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VCA Data Collection and Submission. Vascularized Composite Allograft Transplantation Committee Fall 2014. The Problem. No centralized data collection on VCA transplant recipients in the U.S. The OPTN must: Collect data on all organ transplant candidates, recipients, and donors in the U.S.

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Vca data collection and submission

VCA Data Collection and Submission

Vascularized Composite Allograft

Transplantation Committee

Fall 2014


The problem
The Problem

  • No centralized data collection on VCA transplant recipients in the U.S.

  • The OPTN must:

    • Collect data on all organ transplant candidates, recipients, and donors in the U.S.

    • Respond to public data requests

    • Provide data to OPTN members


Goals of the proposal
Goals of the Proposal

  • Centralize data collection on all U.S. VCA organ transplants

    • Comply with requirements of the OPTN contract

    • Support the scientific advancement of VCA transplantation in the U.S.

  • Align VCA data submission requirements with requirements for other, non-VCA organs


  • How the proposal will achieve its goal
    How the Proposal will Achieve its Goal

    • Transplant Recipient Registration (TRR) and Transplant Recipient Follow-up (TRF) forms to collect:

      • VCA-specific data elements

      • Elements to measure VCA organ function

  • Policy revisions (18.1 and 18.2) to include VCA data submission requirements

    • Candidate List, Candidate Removal Worksheet, TRR, TRF


  • Rationale for data collection
    Rationale for Data Collection

    • Early stage of VCA transplantation

    • Answer critical questions:

      • Patient safety and outcomes

      • Patient and graft survival

      • Functional restoration in VCA recipients


    Proposed data collection
    Proposed Data Collection

    • Retain elements collected for other organs that are applicable to VCA

      • Socio-demographics

      • Insurance/payment information

      • Functional status

      • Diagnosis

      • Medical condition

      • Viral detection

      • Previous malignancy

      • Acute rejection

      • Immunosuppression


    Proposed data collection1
    Proposed Data Collection

    • VCA organ function

    • Disability measure, functional and sensibility tests for upper limb transplants (DASH, Carroll Test, Semmes-Weinstein)

    • Sensory tests (2 point discrimination), motor function, and speech intelligibility for craniofacial transplants

    • Post-transplant outcomes

      • Major complications (diabetes, metabolic, infectious)

      • Graft and patient survival


    What members will need to do
    What Members will Need to Do

    • Transplant Programs must complete TRR and TRF forms for VCA recipients

    • Submit the following (Policies 18.1 and 18.2):

      • For OPOs:

        • VCA Candidate List

    • For Transplant Programs:

      • Candidate Removal Worksheet

      • TRR

      • TRF


    Questions
    Questions?

    • Sue V. McDiarmid, M.D.

      Chair, VCA Committee

      SMcDiarmid@mednet.ucla.edu

    • Christopher L. Wholley, M.S.A., NRP, CPTC

      Committee Liaison Christopher.Wholley@unos.org