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Region 7 Liver Transplant Program and OPOs

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Presentation on theme: "Region 7 Liver Transplant Program and OPOs"— Presentation transcript:

1 Region 7 Liver Transplant Program and OPOs

2 Goals of Meeting Today Review Regional Data
Follow-up Data Requests Update on Liver Forum Planning New Business

3 Regional Data Era 1 – 9 months proceeding Share 35
September 21, 2012 – June 17, 2013 Era 2 – 9 months post Share 35 June 18, 2013 – March 15, 2014

4 Transplants by Status/Score
Status 1A/B M/P < 15 M/P M/P 35+ Total Dates Era 1 20 4 263 88 375 Era 2 212 124 360

5 Share Type Era 1 15-35 Era 2 35-39 40+ Local 227 178 31 26 54 24 Regional 15 21 1 36 38 National 13

6 Candidates Added to the Waitlist
Status/Score at Listing Era 1 % Era 2 Status 1A/1B 27 3.7 26 3.3 M/P < 15 263 36.4 312 39.9 M/P 15-34 339 47.0 365 46.7 M/P 34-39 34 4.7 39 5.0 M/P 40+ 45 6.2 29 Total 722 (14 inactive) 782 (11 inactive)

7 Waitlist Additions by OPO – 35+
ILIP MNOP WIDN WIUW Era 1 40 21 11 7 Era 2 32 18 10 8

8 Procedure Type LI/IN Tx % of Overall Tx LI/KI Tx Splits Era 1 2 0.5%
69 18.4% 19 5.1% Era 2 0% 50 13.9% 6 1.7%

9 Re-Transplanted within 30 days
No Yes Era 1 372 3 Era 2 357

10 Type of Score at Transplant
Case Type at Transplant Era 1 MP 15-34 Era 2 MP 15-34 35-39 40+ Calculated 136 110 32 57 51 Exception 137 102 1 5 4 Total 263 212 33 62 55

11 Variables Variables Era 1 Era 2 DRI 1.5 1.4 Cold Ischemia Time 6.4
Distance 109.1 149.0 M/P Lab Score 24.4 25.1

12 Organ Disposition Era 1 73 10 30 344 471 Era 2 83 15 27 351 486
Organ not Recovered Recovered Not for Tx Recovered for Tx – Not Tx Transplanted Total (Includes additional categories) Era 1 73 10 30 344 471 Era 2 83 15 27 351 486

13 Waitlist Removals Era 1 95 11.7 114 14.1 Era 2 97 13.8 Died
Percentage of Removals Too sick for Transplant Era 1 95 11.7 114 14.1 Era 2 97 13.8

14 Procured and Transplanted
ILIP Era 1 Era 2 MNOP Era 1 MNOP Era 2 WIDN Era 1 WIDN Era 2 WIUW Era 1 WIUW Era 2 Procured 166 154 87 86 38 30 61 70 Tx 158 151 114 111 41 45 62 53

15 Summary Increased number of 35+ transplants and Regional Share
Decrease in the number of M/P 35+ candidates added to the waitlist Decrease in the number of Li/IN, Li/KI and Split Liver Transplants No increase in the re-transplant rates within 30 days Increase in the number of Exception Scores at Transplant for 35+ 5 to 10 transplants

16 Data Time- Out Review of Follow-up Data Elements

17 Liver Survey and Public Forum
Survey Closed Steering Committee is meeting to review responses Agenda for forum will be developed from the responses Comments can be submitted directly to the committee but will not be used to plan the forum Forum – September 16, 2014 in Chicago Registration information will be distributed in the next two weeks One to Two representatives per transplant center and OPO Open to the Public Webinar access available

18 Regional After Action Case Review
None Submitted for July Call

19 Closing Summary Developed regional data points for quarterly review
Update on Liver Forum No cases submitted for July Call New Business


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