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Priority Criteria
for Kidney Transplantation
The Appropriate Authority for Organ Transplantation has laid down
priority criteria for kidney transplantation as follows:
First: Vascular Access
Failure:
(i) Failure of A-V shunt
/ Fistula / Graft - 0.2 per. Vessel
failed
(to maximum of 1)
score.
(ii) Failure
of Synthetic graft after multiple vascular access failure 3.0
(score).
Those who has had
synthetic graft failure without prior A-V fistula failure will
continue to get 0.2 per vessel failure. It is mandatory that
the patients of multiple access failure will be scrutinized /
examined by the Appropriate Authority before the scoring is
awarded.
Second: For patients who do not have vascular access problem,
the priority level is based on the
points as follows:
Priority Criteria |
Priority Score |
|
Cytotoxic antibodies
|
1 for each 10% more
that 50% |
|
3 to 5 yrs old
|
3
|
|
6 to 10 yrs old
|
2
|
|
11 to 45 yrs old
|
1
|
|
Period of dialysis
|
0.1 per each month on
dialysis |
Previous failed
LRDT's |
2
|
|
HLA match
|
1
per each antigen match
|
|
Identical blood
group |
3 |
|
HLA match
|
2
|
Third:
Adequacy of dialysis cannot be achieved
inspite of proper dialysis schedule due to various medical technical
problems - 1.5 points (score)
Distribution of
Kidneys
The
harvested kidneys will be distributed as
follows:
One kidney
will be transplanted to a suitable patient from the hospital where
the kidney has been harvested according to the local priority list
of that Institution. If the institution harvesting the kidneys
has a suitable well matched recipient they are allowed to use the
second kidney also. If not, the second kidney will be
transplanted to the patient from the local city based waiting list:
according to the priority which is put by ZTCC/Appropriate Authority
for Organ Transplantation. If there is not suitable recipient
in the city waiting list, the second kidney will go to the recipient
from the State waiting list. If there is no suitable
Maharashtra patient anywhere in the State, the kidney may be
transplanted to a non-Maharashtra patient with priority: and after
obtaining consent from the ZTCC/Appropriate Authority .
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