David Klassen MD Chief Medical Officer UNOS October 16 2020 A lot of data A little speculation Some questions and discussion Goals 2 What happened Where are we going ID: 932102
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Impact of COVID-19 on Donor and Transplant Numbers: OPTN Update
David Klassen, M.D.
Chief Medical Officer, UNOS
October 16,
2020
Slide2A lot of dataA little speculationSome questions and discussion Goals2
Slide3What happened?Where are we going?3
Slide4Deceased donors by week4nationallyMaureen
Slide5Weekly transplants by organ5Maureen
Slide6Living Donor Transplants by Week 6
Slide7Deceased Donor Trends7nationally600 more donors in 2020
Maureen
Slide8Year to Date Cumulative Living Donor Transplants8
Slide9Waitlist changes9Maureen
Slide10Deceased Donor Discard Rate by Week10
Slide11Map of Geographic Regions for this Analysis
11
Slide12Deceased Donors Recovered by Week and Geography12
Slide13Living Donor Transplants by Week, Geography, and Organ Type13
Slide14Overall Kidney Transplant Rate
Slide15Deceased donor kidney transplant rate
Slide16Living donor kidney transplant rate
Slide17Kidney waiting list mortality
Slide18Kidney transplants by race
Slide19Deceased donor kidney transplant rate by race
Slide20Living donor kidney transplant rate by race
Slide21Kidney waiting list mortality rate by race
Slide22Slide23Acute impact of COVID-1950% decline in deceased donor transplants90% decline in living donor transplantsNo disease transmission from donor to recipientsLimits to patient access to testing, testing availability, access to ICU bedsRepurposing staff, access to donor hospital ORs by outside teams, recipient safety, staff safety, transportation issuesSystem resilience
Slide24Where are we now?Transplant numbers have essentially recoveredDonor numbers have recoveredMissed transplant opportunities early in pandemic New waitlist additions remain about 10% lower than predictedImpact of subsequent waves of infection likely to be less severe?
Slide25Emergency ActionApproval dateCurrent expiration date
Updates to Candidate Data During
2020 COVID-19 Emergency
March 17, 2020
March 17, 2021
Relax Data Submission
Requirements for Follow-Up Forms
April 3, 2020
December 31,
2020
Modify Wait Time
Initiation for Non-Dialysis Kidney Candidates
April 3, 2020
December 31,
2020
Incorporate COVID-19 Infectious
Disease Testing into
DonorNet
®
April 3, 2020
December
31, 2020
25
OPTN emergency
policy actions
Slide26Medical urgency at time of transplant
Slide27Kidney transplant CPRA
Slide28Lung transplants
Slide29Liver transplants
Slide30Heart transplants
Slide31New kidney listings