ATC Abstracts

American Transplant Congress abstracts

  • Home
  • Meetings Archive
    • 2022 American Transplant Congress
    • 2021 American Transplant Congress
    • 2020 American Transplant Congress
    • 2019 American Transplant Congress
    • 2018 American Transplant Congress
    • 2017 American Transplant Congress
    • 2016 American Transplant Congress
    • 2015 American Transplant Congress
    • 2013 American Transplant Congress
  • Keyword Index
  • Resources
    • 2021 Resources
    • 2016 Resources
      • 2016 Welcome Letter
      • ATC 2016 Program Planning Committees
      • ASTS Council 2015-2016
      • AST Board of Directors 2015-2016
    • 2015 Resources
      • 2015 Welcome Letter
      • ATC 2015 Program Planning Committees
      • ASTS Council 2014-2015
      • AST Board of Directors 2014-2015
      • 2015 Conference Schedule
  • Search

Non-Directed Kidney Donor Candidate Referral, Care, and Attrition in an Online Portal.

R. Hays,1 K. Schappe,1 D. Kaufman,1 D. Mandelbrot.2

1Division of Transplant Surgery, University of Wisconsin Hospital and Clinics, Madison, WI
2Division of Nephrology, Department of Medicine, University of Wisconsin Hospital and Clinics, Madison, WI

Meeting: 2017 American Transplant Congress

Abstract number: C57

Keywords: Donors, Kidney transplantation, Patient education, Resource utilization, unrelated

Session Information

Session Name: Poster Session C: Disparity in Access and Outcomes for Solid Organ Transplantation

Session Type: Poster Session

Date: Monday, May 1, 2017

Session Time: 6:00pm-7:00pm

 Presentation Time: 6:00pm-7:00pm

Location: Hall D1

When non-directed live kidney donation (NDD) was first described in the early 2000s, a high rate of inquiry per actual donor was noted. Since then, NDD has become widely integrated, and has been central to the growth of paired kidney exchange. Changes to referral process in the intervening decade– ie, impacts of online donor portals[mdash]have not been explored. Systems for care are poorly understood.

We assessed the NDD candidate inquiry process, attrition and staff workload associated with an online NDD portal. A 2004 publication (the most recent report) described 360 NDD inquiries over a +6 year span1. In contrast, 155 people submitted online non-directed donor inquiry forms to our center from January 1, 2016-November 1, 2016. 106 (68.3%) were women; ages ranged from 14-74.

Of the 155, 8 (5.2%) completed in-person evaluations. 2 of these (1.3%) donated; 2 (1.3%) are in process.

53(34.2%) were ruled out without an in-person evaluation: 26(16.8%) had clear medical contraindication; 23(14.8%) were under age 21 (our cut-off) & received education only; 4(2.6%) wanted pay or lived overseas.

46 (29.7%) were referred to other centers: 22(14.2%) had an identified recipient getting care elsewhere; 24(15.5%) lived 200+ miles away & requested closer referral (to facilitate social support throughout the evaluation and hospitalization).

48(31 %) did not complete evaluation, with 25(16.1%) receiving teaching and counseling (often over several contacts), and 23 (14.8%) with no response after inquiry. 5 inquiries from 2013-2015 continued to get teaching into 2016.

NDD is a staff –resource- rich endeavor even using an online portal, with high volume and high rates of inquiry per actual donor. Many inquiries were from the young, the distant, or those early in decision-making. Centers aiming to expand NDD should consider this in a staffing model, anticipate multiple education contacts, & allow for a lengthy decision-making process. A national online NDD portal might improve referral efficiencies and expand education resources.

1. Jacobs CL, Roman D, Garvey C, Matas AJ. Am J Transplant. 2004 Jul; 4(7): 1110-6.

CITATION INFORMATION: Hays R, Schappe K, Kaufman D, Mandelbrot D. Non-Directed Kidney Donor Candidate Referral, Care, and Attrition in an Online Portal. Am J Transplant. 2017;17 (suppl 3).

  • Tweet
  • Click to email a link to a friend (Opens in new window) Email
  • Click to print (Opens in new window) Print

To cite this abstract in AMA style:

Hays R, Schappe K, Kaufman D, Mandelbrot D. Non-Directed Kidney Donor Candidate Referral, Care, and Attrition in an Online Portal. [abstract]. Am J Transplant. 2017; 17 (suppl 3). https://atcmeetingabstracts.com/abstract/non-directed-kidney-donor-candidate-referral-care-and-attrition-in-an-online-portal/. Accessed May 28, 2025.

« Back to 2017 American Transplant Congress

Visit Our Partner Sites

American Transplant Congress (ATC)

Visit the official site for the American Transplant Congress »

American Journal of Transplantation

The official publication for the American Society of Transplantation (AST) and the American Society of Transplant Surgeons (ASTS) »

American Society of Transplantation (AST)

An organization of more than 3000 professionals dedicated to advancing the field of transplantation. »

American Society of Transplant Surgeons (ASTS)

The society represents approximately 1,800 professionals dedicated to excellence in transplantation surgery. »

Copyright © 2013-2025 by American Society of Transplantation and the American Society of Transplant Surgeons. All rights reserved.

Privacy Policy | Terms of Use | Cookie Preferences