Introduction: UCSF implemented automated living donor follow up to increase access to patients, improve communication, efficiency of data collection, and UNOS compliance. Using a modified validated^(1-2)web-based software platform (BREEZE TRANSPLANT, MedSleuth, Inc.) already in use for living donor and recipient evaluation, we augmented our clinical donor follow up algorithm with this closed looped automated software for postoperative follow up of living kidney donors. As with any new technology there is concern that older patients could be disadvantaged, and may avoid participation. Here we report our preliminary 6 and 12 month data from this automated data collection software which will eventually collect data for 24 months after kidney donation.

Methods: Kidney donors who had completed all post donation clinical follow up visits were contacted 6 months and 12 months after donation. The software automatically tracks donors over 2 years and updates the transplant center about donor status based on a sophisticated decision algorithm. The software interacts primarily via email, augmented by an automated phone call alerting the patient to expect the email.

Results: 296 and 214 kidney donors were contacted via the automated system at 6 and 12 months, respectively. Fully automated submission of clinical data elements was achieved in 68.2% and 61% of patients. Patients over 60 years old completed the clinical data requirements in 87.5% (6months) and 95.7% (12 months). This was significantly higher than all other age groups (p<0.05). Donors less than 30 years had the lowest completion rate (51%).

Conclusion: Fully automated, patient-centered interactive closed loop software can significantly facilitate compliance with UNOS and increase efficiency. Importantly, older patients are not disadvantaged by this type of follow up. Implementation of an automated phone alerting system prior the sending the email will further enhance UNOS compliance and work-flow efficiency, especially at 12 and 24 months.

A851, ASA 2011, USA

2.) S104, IARS 2011, Canada.

CITATION INFORMATION: Braun H, Parente M, Hirose R, Roll G. Older Patients Reliably Participate in Automated Living Donor Follow Up Rather Than Avoiding This New Technology. Am J Transplant. 2016;16 (suppl 3).

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