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TSANZ Consensus Statement on Eligibility Criteria and Allocation Protocols

Version 1.1 of the Consensus Statement on Eligibility Criteria and Allocation Protocols (Consensus Statement) was launched by the Parliamentary Secretary for Health and Ageing, the Hon Catherine King MP on 1 July 2011.

The Consensus Statement was developed by TSANZ through funding provided by the Organ and Tissue Authority as part of the implementation of the National Reform Agenda – A World's Best Practice Approach to Organ and Tissue Donation for Transplantation.

Version 1.2 of the Consensus Statement, as endorsed by the TSANZ Council and the Authority's SMD/JWG Committee was released on Wednesday 16 May 2012 and includes the following key amendments:

A: Urgent Heart Listing

  • The removal of a restriction on the number that can be listed in a 12-month period.
  • A revision of the protocol to cover the circumstances where there are simultaneously listed urgent patients.

B: Lung Organ Donor Criteria

  • Donor age raised from 5-65 years to 5-70 years.

C. Response Time for Kidneys on Offer

  • A uniform 60 minutes cut-off time set for a unit to accept or decline a kidney offer from a donor after brain or cardiac death.

 

Version 1.3 of the Consensus Statement, as endorsed by the TSANZ Council, the Australasian Transplant Coordinators Association, and the Organ and Tissue Authority's  Jurisdictional Advisory Group was released on Wednesday 8 January 2014 and includes the following amendments:

A: Under Donor Liver Allocation,Table 11.1 Categories of patients for urgent liver transplantation, category Status 2c was added to include an urgent listing for patients awaiting combined liver-intestinal transplant.

B: Addition of Section 11.3 Paediatric Donors

C: Update to Consensus Statement Appendix E to include reference to inclusion of category Status 2c

 

pdfRead Version 1.3 of the Consensus Statement (1.4MB PDF)

pdfRead Version 1.2 of the Consensus Statement (941KB PDF)  (for reference)

pdfRead Version 1.1 of the Consensus Statement (928KB PDF)  (for reference) 

 

Development of Ethical Guidelines for Eligibility Criteria and Allocation Protocols for Organ Transplantation from Deceased Donors

The Organ and Tissue Authority (OTA) together with the National Health and Medical Research Council (NHMRC) and the Transplantation Society of Australia and New Zealand (TSANZ) are developing Ethical Guidelines for Eligibility Criteria and Allocation Protocols for Organ Transplantation from Deceased Donors (the Ethical Guidelines). The Ethical Guidelines will inform ethical practice for health professionals in relation to eligibility criteria for entry onto organ transplant waiting lists; donor suitability criteria for organ allocation for transplantation; and the organ allocation protocols for determining transplant recipients.

The OTA, NHMRC and TSANZ have agreed to Terms of Reference for the development of the Ethical Guidelines (see below). 

An Expert Advisory Group has been established by the NHMRC under section 39 of the National Health and Medical Research Act 1992 to advise the Australian Health Ethics Committee (AHEC) on the development of the Ethical Guidelines. The final membership of the Expert Advisory Group was determined by NHMRC's CEO in consultation with the OTA, and is available below.