Living Kidney Donor Consent: Compliance with CMS & OPTN Requirements

[Clark]

http://www.atcmeetingabstracts.com/abstract/living-kidney-donor-consent-compliance-with-cms-optn-requirements/

Living Kidney Donor Consent: Compliance with CMS & OPTN Requirements
C. Thiessen, Y. Kim, R. Formica, M. Bia, S. Kulkarni

Purpose

In 2007, 57% of US centers presumed consent for candidate living kidney donor (CD) evaluation. Later that year, CMS and OPTN issued guidance for CD informed consent. We sought to evaluate how consent practices for CDs have changed over the last 5 years and compliance with CMS and OPTN regulations.

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Conclusions

Practices for ensuring the informed consent of CDs have dramatically improved over the last 5 years. However, most sites do not include all CMS and OPTN requirements. Multiple items related to balancing CD and IR interests and confidentiality were omitted, suggesting that sites may not be comfortable with current guidance in this area. We propose that UNOS develop a uniform CD evaluation consent form to improve the consistency and efficiency of living donor consent.