Q&A: Transplants at Carolinas Medical Center
Q&A: Transplants at Carolinas Medical Center
Posted — UpdatedThe Scientific Registry of Transplant Recipients also gives us the % of transplants performed at each center from deceased organ donors vs. living organ donors.
When looking at the variability in waiting times, it is also relevant to look at the % of transplants performed at each center from deceased donors. As shown below, the US has a 67% deceased donor rate for all transplants performed. The higher deceased donor rates at both Vidant and Wake would explain the shorter waiting times. They are using organs that the other centers are not using.
Transplant centers do have their own criteria for evaluating a transplant candidate to determine if transplant is the best option for them. These criteria do not match organs or impact allocation. It is related to the transplant recipient’s health issues and does not include any organ information.
Every patient is educated on the potential to list at multiple centers. It is encouraged, so that their chances of matching in the national database are increased. However it is a burden to many patients to travel back and forth out of their area for testing and appointments. This can be prohibitive to being listed at multiple centers.
Every available organ is entered into the UNOS database. The system completes a “match run” to identify the most appropriate candidate for transplant. A list is generated by this system, ranking candidates by “best” match. The OPO then starts working the list beginning with the patient at the top and working down until a center accepts an organ for transplant with their patient.
The allocation changes from December of 2014 have negatively impacted some patients and benefited others. The criteria for being “on the list” longer was replaced with being on dialysis longer. It has been difficult for many patients who have been waiting on the list for several months. However, since dialysis takes such a toll on the body and patient’s health, it is relevant to consider the time on dialysis as a criteria for prioritizing candidates for transplant.
See above.
Wait time is important to patients, but type of organ for transplant and patient and graft survival rates are important to a patient’s outcome post-transplant.
Our wait time has not changed significantly since 2014.
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