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Thoracic Organ Transplantation Committee Updates Fall 2012

Explore recent proposals, LAS and 24-Hour Downgrade modifications, ongoing initiatives, and new policies in thoracic organ transplantation. Stay informed on heart, lung, and total artificial heart allocation developments.

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Thoracic Organ Transplantation Committee Updates Fall 2012

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  1. Thoracic Organ Transplantation Committee Fall 2012 Public Comment Cycle

  2. Recent Public Comment Proposals • LAS Modification Proposal • 24 Hour Downgrade Proposal

  3. Recent Public Comment Proposals (cont’d) • LAS Modification Proposal • Feedback overwhelmingly positive • Much feedback Pulmonary Hypertension community • All 11 OPTN/UNOS Regions supported • NATCO/ASTS/AST all supported • Adopted by the Board in November 2012 • Implementation pending programming

  4. Recent Public Comment Proposals (cont’d) • 24 Hour Downgrade Proposal • Approved by the Board in June 2012 • Reporting change in criterion/status effective Sept. 1, 2012 • Proposal includes unrelated edits to pediatric heart inotrope dosage language

  5. Ongoing Committee Initiatives • Outpatient Total Artificial Heart Policy Expiring • Evaluating Heart Allocation System • Heart-Lung Allocation

  6. Ongoing Committee Initiatives (cont’d) Outpatient Total Artificial Heart Policy Expiring • Policy to expire December 1, 2012 • Evaluated data since implementation in November 2010 • Will reevaluate how to treat outpatient TAH candidates

  7. Ongoing Committee Initiatives (cont’d) • Evaluating Heart Allocation System • Heart Subcommittee continuing to monitor the heart allocation system • Heart Subcommittee defining “device complications”

  8. Ongoing Committee Initiatives (cont’d) • Heart-Lung Allocation • Allocating heart-lung blocs • Thoracic Committee submitted multi-organ allocation principles to POC for consideration

  9. New Committee Initiatives • Ex Vivo Lung Perfusion Policy Development • Lung Subcommittee defining project scope • Created workgroup, and will identify stakeholders

  10. Questions? • Steven Webber, M.D., MBChB, MRCP, Chair steve.a.webber@vanderbilt.edu Joe Rogers, M.D., Vice Chair joseph.rogers@duke.edu • Liz Robbins, Liaison liz.robbins@unos.org

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