A 13 Year History of Non-Directed Kidney Donation to Predict Levels of Participation in Non-Directed Kidney Donation

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IntroductionIntermountain Donor Services (IDS) is an organ procurement organization serving a population of 3.6 million people in Utah, southeastern Idaho, western Wyoming, and a portion of Nevada. Over a 13-year period, IDS was designated as the referral center for those interested in becoming an anonymous living kidney donor. Seventy-seven individuals successfully donated a kidney during this time. Key points in the process included: showing interest, completing a questionnaire, and interviewing with a clinical representative at IDS. Tracking these key points was utilized to help predict the time frame and resources needed for determining eligibility for non-directed kidney donation.MethodsWith the support of the three local transplant centers, IDS developed a program to initially screen all individuals interested in becoming a living donor. IDS received and responded to all inquiries about non-directed living donation and promoted the opportunity through its public education endeavors. After showing interest, candidates were asked to complete a questionnaire to determine eligibility. If criteria were met, a designated IDS coordinator conducted an in-person interview with all eligible candidates. Following the interview, potential donors were referred to local transplant centers by donor preference or through a rotation, if no preference was noted, to keep referrals equal between the local programs. Once deemed eligible, the responsibility of moving forward in the process always fell to the interested candidate.ResultsDuring the 13-year period, IDS was contacted by 2,159 individuals expressing interest in living donation. From those inquiries, 1,465 questionnaires were sent out; 608 questionnaires were returned; 337 individuals were interviewed; 277 candidates were referred to transplant centers; and 77 individuals became living donors. Of the 77 donors, thirteen started a kidney chain.ConclusionWith few resources, IDS provided eligible and highly-interested individuals to the transplant centers for non-directed kidney donation. An OPO based non-directed living donation program can promote trust between transplant programs, integrate living donation into education campaigns, and give a potential donor a more neutral environment for deciding to become a donor. The ratio of the number of individuals expressing interest, completing a questionnaire, and agreeing to an in-person interview can be utilized to predict the number of living kidney donors.

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