This is the date when the assessment team has reviewed the medico-social questionnaire completed by the applicant and determined that the applicant is eligible for further assessment. Note: This is the date when the assessment team decided that the candidate was eligible to proceed (versus when they told the candidate, in cases where they cannot get to the candidate straight away). If the candidate has had some testing ordered and/or completed before the assessment team has reviewed their full medico-social questionnaire, still use questionnaire approval as the initial testing date.
In addition, some programs offer the medico-social questionnaire on their website (easily accessible), so testing start date may not be a valid proxy for evaluation start date for all programs. totally agree) Is this definition clear and. This is the date on which the donor has indicated to the evaluation team that he or she no longer wishes to continue with the evaluation and is no longer interested in becoming a living kidney donor (for a specific recipient). This is the date on which the evaluation team has decided that the donor candidate will never be eligible to donate.
Note: This is the date when the evaluation team decided that the candidate was not eligible to continue (versus the time they communicated this to the candidate, in cases where they cannot reach the candidate immediately). Sometimes a donor candidate simply does not follow up, and has no further communication with the evaluation team. In this case, the evaluation team can assign the date of last contact with the candidate as the date of loss to follow up.
This is the date when no further testing is performed on the donor candidate for at least 2 months because the evaluation team must wait to receive information or action from the donor candidate or their intended recipient to proceed.
Process Indicators Survey
Total donor evaluation time
Time until donation
Time until testing start
Time to review the medical-social questionnaire within the program
Time until first blood or urine test
Time until first 24-hour urine test
Time until first diagnostic test is performed
Time from CT until evaluation end
Time to consultation
Time to initial compatibility (crossmatch) test
Time until potential initial compatibility (crossmatch) test
Time from evaluation start date until recipient referral
Time until recipient referral received by donor evaluation team
Outcome indicators are things we can measure that can tell us something about the effectiveness of the living donor evaluation process for a living kidney donor program. In this study, we present a series of outcome indicators that we can use to measure how well a transplant center is doing with living kidney donations. Please read each outcome indicator and indicate how much you agree or disagree with the statement (1 = strongly disagree; 9 = strongly agree).
Annual number of living donor kidney transplants
Annual number of pre-emptive living donor kidney transplants
Annual number of living donor kidney transplants done in the first year of dialysis In most regions, it is very unlikely an intended recipient would receive a deceased donor
Annual number of potential pre-emptive transplants lost
Annual number of recipient deaths (instead of living donor transplant)
Annual number of intended recipient deceased donor transplants (instead of living donor transplants)
Annual number of intended recipients rendered ineligible
Total healthcare cost of the living donor candidate's evaluation
The number of times a medical test is repeated
The number of visits to the transplant centre
The date the potential living donor candidate first contacted the transplant program (ie, called, emailed, in person, interacted with an online web-based intake system). The date that the evaluation team reviewed a medico-social questionnaire completed by the potential living donor candidate and determined that the candidate is eligible to proceed with further evaluation. This is the date on which the potential living donor candidate was cleared to donate by a given specialist involved in the candidate's evaluation and responsible for making a donor eligibility decision.
This is the date when a potential living donor candidate has informed the assessment team that they no longer wish to continue with the assessment or are no longer interested in becoming a living kidney donor. Note: This is the date when the assessment team decided that the potential living donor candidate was not suitable to proceed (versus when they told the candidate, in cases where the candidate cannot be reached immediately). This is the date when further testing of a potential living donor candidate is not performed because the assessment team must wait until they receive some information or action from that candidate or their intended recipient (if any) before they can proceed.
A given potential living donor candidate may have multiple hold dates (or reasons for the hold) in its evaluation. This is the date on which the reason why the evaluation of the potential living donor candidates was suspended is no longer valid (e.g., reduced weight, reduced smoking, intended recipient has been assessed by the transplant team, etc.) and the evaluation resumes. This is necessary to ensure that the potential living donor candidate has sufficient time for a thorough evaluation.
The minimum time to complete the living donor evaluation if the goal is a pre-emptive transplant. The minimum time of absence (e.g. no contact) between the potential living donor candidate and the evaluation team is X months. This is the time from decision to start testing date until the potential living donor candidates’ blood sample is drawn for the initial crossmatch.
Sometimes a potential candidate for a living donor comes forward before the intended recipient is even considered for a transplant. If the intended recipient was referred before the date of first contact of the potential living donor candidate, the value for this criterion would be negative. Note: This should be measured regardless of whether the potential recipient has a living donor candidate or not.
This indicator is the total cost of evaluating the potential living donor candidate in the health care system (regardless of the donation). This is the number of times the potential living donor candidate is required to come to the hospital to complete testing.
