RENAL TRANSPLANT ALLOCATION IN KZN

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Presentation transcript:

RENAL TRANSPLANT ALLOCATION IN KZN Ms V. C. Wentink Regional Manager - KZN Transplant Division

CURRENT PRIVATE PROGRAM 70 patients presently being worked up for listing. 116 patients listed and ready for call up – includes 11 patients from Entabeni Hospital. SAN currently having performed 556 renal transplants

CURRENT PRIVATE PROGRAM 8% AB group, 16% A group; 28% B group, 48% O group Only 1 B group donor in 2009 / 2010 8 patients listed for 2nd transplant. Average waiting time for transplant in 2010 was 47 (6 - 85) months

ALLOCATION PROPOSAL IN 2006 Current KZN patients to listed on the computer allocation system (similar to that in Gauteng.) Proposal that Private and Provincial patients be presented at combined regional Renal Panel Meetings. .

POPOSED ALLOCATION IN 2006 Borrowed the Cape basic allocation model, also used by UNOS: 1st Kidney to best match (highest computer generated score recipient) from referring donor hospital sector (ie: private / province), 2nd Kidney to best match ie: highest computer generated score recipient, regardless of recipient’s hospital sector. Eg: Donor referral at Umhlanga = KIDNEY 1: Best match at SAN transplant centre KIDNEY 2: Best match in pvt / prov pool

COMPUTER GENERATED SCORING SYSTEM Borrowed elements of Gauteng computer allocation model, with added UNOS weightings. Includes blood grouping, cross match, A,B, DR matching, time on list, preformed antibodies. Should include BMI

SHARING SYSTEM IN KZN In 2006 an attempt was made to work with and share with the provincial sector The state sector opted not to present patients at the Renal Panel Meetings but rather hold their own meetings. Currently no sharing system between state and private. Each transplant program procures and transplants their own patients.