesa D; Nebraska Department of Internal Medicine, University of Nebraska Medical Center, Omaha, Nebraska, USA.
  • Miles CD; Nebraska Department of Internal Medicine, University of Nebraska Medical Center, Omaha, Nebraska, USA.
Clin Transplant ; 38(3): e15273, 2024 03.
Article en En | MEDLINE | ID: mdl-38516921
ABSTRACT

INTRODUCTION:

OPTN Policy 3.7D, implemented January 5, 2023, mandates that all kidney transplant programs modify waiting time for candidates affected by race-inclusive eGFR calculations. We report the early impact of this policy change.

METHODS:

Our transplant program reviewed all listed transplant candidates and identified patients potentially eligible for waiting time modification. Eligible candidates received waiting time modification after submission of supporting evidence to the OPTN. We reviewed the impact on waiting time and transplant activity through October 1, 2023.

RESULTS:

Forty-six adult patients on our center's active waiting list self-identified as Black/African American. 25 (54.3%) candidates qualified for waiting time modification. A median 451 (321, 1543.5) additional days of waiting time was added for qualifying patients. Of the 25 patients who qualified for waiting time modification, 11 patients received a deceased donor kidney in the early period following waiting time modification, including 5 patients transplanted within 1 month after modification.

CONCLUSIONS:

Policy 3.7D is one of few national mandates to address specifically structural racism within transplantation. Implementation has yielded near immediate effects with greater than 40% of time-adjusted patients at our center receiving a deceased donor kidney transplant in the initial months after policy enactment. Early assessment demonstrates great potential impact for this policy.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Obtención de Tejidos y Órganos / Trasplante de Riñón / Trasplantes Límite: Adult / Humans Idioma: En Revista: Clin Transplant Asunto de la revista: TRANSPLANTE Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Dinamarca

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Obtención de Tejidos y Órganos / Trasplante de Riñón / Trasplantes Límite: Adult / Humans Idioma: En Revista: Clin Transplant Asunto de la revista: TRANSPLANTE Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Dinamarca