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Pancreas allocation system

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 are now based on geographical distance between donor and recipient. Toolkits have been developed for OPO and transplant professionals to learn more about the policies.

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

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