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Data collection to evaluate the logistical impact of broader distribution

Proposal Overview

Status: Public Comment

Sponsoring Committee: Operations and Safety Committee

Strategic Goal: Promote the efficient management of the OPTN



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Read the proposal (PDF; 8/2019)

Contact: Pete Sokol

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You may be interested in this request for input if

  • You work for an OPO
  • You work at a transplant hospital
  • You are interested in the effects of broader distribution of organs

Here’s what we are requesting and why

Eliminating donation service areas (DSA) and regions from OPTN policy will result in increased logistical challenges related to organ shipping. The OPTN Operations and Safety Committee requests suggestions from transplant professionals for a potential proposal on the logistical impact of broader distribution, specifically regarding transportation methods.

The Committee seeks feedback on the following suggested data elements for the Deceased Donor Registration (DDR) form to help evaluate of broader organ distribution:

  • Transportation mode and how, specifically, the organ was transported
  • Who recovered the organ?
  • Time (hours) of organ transport from donor hospital to recipient hospital

Why this may matter to you

As organs are distributed more broadly, proactively collected data will help us analyze the impact of allocation changes.

Tell us what you think

  • What data elements would be helpful to assess the logistical impact of broader distribution?
  • What challenges would additional data collection present?
  • What (if any) data elements should be included?
  • Is the Deceased Donor Registration (DDR) form the correct data source to use?
  • Do OPOs have the necessary information to report this data?

Comments

LifeGift | 08/22/2019

LifeGift supports this work of the Ops & Safety Committee to develop a better understanding of what is actually happening with logistics of organ transportation and preservation. It is important to collect this information to develop evidence for various phases of the movement of organs in a broader distribution system. Please consider adding a data point on preservation mode as this extends preservation time, and current use of mileage as a proxy for cold ischemia time is an antiquated approach. New preservation technologies are rapidly developing that impact assumptions of CIT limits. Examples: cold vs. warm, static vs. pulsatile/continuous, etc. This information is critical to include in development of different ways of implementing distribution systems to see what impact is made upon baseline situation.