Ethics of Transplantation: Proposed Changes in Abdominal Organ Allocation (Advances in the Management of Oncology, Stem Cell- and Solid Organ-Transplant Patients)

The supply of donor livers and kidneys does not meet the demand and is one of the greatest concerns for transplantation candidates, as well as a challenge for clinicians who treat them. According to the Organ Procurement and Transplant Network (OPTN), there were more than 16,000 Americans on the waiting list to receive a liver and 92,000 on the waiting list to receive a kidney in 2011. Experts have been meeting for the past two years to develop a modified liver allocation system that aims to reduce wait-list mortality. In addition, the UNOS has proposed certain kidney allocation policy changes that will help people who have better survival chances to get healthy kidneys.
This presentation will describe the proposed algorithm for liver distribution that, it is anticipated, would reduce the number of wait-list deaths with minimized travel distances for organs and would mitigate the crisscrossing of livers within a region. The proposed policy for kidneys, which will work on a kidney scoring system wherein a donor kidney will be allocated a certain score based on its viability and how long it is likely to function when transplanted, will also be discussed.

Learning Objectives
At the end of this educational activity, participants should be able to

  1. Evaluate the proposed modified allocation systems for liver and kidney transplantation
  2. Relate the process and rationale by which these proposed changes were reached and the ethical considerations involved in this process

Method of Participation
There are no fees for participating in or receiving credit for this activity.
For information on applicability and acceptance of continuing education credit for this activity, please consult your professional licensing board.

Participants will receive a certificate upon successful completion of the activity, which includes the following:

  • Completing the entire activity
  • Completing the Pre- and Post-Activity Assessments, Activity Evaluation, and Application for Certificate of Credit forms

You must be logged in to your account to participate in this activity. Start by clicking “Begin” and viewing the “CE Info”; then follow the prompts at the bottom of the screen. At the end of the activity, you will be able to view, save, or print your certificate of participation. The Area of Practice you indicated in your profile corresponds with your certificate type. A complete listing of all of your activities can be found in your profile.

Method for Calculating CE Credit
CE credit was calculated by the complexity of content.

Faculty Listing
Dorry Segev, MD, PhD
Associate Professor of Surgery, Biostatistics, and Epidemiology
Director of Clinical Research, Division of Transplantation
Johns Hopkins Medicine
Baltimore, Maryland

Disclosures
In accordance with the ACCME Standards for Commercial SupportSM, OptumHealth Education requires all those involved in the development of activity content to disclose their relevant financial relationships. An individual has a relevant financial relationship if such person (or their spouse/partner) has a financial relationship in any amount occurring in the last 12 months with a commercial interest whose products or services are discussed in the activity content over which the individual has control.
OptumHealth Education ensures that the content is independent of commercial bias.

Financial Relationship Key
A-Advisory Board
C-Consultant
E-Employee
G- Grant/Research Support
I-Stocks and Other Ownership Interests
S-Speakers’ Bureau
O-Other Financial or Material Support
N-Nothing to disclose


Resolution Key
R1-Restricted to Best Available Evidence
R2-Removed/Altered Financial Relationship
R3-Refrain from Recommending Products or Services
R4-Peer Review of Presentation
R5-Ensure that content is independent of commercial bias
R6-Recommend an alternative speaker for this topic for the planning committee’s consideration
N/A-Not Applicable

 

Last Name

First Name

Disclosure

Resolution

Role

Chart-Hart

Sarah

UnitedHealth Group (E) (I)

N/A

Planner

Gleason

Rebecca

UnitedHealth Group (E) (I)

N/A

Planner

Lindberg

Barbara

UnitedHealth Group (E) (I)

N/A

Planner

AbecassisMichaelNN/APlanner

Bishop

Michael

Celgene (S), Novartis (C)

RI

Planner

Segev

Dorry

N

N/A

Speaker


Provided By
This activity is provided by OptumHealth Education.

Commercial Support
There was no commercial support received for this activity.

Hardware/Software Requirements
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Target Audience

This activity is designed to meet the educational needs of physicians, nurses, case managers, and other healthcare professionals.

Activity summary
Available credit: 
  • 1.00 AMA
  • 1.00 ANCC
  • 1.00 Attendance
  • 1.00 CCMC - General
Activity opens: 
10/31/2013
Activity expires: 
10/31/2015
Rating: 
0

Available Credit

  • 1.00 AMA
  • 1.00 ANCC
  • 1.00 Attendance
  • 1.00 CCMC - General
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