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Simultaneous Liver Kidney (SLK) Allocation Policy

OPTN/UNOS Kidney Transplantation Committee Simultaneous Liver Kidney (SLK) Allocation Policy Prepared by: Gena Boyle UNOS Executive Department Executive Summary .. 2 Is the sponsoring Committee requesting specific feedback or input about the proposal?.. 2 What problem will this proposal solve? .. 3 Why should you support this proposal? .. 3 Which populations are impacted by this proposal? .. 12 How does this proposal support the OPTN Strategic Plan? .. 17 How will the sponsoring Committee evaluate whether this proposal was successful post implementation? .. 17 How will the OPTN implement this proposal? .. 18 How will members implement this proposal? .. 18 How will members be evaluated for compliance with this proposal? .. 19 Policy or Bylaw Language .. 21 1 Simultaneous Liver Kidney (SLK) Allocation Policy Executive Summary Current OPTN Policy prioritizes candidates seeking a Simultaneous Liver Kidney (SLK) transplant before pediatric and adult transplant candidates who are listed only for a Kidney ( Kidney alone candidates ) when the Liver candidate and the deceased donor are in the same Donation Service Area (DSA).

The current policy for SLK allocation is counter to requirements in the OPTN Final Rule (“Final Rule”) specifying that organ allocation policies be based on sound medical judgment and standardized criteria. These requirements are in place to ensure equity and efficiency in the U.S.

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