TSANZ Clinical Guidelines for Organ Transplantation from Deceased Donors_Version 1.0_April 2016.pdf

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  Clinical Guidelines for Organ Transplantation from Deceased Donors  Version 1.0 – April 2016  The Transplantation Society of Australia and New Zealand Produced in partnership with  ii February 2016 version 1.0  This document   replaces version 1.4 of the previous  Consensus Statement on Eligibility Criteria and Allocation Protocols (April 2015). As such, the current document forms version 1.0 of the  Clinical Guidelines for Organ Transplantation from Deceased Donors (the Clinical Guidelines) .  Version control  Version #Changes madeApproved byDate  iii February 2016 version 1.0 Disclaimer  The information contained in this document is for general information only. It is designed to be educational, and is not intended to be—and is not—a complete or denitive statement on any area of medical practice or procedure. The Transplantation Society of Australia and New Zealand, its directors, and other ocers make no express or implied warranties as to the suitability for a particular purpose or otherwise of the information included in this document.Rapid advances in medicine may cause information contained in this document to become out-dated or subject to debate. Readers of this document who are not medical practitioners qualied in the eld should seek further professional advice before any action is taken in relation to the matters described or referred to in the document.  iv February 2016 version 1.0 Table of contents Introduction   vi Part A : General issues related to recipient eligibility and donor assessment   viii 1 Recipient Eligibility   2 1.1 Referral  2 1.2 Assessment for eligibility  2 1.3 Consent  3 1.4 Assessment and wait-listing  4 1.5 Appeals  4 1.6 Ongoing review  5 1.7 Retransplantation  5 2 Organ donor eligibility   7 2.1 Organ donation  7 2.2 Donor and organ suitability  8 2.3 Donor assessment  9 2.4 Donor transmitted infectious disease  11 2.5 Donor transmitted malignancy  17 2.6 Transmission of other diseases  21 2.7 Organ distribution and allocation  21 3 Auditing and Monitoring   25 3.1 TSANZ Advisory Committee audits  25 3.2 ATCA/TSANZ national organ allocation, organ rotation, urgent listing, auditing process  25 3.3 Data collection  25 3.4 Governance  26 Part B : Organ-specifc guidelines   27 4 Heart   28 4.1 Preamble 28 4.2 Recipient eligibility criteria  28 4.3 Waiting list management  32 4.4 Donor assessment  334.5  Allocation  35 4.6 Multi-organ transplantation  36 4.7 Emerging issues  37 5 Kidney   40 5.1 Recipient eligibility criteria  40 5.2 Waiting list management 42 5.3 Donor assessment 44 5.4 Allocation: Australia  45 5.5 Allocation: New Zealand  50 5.6 Multi-organ transplantation  51 5.7 Emerging issues 52 6 Liver   55 6.1 Preamble 55 6.2 Recipient eligibility criteria  56 6.3 Waiting list management 60 6.4 Donor assessment  62 6.5 Allocation  64 6.6 Multi organ transplantation  66 6.7 Emerging issues  66
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