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During the past three years, we developed an increasingly user-friendly, online KPD system that is integrated

with UNet match offers and to see the donor information in one place. We continue to solicit and respond to user recommendations to make further system improvements.

The program was originally governed solely by operational guidelines. The first KPDPP policies were approved

the OPTN/UNOS Board of Directors in November 2012 and implemented in February 2013. At that time, many

of the operational guidelines were converted to policy. The KPD Work Group, under the OPTN/UNOS Kidney

Transplantation Committee, continues this conversion, with several policy proposals planned for 2014 and

2015.

The program will be governed by both policy and operational guidelines until the transition is complete.

Several subcommittees have worked to improve KPDPP processes: H

The Finance Subcommittee developed financial tools to help transplant hospitals work through billing and

paying for a KPD kidney that is recovered at one institution and transplanted at another. The tools include financial recommendations, a template contract and a financial checklist.

The Histocompatibility Advisory Subcommittee developed KPD histocompatibility policies to improve the

KPD system by decreasing the match offer decline rate related to unacceptable antigens. They routinely

review the decline reasons related to HLA antibodies and continuously evaluate the policies to promote

process improvement. H The Design and Optimization Algorithm Subcommittee is evaluating alternative matching algorithms to

optimize match pair efficiencies in order to increase the number of transplants. The subcommittee also

ensures that both easy and difficult-to-match patients have access to matching opportunities. To assist potential donors and candidates who are considering KPD as an option, we are creating educational videos and expanding online resources for patients, donors and transplant professionals. We welcome the remaining living donor kidney transplant hospitals to participate in the KPDPP and to

suggest system improvements to optimize all aspects of the program. We look forward to continuing to help

transplant candidates receive the gift of life through kidney paired donation. Sincerely on behalf of the OPTN/UNOS KPD Work Group,

Mark Aeder, M.D.

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[PDF] Publishing with IngramSpark and KDP is the best strategy for authors

KPD - UNOS