Current OPTN/UNOS policy prioritizes candidates seeking a simultaneous liver kidney (SLK) transplant before pediatric and adult transplant candidates who are listed only for a kidney (“kidney alone candidates”) when the liver candidate and the deceased donor are in the same Donation Service Area (DSA).

Aug 10, 2017 · In June 2016, the OPTN/UNOS Board approved a change to the way liver-kidney combinations are allocated. This change created medical eligibility criteria for adult candidates seeking both a liver and a kidney, which means you now …

Feb 7, 2021 · The OPTN’s simultaneous liver-kidney (SLK) allocation policy, implemented August 10, 2017, established medical eligibility criteria for adult SLK candidates and created Safety Net kidney allocation priority for liver-alone recipients with new/continued renal impairment.

May 31, 2017 · Establish medical eligibility criteria for adult candidates seeking an SLK transplant. Provide greater clarity for the rules around liver-kidney allocation and fix the inconsistency that exists between deceased donor liver allocation policy and liver-kidney allocation policy.

The OPTN's simultaneous liver-kidney (SLK) allocation policy, implemented August 10, 2017, established medical eligibility criteria for adult SLK candidates and created Safety Net kidney allocation priority for liver-alone recipients with new/continued renal impairment.

Current OPTN policy prioritizes candidates seeking a simultaneous liver kidney (SLK) transplant before pediatric and adult transplant candidates who are listed only for a kidney (“kidney alone candidates”)

This analysis demonstrates that the OPTN policy has been able to reduce kidney use in SLK transplantation while maintaining SLK outcomes, although there has been a trend toward increasing rates of both SLK and KAL transplants of late.

Aug 31, 2023 · Upcoming changes to OPTN Policy 9.9 will expand the simultaneous liver-kidney (SLK) allocation required share from 250 nautical miles to 500 nautical miles for eligible adult candidates (e.g., Status 1A or MELD of 29 or greater) beginning Sept. 28.

Previous simultaneous liver-kidney transplant (SLK) allocation was based on serum creatinine, a metric that disadvantaged women relative to men. A recent SLK policy change utilizes eGFR, which accounts for sex-based differences in creatinine.

Sep 9, 2018 · Adoption of the model for end-stage liver disease score by Organ Procurement and Transplant Network (OPTN) deceased donor liver allocation policy in 2002 has led to an increase in the number of simultaneous liver kidney (SLK) transplantation.