TABLE 1.

Updated OPTN Criteria for SLK

If the candidate’s transplant nephrologist confirms a diagnosis of:	Then the transplant program must report to the OPTN contractor and document in the candidate’s medical record:
CKD with a measured or calculated GFR ≤60 mL/min for >90 consecutive days	At least one of the following: That the candidate has begun regularly administered dialysis as a patient with ESRD in a hospital‐based, independent non‐hospital‐based, or home setting At the time of registration on the kidney waiting list, that the candidate’s most recent measured or calculated CrCl or GFR is ≤30 mL/min On a date after registration on the kidney waiting list, that the candidate’s measured or calculated CrCl or GFR is ≤30 mL/min
Sustained acute kidney injury	At least one 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 ≤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.
Metabolic disease	A diagnosis of at least one of the following: Hyperoxaluria Atypical hemolytic uremic syndrome from mutations in factor H or factor I Familial nonneuropathic systemic amyloidosis Methylmalonic aciduria