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Pancreas Allocation System

Amendments to kidney and pancreas allocation policies approved by the OPTN Board of Directors in December 2019 and originally intended for implementation Dec. 15, 2020, will be postponed until after Feb. 13, 2021. The current policies that allocate kidneys and pancreata will remain in effect pending further notice. Find details.

In December 2019, the OPTN Board of Directors approved new pancreas and kidney-pancreas allocation policies to update how offers in the pancreas allocation system (PAS) are sequenced. Instead of match sequencing relying on donation service area (DSA) and OPTN Region, pancreas and kidney-pancreas allocation will be based on geographical distance between donor and recipient. Toolkits have been developed for OPO and transplant professionals to learn more about the policies and the changes they will bring.

Pancreas Allocation System (PAS)

Before October 2014, there was no nationally established allocation practice for patients with diabetes and renal failure. Previous pancreas allocation policy allowed OPOs several choices on pancreas allocation practice. They could allocate organs to kidney-pancreas (KP) candidates based upon the KP match run, the kidney‐alone (KI) match run, or a combination of match runs. Find instructions related to PAS below.

PAS instruction

The following professional education about pancreas allocation is available on UNOS Connect:

  • KID112: Removing DSA and Region from Kidney and Pancreas Allocation
  • KID111: Modifications to Released Kidney and Pancreas Allocation
  • QLT102D: Notification Limits for Distance-based Allocation
  • QLT103D: Acceptance Criteria for Distance-based Allocation

PAS guidance

PAS patient resource


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