Table 1.

OPTN proposed SLK medical eligibility criteria.³

For adult SLK candidates, they must meet 1 of the 3 criteria listed below:
If the candidate’s transplant nephrologist confirms a diagnosis of:	Then the transplant program must report in the UNOS computer system and document in the candidate’s medical record:
1) Chronic kidney disease (CKD) with a measured or calculated glomerular filtration rate (GFR) less than or equal to 60 mL/min for greater than 90 consecutive days	At least 1 of the following: That the candidate has begun regularly administered dialysis as an end-stage renal disease (ESRD) patients in a hospital based, independent nonhospital based, or home setting. At the time of registration on the kidney waiting list, that the candidate’s most recent measured or calculated creatinine clearance (CrCl) or GFR is less than or equal to 30 mL/min. On a date after registration on the kidney waiting list, that the candidate’s measured or CrCl or GFR is less than or equal to 30 mL/min.
2) Sustained acute kidney injury	At least 1 of the following, or a combination of both of the following, for the last 6 weeks: That the candidate has been on dialysis at least once every 7 days. That the candidate has a measured or calculated CrCl or GFR less than or equal to 25 mL/min at least once every 7 days. If the candidate’s eligibility is not confirmed at least once every 7 days for the last 6 weeks, the candidate is not eligible to receive a liver and a kidney from the same donor.
3) Metabolic disease	A diagnosis of at least 1 of the following: Hyperoxaluria Atypical HUS from mutations in factor H or factor I Familial nonneuropathic systemic amyloidosis Methylmalonic aciduria