The simple answer is, no change, still 4 points. The system is different, so there's more of a range of what this implies individually, and geographic disparity is not yet addressed, so this varies by DSA, but regardless of which range(s) of KDPI we and our nephrologists are willing to consider, we are still able to ask for a 4 point boost.
http://optn.transplant.hrsa.gov/ContentDocuments/OPTN_Policies.pdf#nameddest=Policy_08Policy 8: Allocation of Kidneys (As of 12/4/14)
(Section) 8.3 Points
Table 8-1: Kidney Points
If the candidate is:
And the following allocation sequence is used:
Then the candidate receives this many points:
A prior living donor
8.5.H, 8.5.I, or 8.5.J
4 points
(Section) 8.5 Kidney Allocation Classifications and Rankings
8.5.H Allocation of Kidneys from Deceased Donors with KDPI Scores less than or equal to 20%
Kidneys from deceased donors with a kidney donor profile index (KDPI) score of less than or equal to 20% are allocated to candidates according to Table 8-5 below.
Table 8-5: Allocation of Kidneys from Deceased Donors with KDPI Less Than or Equal To 20%
Classification
Candidates that are within the:
And are:
When the donor is this blood type:
40
OPO’s DSA
Prior living donor, blood type permissible or identical
Any
8.5.F Prior Living Organ Donors
A kidney candidate will be classified as a prior living donor if all of the following conditions are met:
5. The candidate donated for transplantation, within the United States or its territories, at least one of the following:
Kidney
Liver segment
Lung segment
Partial pancreas
Small bowel segment.
6. The candidate’s physician reports all of the following information to the OPTN Contractor:
a. The name of the recipient or intended recipient of the donated organ or organ segment
b. The recipient’s or intended recipient’s transplant hospital
c. The date the donated organ was procured
8.5.I Allocation of Kidneys from Deceased Donors with KDPI Scores Greater Than 20% but Less Than 35%
Kidneys from deceased donors with KDPI scores greater than 20% but less than 35% are allocated to candidates according to Table 8-6 below.
Table 8-6: Allocation of Kidneys from Deceased Donors with KDPI Scores Greater Than 20% but Less Than
35%
Classification
Candidates that are within the:
And are:
When the donor is this blood type:
40
OPO’s DSA
Prior living donor, blood type permissible or identical
Any
8.5.J Allocation of Kidneys from Deceased Donors with KDPI Scores Greater than or Equal to 35% but Less than or Equal to 85%
Kidneys from donors with KDPI scores greater than or equal to 35% but less than or equal to 85% are allocated to candidates according to Table 8-7 below.
Table 8-7: Allocation of Kidneys from Deceased Donors with KDPI Greater Than or Equal To 35% and Less
Than or Equal To 85%
Classification
Candidates that are within the:
And are:
When the donor is this blood type:
40
OPO’s DSA
Prior living donor, blood type permissible or identical
Any