Kidney & pancreas
Policy toolkits & FAQs
Waiting time modifications for kidney candidates affected by race-inclusive eGFR
Sample required eGFR candidate notification letter:
Allocation calculators
- CPRA calculator (calculated panel reactive antibody)
Used to evaluate candidates for kidney, pancreas and k/p transplants - EPTS calculator (estimated post transplant score)
Assigned to all adult candidates on the kidney waiting list - KDPI calculator (kidney donor profile index)
Summarizes the risk of graft (organ) failure after kidney transplant
Monitoring reports
- One-year eGFR waiting time modification monitoring report (4/15/2024)
- Six-month waiting time modification/One-year race neutral eGFR calculations monitoring report (11/20/2023)
- Six-month monitoring report: Race-neutral eGFR calculations (5/15/2023)
- Six-month monitoring report: Establish minimum kidney donor criteria to require biopsy (10/11/2023)
- Two-year monitoring report continues to show improvements in equity in access to kidney transplants for several key populations (7/6/2023)
- One-year monitoring report shows increase in kidney transplants following policy changes (7/1/2022)
- Updated two-year monitoring report available for dual and en bloc kidney allocation (4/1/2022)
- Updated monitoring report available for kidney allocation policies (10/8/2021)
- Kidney allocation monitoring report available (6/22/2021)
- Two-year monitoring report available for pancreas allocation policies (7/10/2023)
- One-year monitoring report available for pancreas allocation policies (6/24/2022)
- Updated monitoring report available for pancreas allocation policies (10/7/2021)
- Pancreas allocation monitoring report available (7/6/2021)
Policy & guidance
News
- FDA MDR Reporting Requirements (04/2024)
- Community results of winter 2022 kidney and pancreas prioritization exercises now available (4/22/2022)
- New kidney, pancreas allocation policies in effect (3/15/2021)
- March 15 policy implementation: Removal of DSA from kidney and pancreas allocation (3/1/2021)
- Implementation of kidney and pancreas policies (2/12/2021)
- Letter from HHS acting secretary to Jones Day regarding critical comment (2/12/2021)
- OPTN response to critical comments received about revised kidney policy (1/4/2021)
- Letter from HHS to OPTN Board president and OPTN executive director (12/21/2020)
- HRSA directive to delay kidney allocation policy implementation (12/14/2020)
- Pre-implementation notice: Removal of DSA and region from kidney and pancreas allocation to go into effect Dec. 15 (11/15/2020)
- Pre-implementation notice: Phase I of new kidney medical urgency requirements to implement Dec. 1 (11/12/2020)
- Transplant patient webinar addresses upcoming changes to kidney and pancreas distribution (11/10/2020)
- Policy changes to kidney and pancreas allocation to be implemented Dec. 15 (10/20/2020
- Changes to kidney and pancreas allocation to be implemented later this year (9/11/2020)
- Additional provisions adopted to upcoming kidney, pancreas distribution system (6/9/2020)
- New policy adopted to improve kidney, pancreas allocation (12/5/2019)
- Revised kidney and pancreas proposals going to the OPTN Board of Directors; briefing papers available (11/26/2019)
- Modifications made to kidney and pancreas allocation proposals, import backup workgroup and medical urgency subcommittee formed (11/18/2019)
- Kidney and pancreas allocation proposals modified to advance 250 NM circle, fewer proximity points (10/28/2019)
- Committees to review kidney and pancreas proposals (10/18/2019)
- Kidney and Pancreas Distribution Modeling: Analysis at a Glance (8/7/2019)
- Kidney allocation proposal maps showing 250 NM and 500 NM circles (8/2019)
- Public comment open August 2 through October 2, 2019 (8/2/2019)
- Kidney Accelerated Placement project fpr national offers begins July 18 (7/17/2019)
- Kidney and pancreas committees refine distribution policy options (7/4/2019)
- Dual and en bloc kidney allocation changes (6/26/2019)
- Kidney/Pancreas Workgroup Board Report (6/10/2019)
- SRTR modeling available for kidney and pancreas distribution (6/10/2019)
- Webinars discuss revisions to kidney and pancreas allocation policies (6/10/2019)
- Journal article assesses kidney allocation system (KAS) (2/18/2019)
- Public comment open January 22 through March 22, 2019 (2/21/2019)
- Concept paper: "Eliminate the use of DSAs and regions from kidney and pancreas distribution" (1/2019)
- SRTR modeling results available for kidney and pancreas distribution proposal (12/10/2018)
Kidney
- OPTN policies 8 and 11: allocation of kidneys and kidney-pancreas (PDF - 2.5 M; 2/2022)
- Evaluation plan guidance for policies 8 and 11 (PDF - 91 K; 7/2021)
- Increase non A1 and non A1B kidneys for type B candidates
(PDF - 317 K; 12/2017) - KAS two-year analysis (7/2017)
- Equity in access report update (8/2017)
- Equity in access report - original (11/2016)
- Kidney Transplantation Committee documents
- Guidance: Procedures to mark kidney laterality (1/2015)
- Patient referral to kidney transplantation (9/2015)
- Kidney donor profile index (KDPI) guide for clinicians
- Collaborative innovation and improvement network
Pancreas
- OPTN policy 11: allocation of pancreas and kidney-pancreas (PDF - 2.5 M; 2/2022)
- Evaluation plan guidance for policy 11 (PDF - 91 K; 7/2021
- Pancreas Transplantation Committee documents
- Benefits of pancreas after kidney transplantation
(PDF - 505 K; 12/2017) - Pancreas allocation system introduction
- Charges for pancreata recovered for islet transplantation (1/2007)
Kidney Accelerated Placement project
Find news and updates on the Kidney Accelerated Placement project, a one-year pilot to accelerate national offers of hard-to-place kidneys.