Modification of ABO Subtyping References for Consistency Operations and Safety Committee
The current OPTN policy has inconsistencies in terminology, potentially causing confusion. Proposed solutions aim to clarify requirements for efficient management. Public feedback and resolutions show support for modifications to various policies. Contact information for queries is provided at the end of the document.
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Modify ABO Subtyping References for Consistency Operations and Safety Committee November 12-13, 2014
The Problem Current OPTN policy contains different terms that have the same intended meaning Policy 2.6.B: found to be non-A1 or non-A1B Policy 13.7.B: to a blood type A2 or A2B Policy 14.4.A.i: donor to be non-A1 (negative for A1) or non-A1B (negative for A1B) Inconsistency may create confusion
Strategic Plan #6-Promote Efficient Management of OPTN Provide clarity to requirements
Proposed Solution Policy 2.6.B Current Terminology found to be non-A1 or non- A1B Proposed Terminology found to be blood type A, non-A1or blood type AB, non-A1B to a blood type A, non- A1or blood type AB, non-A1B donor to be blood type A, non-A1or blood type AB, non-A1B 13.7.B to a blood type A2 or A2B 14.4.A.i: donor to be non-A1 (negative for A1) or non-A1B (negative for A1B)
Public Comment Feedback Public Comment Response Tally In Favor as Amended No Vote/ No Comment/ Did Not Consider 4 (19%) Type of Response Response Total In Favor Opposed Individual 21 16 (76%) 0 (0%) 1 (5%) Regional 11 11 (100%) 0 (0%) 0 (0%) 0 (0%) Committee 19 3 (16%) 0 (0%) 0 (0%) 16 (84%)
Overall Project Impact Product Policy Professional Education Target Population Impact: Transplant Professionals Total IT Implementation Hours** 750/10,680 750 0 1000 2000 3000 4000 5000 Total Overall Implementation Hours** 2,240/17,885 2240 0 2000 4000 6000 ** Included in Proposed ABO Determination, Reporting, and Verification Policy Modifications
Resolution 15 (page 45) RESOLVED, that additions and modifications to Policies 2.6.B (Deceased Donor Blood Subtype Determination), 5.3. C (Liver Acceptance Criteria), 9.5.B (Points Assigned by Blood Type), 13.7.A (Blood Type), 13.7.B (A2 and A2B Matching), 14.4.A.i (Living Donor Blood Subtype Determination), and 8.5. E (Allocation of Kidneys by Blood Type) are modified as set forth below, effective May 1, 2015.
Questions? Thank you! Theresa Daly, Committee Chair thd9003@nyp.org Susan Tlusty, Committee Liaison susan.tlusty@unos.org