Development of an Information Model for Kidney Transplant Wait List

• Published in: Experimental and clinical transplantation : official journal of the Middle East Society for Organ Transplantation Vol. 13 Suppl 3; p. 58
• Main Authors: Bircan, Hüseyin Yüce, Özçelik, Ümit, Uysal, Nida, Demirağ, Alp, Haberal, Mehmet
• Format: Journal Article
• Language: English
• Published: Turkey 01-11-2015
• Subjects: Decision Support Systems, Clinical; Decision Support Techniques; Delivery of Health Care; Electronic Health Records; Health Status; Health Status Indicators; Humans; Kidney Failure, Chronic - diagnosis; Kidney Failure, Chronic - mortality; Kidney Failure, Chronic - surgery; Kidney Transplantation; Predictive Value of Tests; Reminder Systems; Risk Factors; Software Design; Turkey; User-Computer Interface; Waiting Lists - mortality; Turkey
• ISSN: 2146-8427
• DOI: 10.6002/ect.tdtd2015.P1

Deceased-donor kidney transplant is unique among surgical procedures that are an urgent procedure performed in an elective population. It has not been possible to accurately determine when a given patient will be called for transplant. Patients on the active transplant list can be called for a transplant at any time. As a result, every effort must be made to optimize their health according to best practices and published clinical practice guidelines.
Once the patient is placed on the transplant wait list after undergoing an initial extensive evaluation, continued surveillance is required. Therefore, we developed a kidney transplant wait list surveillance software program that alerts organ transplant coordinator on time regarding which patients need a work-up.
The new designed software has a database of our waiting patients with their completed and pending controls. The software also has built-in functions to warn the responsible staff with an E-mail. If one of the controls of a recipient delayed, the software sends an automated E-mail to the staff regarding the patients delayed controls. The software is a Web application that works on any platform with a Web browser and Internet connection and allows access by multiple users. The software has been developed with NET platform. The database is SQL server. The software has the following functions: patient communication info, search, alert list, alert E-mail, control entry, and system management.
As of January 2014, a total of 21 000 patients were registered on the National Kidney Transplant wait list in Turkey and the kidney transplant wait list had been expanding by 2000 to 3000 patients each year. Therefore computerized wait list programs are crucial to help to transplant centers to keep their patients up-to-date on time.