1. KDPI mapping vs. SCD, ECD, DCD
Aaron Cohen
Manager of Donor Referral and Allocation

2. Total Organ Donors KDPI distribution

3. Match System – Sequences A-D
Sequence A
KDPI ≤ 20%
Sequence B
KDPI > 20% - 34%
Sequence C
KDPI 35% - 85%
Sequence D
KDPI 86% - 100%
Highly Sensitized
0-ABDRmm (top 20% EPTS)
Prior Living Donor
Local pediatrics
Local top 20% EPTS
0-ABDRmm (all)
Local (all)
Regional pediatrics
Regional (top 20% EPTS)
Regional (all)
National pediatrics
National (top 20% EPTS)
National (all)
0-ABDRmm
Local adults
Regional adults
National Pediatrics
National Adults
Local
Regional
National
Local + Regional
*all categories in Sequence D are limited to adult candidates

4. All Donors Sequence A KDPI distribution
KDPI Score Range 
1-20
% 1-20
Total Donors
Highly Sensitized
0-ABDRmm (top 20% EPTS)
Prior Living Donor
Local pediatrics
Local top 20% EPTS
0-ABDRmm (all)
Local (all)
Regional pediatrics
Regional (top 20% EPTS)
Regional (all)
National pediatrics
National (top 20% EPTS)
National (all)
SCD 51
22%
231
ECD 0% 58
DCD 5
10% 49
Total 56
17%
338

5. All Donors Sequence B KDPI distribution
KDPI Score Range 
21-34
% 21-34
Total Donors
Highly Sensitized
0-ABDRmm
Prior Living Donor
Local pediatrics
Local adults
Regional pediatrics
Regional adults
National Pediatrics
National Adults
SCD 47
20%
231
ECD 0% 58
DCD 7
14% 49
Total 54
16%
338

6. All Donors Sequence C KDPI distribution
KDPI Score Range 
35-85
% 35-85
Total Donors
Highly Sensitized
0-ABDRmm
Prior Living Donor
Local
Regional
National
SCD
128
55%
231
ECD 17
29% 58
DCD 33
67% 49
Total
178
53%
338

7. All Donors Sequence D KDPI distribution
KDPI Score Range 
86-100 %
Total Donors
Highly Sensitized
0-ABDRmm
Local + Regional
National
*all categories in Sequence D are limited to adult candidates
SCD 5 2%
231
ECD 41
71% 58
DCD 4 8% 49
Total 50
15%
338

8. Txp Kidney Donor KDPI Distribution

9. Txp Kidney Donors Sequence A KDPI distribution
KDPI Score Range 
1-20
% 1-20
Total Donors
Highly Sensitized
0-ABDRmm (top 20% EPTS)
Prior Living Donor
Local pediatrics
Local top 20% EPTS
0-ABDRmm (all)
Local (all)
Regional pediatrics
Regional (top 20% EPTS)
Regional (all)
National pediatrics
National (top 20% EPTS)
National (all)
SCD 49
25%
231
ECD 0% 58
DCD 4
10%
Total 53
20%
338

10. Txp Kidney Donors Sequence B KDPI distribution
KDPI Score Range 
21-34
%21-34
Total Donors
Highly Sensitized
0-ABDRmm
Prior Living Donor
Local pediatrics
Local adults
Regional pediatrics
Regional adults
National Pediatrics
National Adults
SCD 44
22%
231
ECD 0% 58
DCD 7
18% 49
Total 51
19%
338

11. Txp Kidney Donors Sequence C KDPI distribution
KDPI Score Range 
35-85
% 35-85
Total Donors
Highly Sensitized
0-ABDRmm
Prior Living Donor
Local
Regional
National
SCD
105
53%
231
ECD 10
37% 58
DCD 26
67% 49
Total
141
338

12. Txp Kidney Donors Sequence D KDPI distribution
KDPI Score Range 
86-100 %
Total Donors
Highly Sensitized
0-ABDRmm
Local + Regional
National
*all categories in Sequence D are limited to adult candidates
SCD 2 1%
231
ECD 17
63% 58
DCD 5% 49
Total 21 8%
338

13. Declined Kidney Donor KDPI Distribution

14. Donors with declined Kidneys Sequence A KDPI distribution
KDPI Score Range 
1-20
% 1-20
Total Donors
Highly Sensitized
0-ABDRmm (top 20% EPTS)
Prior Living Donor
Local pediatrics
Local top 20% EPTS
0-ABDRmm (all)
Local (all)
Regional pediatrics
Regional (top 20% EPTS)
Regional (all)
National pediatrics
National (top 20% EPTS)
National (all)
SCD 2 9%
231
ECD 0% 58
DCD 1
11% 49
Total 3 5%
338

15. Donors with declined Kidneys Sequence B KDPI distribution
KDPI Score Range 
21-34
%21-34
Total Donors
Highly Sensitized
0-ABDRmm
Prior Living Donor
Local pediatrics
Local adults
Regional pediatrics
Regional adults
National Pediatrics
National Adults
SCD 1 4%
231
ECD 0% 58
DCD 49
Total 2%
338

16. Donors with declined Kidneys Sequence C KDPI distribution
KDPI Score Range 
35-85
% 35-85
Total Donors
Highly Sensitized
0-ABDRmm
Prior Living Donor
Local
Regional
National
SCD 19
83%
231
ECD 7
24% 58
DCD 6
67% 49
Total 32
52%
338

17. Donors with declined Kidneys Sequence D KDPI distribution
KDPI Score Range 
86-100 %
Total Donors
Highly Sensitized
0-ABDRmm
Local + Regional
National
*all categories in Sequence D are limited to adult candidates
SCD 1 4%
231
ECD 22
76% 58
DCD 2
22% 49
Total 25
41%
338

18. Averages 2014 Average OL donor KDPI Score: 53%
Average Txp Kidney KDPI score: 46%
Average Rejected Kidney KDPI score: 74%

19. Averages 2015 Average OL donor KDPI Score: 56%
52% on donors where Kidney offers made
Average Txp Kidney KDPI score: 42%
Average Rejected Kidney KDPI score: 79%

20. Future plans
OL to monitor acceptance behavior after implementation of KAS
During scheduled Organ Offer reviews, KDPI will be emphasized.
Local vs. Regional to be reviewed

21. Update for 2015
Began looking at center specific acceptance/declines based on KDPI.
Mapped out acceptance behavior with local centers and provide information to all centers.

22. Acceptance Behavior Mapping
KDPI Distribution to
Center
Offered
Accepted
Declined
Transplanted
Total offers
Center 1
15%
12%
16%
11% 22
Center 2
50%
37%
63%
45% 96
Center 3
48%
42%
58% 69
Center 4
39%
57%
30% 73
Center 5
55%
44%
68%
56% 91
Center 6
53%
62%
14% 50
Center 7
36% 52
Center 8
40%
65%
35% 82
Center 9
52%
69%
43%
113
Center 10
49%
67%
33%

23. Future plans Partnering with Tx centers to review acceptance behavior.
Utilize the data for long term decision making???