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Patient Selection Criteria


                                               Kidney/Pancreas and Islet Transplantation: Version 7.0

Patient Selection Criteria


As suggested above, there is a high degree of variability among centers in the application of selection criteria for patients undergoing kidney/pancreas transplantation.  Each center may evaluate the same patient and make different recommendations. This is due to the fact that this is a relatively newly accepted treatment, even though the procedure has been done for a number of years in a small number of centers. The surgical techniques have evolved rapidly over the past several years, as has the immunosuppression.  Each center will have a different level of experience. Many have active research protocols looking into different facets of pancreas transplantation, including islet transplantation.  All of this will influence how any given center evaluates a patient and the treatment recommendations that are made. Absolute or relative contraindications at one center may be acceptable at another, more experienced center. Peculiarities in the relationships between Donation Service Areas (DSAs) can also confound the search. The old practice that hindered uniformity for years, such as the number of kidneys sent to neighboring DSAs and the “payback” mechanisms that come into play as a result, have disappeared as a result of the new allocation policy. Careful review of the SRTR data will help determine the most active centers and OPOs as will a call to your network provider like INTERLINK.