Living Donor Liver Transplantation Proctor MDT Data Set
Living Donor Liver Transplantation Proctor MDT requires completion of specific recipient and donor information for referral activation. Slides include details on recipient and donor characteristics, blood work, and additional investigations needed for evaluation. Emphasis is placed on maintaining patient confidentiality during the referral process.
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Living Donor Liver Transplantation Proctor MDT Living Donor Liver Transplantation Proctor MDT Minimum data set for MDT discussion Local team to fill first 6 slides* *Early discussion between referring/local MDT and Proctor MDT advised to confirm recipient and donor characterisation investigations, case-by-case *Slides 2&3 to be completed to activate referral to the Proctor MDT. NB: for initial activation referral, please do not include patient identifiable information (i.e. replace donor recipient names with initials, dob with age and do not include clinical attachments in email to NHSBT.) Referring Hospital Referring Consultant Date slide set emailed Donor/Recipient Relationship Version 2, June 2024
Slide 2: Recipient Details- required to activate referral to PT First name (initial only) Recipient Blood group Surname (initial only) Recipient Weight DOB (age) Recipient Height NHS Number (or equivalent) Recipient BMI Recipient Suitable for Living Donor Graft as per your MDT Recipient Liver Disease Enclose latest waiting list clinic letter Indications for listing Date of Listing Push Latest CT imaging including report Latest UKELD Latest TBS Push latest MRCP imaging including report
Slide 3: Donor Details- required to activate referral to PT Task Completed/Not completed First name (initial only) Donor Consent for LD Assmt. Surname (initial only) Enclose Donor Health Questionnaire DOB (age only) NHS Number (or equivalent) Enclose Donor GP Letter Enclose Donor Physician Assmt. Letter Donor Blood group Donor Weight Enclose Donor Surgical Assmt. Letter Donor Height Enclose Donor Anaesthetic Assmt. Letter Donor BMI Donor Blood group Enclose Independent Advocate Assmt. Letter
Slide 4: Donor Blood Work up Hb T Bili Ferritin HBSAg WCC ALT Iron studies HB Core Ab Plts ALP A1AT HCV Ab PT ALB TTG Hep E RNA APTT SMA LKM Syphilis Na Cor Cal AMA HTLV K HbA1c ANA HIV Urea T Chol Ceruloplasmin (aged<45 yrs) IgG EBV Creat HDL IgG CMV IgG LDL IgG HSV IgA TG IgG VZV IgM TSH IgG Toxo T4
Slide 5: Other Donor Work up MRSA Screen Enclose XR Chest report CPE Swab Enclose ECG Report Enclose ECHO Report Urine Dip Stick Result Enclose PFTs Report Urine PCR Result Urine Pregnancy Test Other if relevant Cervical Smear result if available National Breast Cancer Screening result if available
Slide 6: Donor Radiology Task Completed/Not Completed Enclose Donor CT with volumetry report Push Donor CT imaging Enclose MRCP Report Push MRCP imaging Liver Attenuation Index if performed MR Fat Fraction if available CAP reading if performed
Slide 7: Proctor MDT Yes/No Proctor Team at MDT Local Team at MDT Any outstanding issues/Add inv? Proceed/Not Proceed Recipient Suitable for LDLT Donor imaging reviewed Volumetry r/vd Donor suitable(Phy) Donor suitable(Psy) Donor suitable (Anaes) Donor suitable Ind Advocate
Slide 8: Proctor MDT Outcome & Next Steps Procced Await additional Ix Terminate asst Reasons for termination Proctor MDT Outcome Next Steps HTA Approval Date for Surgery Surgical team
