Graham Lipkin September 23 rd 2014 West Midlands Renal Network Transplant Education & Audit

Introduction The changing face of transplantation Access to transplantation in Wmids

Survival advantage of Renal Tx over dialysis Wolfe RA. N Eng J Med 1999;341: RR at 18monthsPredicted years life without Tx Predicted years of life with Tx All recipients

Survival advantage of Renal Tx over dialysis Wolfe RA. N Eng J Med 1999;341: RR at 18monthsPredicted years life without Tx Predicted years of life with Tx All recipients Transplantation doubles length of life Health economic benefits +++

Transplant Early-Pre-emptive Transplantation is Ideal Months post-transplant % event free survival Pre-emptive 0–6 months 6–12 months 12–24 months 24+ months Meier-Kriesche et al. (2002)

Transplant Outcome-Timing Months post-transplant % event free survival Pre-emptive 0–6 months 6–12 months 12–24 months 24+ months Meier-Kriesche et al. (2002) Survival best if Transplant before dialysis or shortly after

UK Renal Registry 14th Annual Report Transplantation Profile

Adult Kidney Transplants

Increasing Transplant Numbers

Wmids Transplant Access Rates: How do we compare?

Waiting Time for Deceased Donor Transplant

Pre-emptive Transplant Listing

Wmids Transplant Plan Designated transplant lead Consultant and nurse Transplant list annual review Review Live Donor and pre-emptive Tx listing rates Annual education & audit Review post transplant quality markers Share best practice