March 15 policy implementation: Removal of DSA from kidney and pancreas allocation
Published on: Monday, March 1, 2021
The Organ Procurement and Transplantation Network will implement policies to remove donation service area (DSA) and OPTN region from kidney and pancreas allocation, on March 15, 2021, absent Court intervention.
The OPTN has eliminated DSA and region from the allocation systems of all other organ types, and replaced with a distance-based approach. In the new system for kidney and pancreas allocation, the first unit of distribution is no longer DSA and instead becomes a 250 nautical mile circle around the donor hospital.
Additional changes involve allocation of kidneys and pancreata from Alaska and prioritization of medically urgent kidney patients. The policies also change how released kidneys, pancreata, kidney-pancreas and islets are allocated in the new system when the original intended candidate is not able to be transplanted. Find a summary of changes here.
In order to allow kidney transplant programs to pre-enter medical urgency data prior to implementation, a medical urgency data collection period will open March 8. At that time, kidney programs will need to:
- Review their current medical urgency status exceptions
- Enter additional data in Waitlist℠ for candidates who meet the new medical urgency definition
- Submit supporting documentation
Professional education resources
Resources and trainings for professionals at OPOs, transplant hospitals and histocompatibility labs are available on UNOS Connect.
Find all policy notices and other information in the policy toolkits in the Professional Education section of the OPTN website:
- Removal of DSA and Region from Kidney Allocation Toolkit
- Removal of DSA and Region from Pancreas Allocation Toolkit
- Modifications to Released Kidney and Pancreas Allocation Toolkit
- Addressing Medically Urgent Candidates in the New Kidney Allocation System Toolkit
Do you have questions about the implementation?
For policy-related questions, email email@example.com.
The Organ Center is available around the clock and can be reached at 800-292-9537.