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OPTN Evaluation Plan - Organ Procurement and Transplantation ...

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⦁ Personal history of:⦁ Hypertension⦁ Diabetes, including gestational diabetes⦁ Genetic renal diseases⦁ Lung disease⦁ Heart disease⦁ Gastrointestinal disease⦁ Autoimmune disease⦁ Neurologic disease⦁ Genitourinary disease⦁ Hematologic disorders⦁ Bleeding or clotting disorders⦁ Cancer⦁ Infections⦁ Kidney disease⦁ Proteinuria⦁ Hematuria⦁ Kidney injury⦁ Nephrolithiasis⦁ Recurrent urinary tract infections⦁ The potential donor's active <strong>and</strong> past medications⦁ The potential donor's allergies⦁ Coronary artery disease⦁ Whether the potential donor has a family history of:⦁ Coronary artery disease⦁ Cancer⦁ Kidney disease⦁ Diabetes⦁ Hypertension⦁ Kidney cancer⦁ The potential donor's history of:⦁ Occupational status⦁ Employment status⦁ Health insurance status⦁ Living arrangements⦁ Social support⦁ Smoking, alcohol <strong>and</strong> drug use/abuse⦁ Increased risk for disease transmission as defined by PHS guidelines⦁ Psychiatric illness⦁ Depression⦁ Suicide attempts⦁ The potential donor's anatomy, including:⦁ Whether kidneys are of equal size⦁ Whether kidneys have masses, cysts, stones or other anatomical defects⦁ Which kidney is more suitable for transplantation<strong>OPTN</strong> Member <strong>Evaluation</strong> <strong>Plan</strong>Updated January 1, 201533

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