Living Donor Liver Transplantation Proctor MDT Minimum Data Set
This Living Donor Liver Transplantation Proctor MDT data set includes essential recipient and donor details required for MDT discussion. The set comprises slides with recipient and donor information, along with blood work-up and other necessary assessments for the transplantation process.
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Presentation Transcript
Living Donor Liver Transplantation Proctor MDT Living Donor Liver Transplantation Proctor MDT Minimum data set for MDT discussion Local team to fill first 6 slides* *Early discussion between referring/local MDT and Proctor MDT advised to confirm recipient and donor characterisation investigations, case-by-case *Please send completed/update slide set to nhsbt.ldltproctorteam@nhs.net Referring Hospital Referring Consultant Date slide set emailed Donor/Recipient Relationship Version 4, June 2025
Slide 2: Recipient Details- required to activate referral to PT First name Recipient Blood group Surname Recipient Weight DOB Recipient Height NHS Number (or equivalent) Recipient BMI Recipient Suitable for Living Donor Graft as per your MDT Recipient Liver Disease Enclose latest waiting list clinic letter Indications for listing Date of Listing Push Latest CT imaging including report Latest UKELD Latest TBS Push latest MRCP imaging including report
Slide 3: Donor Details- required to activate referral to PT Task Completed/Not completed First name Donor Consent for LD Assmt. Surname Enclose Donor Health Questionnaire DOB NHS Number (or equivalent) Enclose Donor GP Letter Enclose Donor Physician Assmt. Letter Donor Blood group Donor Weight Enclose Donor Surgical Assmt. Letter Donor Height Enclose Donor Anaesthetic Assmt. Letter Donor BMI Donor Blood group Enclose Independent Advocate Assmt. Letter
Slide 4: Donor Blood Work up HBSAg Hb T Bili Ferritin HB Core Ab WCC ALT Iron studies HCV Ab Plts ALP A1AT Hep E RNA PT ALB TTG Syphilis APTT SMA HTLV LKM HIV Na Cor Cal AMA HHV8 (serology) K HbA1c ANA HHV8 (PCR/NAT) Urea T Chol Ceruloplasmin (aged<45 yrs) IgG EBV Creat HDL IgG IgG CMV LDL IgA IgG HSV TG IgM IgG VZV TSH IgG Toxo T4
Slide 5: Other Donor Work up MRSA Screen Enclose XR Chest report CPE Swab Enclose ECG Report Enclose ECHO Report Urine Dip Stick Result Enclose PFTs Report Urine PCR Result Urine Pregnancy Test Other if relevant Cervical Smear result if available National Breast Cancer Screening result if available
Slide 6: Donor Radiology Task Completed/Not Completed Enclose Donor CT with volumetry report Push Donor CT imaging Enclose MRCP Report Push MRCP imaging Liver Attenuation Index if performed MR Fat Fraction if available CAP reading if performed
Slide 7: Proctor MDT Yes/No Proctor Team at MDT Local Team at MDT Any outstanding issues/Add inv? Proceed/Not Proceed Recipient Suitable for LDLT Donor imaging reviewed Volumetry r/vd Donor suitable(Phy) Donor suitable(Psy) Donor suitable (Anaes) Donor suitable Ind Advocate
Slide 8: Proctor MDT Outcome & Next Steps Procced Await additional Ix Terminate asst Reasons for termination Proctor MDT Outcome Next Steps HTA Approval Date for Surgery Surgical team
