Pancreas Transplant
Page updated spring 2021.
Disclaimer: Medicine is an ever-changing science. We have been witnessing changes in diagnostic and therapeutic modalities and guidelines during last several years. We have used official sources or sources believe to be reliable for purpose of this webpage. However, due to possibility of human error or changes in medicine, readers are required to confirm the information provided in this website with other sources. Readers are specially required to read all parts of the product information sheet included in the package of each drug they plan to administer and follow those instructions. Readers are also needed to follow instructions of FDA and other regulatory bodies and their own department in this regard. Doses need to be adjusted per manufacturer and FDA publications. This website serves as a general framework. We and other users would adjust the approach per departments policies and patients situation.
Combined Kidney-Pancreas Registration
Per OPTN policies, each candidate registered on the kidney-pancreas waiting list must be diagnosed with diabetes or have pancreatic exocrine insufficiency with renal insufficiency.
If a kidney-pancreas candidate is 18 years or older on the date the candidate is registered for a kidney-pancreas, then the candidate begins to accrue waiting time once the candidate has met all of the following conditions:
1. The candidate is registered for a kidney-pancreas.
2. The candidate qualifies for kidney waiting time according to Policy 8.4: Waiting Time.
3. The candidate is on insulin.
Pancreas Registration
Per OPTN policies, each candidate registered on the pancreas waiting list must meet one of the following requirements:
Be diagnosed with diabetes ,have pancreatic exocrine insufficiency or require the procurement or transplantation of a pancreas as part of a multiple organ transplant for technical reasons.
Islet Registration
Per OPTN policies, a transplant hospital may register an islet candidate on the waiting list with an active status if the candidate meets either of the following requirements:
Is insulin dependent
Has a hemoglobin A1c (HbA1c) value greater than 6.5%
Organ Allocation
Per OPTN policies, pancreas, kidney-pancreas, and islets from donors 50 years old or less and who have a BMI less than or equal to 30 kg/m2 will be allocated to candidates according different algorithms than pancreas, kidney-pancreas, and islets from deceased donors more than 50 years old or from deceased donors who have a BMI greater than 30 kg/m2.
Pancreas Transplant Evaluation Questionnaire
Review of Systems Questionnaire
CPRA Calculator: click here.
OPTN Policies: click here.
UNOS: click here.