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

2. 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

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

4. 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. .

5. 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

6. 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

7. SHARING SYSTEM IN KZN
In 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.