OPO name or Code
please indicate how old since less than 1 year
please indicate the number of years
does the donor have a history of diabetes?
Round to the nearest whole number. Enter "0" if unknown
DKA/Aab/Transplant offer - call TEAM 1
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DKA/Aab/Transplant offer - call TEAM 1
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Type 1 Diabetes offer - call TEAM 1
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OUT OF CRITERIA: Please decline the offer and submit the form for record keeping.
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Type 1 Diabetes offer - call TEAM 1
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OUT OF CRITERIA: Please decline the offer and submit the form for record keeping.
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OUT OF CRITERIA: Alpha Cell Please decline the offer and submit the form for record keeping.
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OUT OF CRITERIA: Please decline the offer and submit the form for record keeping.
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Type 2 Diabetes offer - call TEAM 1
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Lung/Intestine offer - call TEAM 2
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OUT OF CRITERIA: Please decline the offer and submit the form for record keeping.
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OUT OF CRITERIA: Please decline the offer and submit the form for record keeping.
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OUT OF CRITERIA: Please decline the offer and submit the form for record keeping.
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This is an ACCEPTED Case - call nPOD ADMIN
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Case condition undetermined - call nPOD ADMIN
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Case condition undetermined - call nPOD ADMIN
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OUT OF CRITERIA: Please decline the offer and submit the form for record keeping.
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OUT OF CRITERIA: Please decline the offer and submit the form for record keeping.
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OUT OF CRITERIA: Please decline the offer and submit the form for record keeping.
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OUT OF CRITERIA: Please decline the offer and submit the form for record keeping.
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Lung/Intestine Case Offer - call TEAM 2
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OUT OF CRITERIA: Please decline the offer and submit the form for record keeping.
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OUT OF CRITERIA: Please decline the offer and submit the form for record keeping.
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OUT OF CRITERIA: Please decline the offer and submit the form for record keeping.
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OUT OF CRITERIA: Please decline the offer and submit the form for record keeping.
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OUT OF CRITERIA: Please decline the offer and submit the form for record keeping.
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OUT OF CRITERIA: Please decline the offer and submit the form for record keeping.
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OUT OF CRITERIA: Please decline the offer and submit the form for record keeping.
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OUT OF CRITERIA: Please decline the offer and submit the form for record keeping.
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OUT OF CRITERIA: Please decline the offer and submit the form for record keeping.
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OUT OF CRITERIA: Please decline the offer and submit the form for record keeping.
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OUT OF CRITERIA: Please decline the offer and submit the form for record keeping.
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OUT OF CRITERIA: Please decline the offer and submit the form for record keeping.
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OUT OF CRITERIA: Please decline the offer and submit the form for record keeping.
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OUT OF CRITERIA: Please decline the offer and submit the form for record keeping.
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OUT OF CRITERIA: Please decline the offer and submit the form for record keeping.
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OUT OF CRITERIA: Please decline the offer and submit the form for record keeping.
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OUT OF CRITERIA: Please decline the offer and submit the form for record keeping.
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OUT OF CRITERIA: Please decline the offer and submit the form for record keeping.
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Slice offer - call TEAM 1
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OUT OF CRITERIA: Please decline the offer and submit the form for record keeping.
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OUT OF CRITERIA: Please decline the offer and submit the form for record keeping.
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OUT OF CRITERIA: Please decline the offer and submit the form for record keeping.
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OUT OF CRITERIA: Please decline the offer and submit the form for record keeping.
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OUT OF CRITERIA: Please decline the offer and submit the form for record keeping.
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OUT OF CRITERIA: Please decline the offer and submit the form for record keeping.
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OUT OF CRITERIA: Please decline the offer and submit the form for record keeping.
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please provide name and call-back #
Team 1
Team 1
Team 1
Team 1
Out of Criteria - Slices Control
Team 1
Team 1
Team 2
Team 2
Did you call admin? Check all that apply.
Did you call admin? Check all that apply.
Did you call admin? Check all that apply.
Did you call admin? Check all that apply.
Admin
Admin
Admin
Out of Criteria: Pancreas - Age Restriction
Out of Criteria: Pancreas - Age Restriction
Out of Criteria: Pancreas - Age Restriction
HPAP Control On Hold
HPAP Control On Hold
Out of Criteria: Type 2 Diabetes (lower age limit)
Out of Criteria: Type 2 Diabetes (upper age limit)
Out of Criteria: Lung/Intestine Case (Age Restriction)
Out of Criteria: Lung/Intestine Case (Age Restriction)
Out of Criteria: Lung/Intestine Case (Disease Condition)
Out of Criteria: Lung/Intestine Case (Disease Condition)
Out of Criteria: Lung/Intestine Case (Disease Condition)
Out of Criteria: Lung/Intestine Case (Disease Condition)
Out of Criteria: Lung/Intestine Case (Disease Condition)
Out of Criteria: Lung/Intestine Case (Disease Condition)
Out of Criteria - age limit for case offered
Out of Criteria - age limit for case offered
Out of Criteria - age limit for case offered
Out of Criteria - age limit for case offered
Out of Criteria - age limit for case offered
Out of Criteria - age limit for case offered
Out of Criteria - T2D Direct/Other offer
Out of Criteria - T2D offer
Out of Criteria - HPAP Control offer
Out of Criteria - HPAP Control offer
Out of Criteria - DKA Age
Out of Criteria - T1D Age Limit
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1. (nPOD T1D) Pancreas from donors with type 1 diabetes age 40 years or younger with disease duration of 10 years or less. |
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2. (nPOD Aab+) Pancreas from Aab+ donor Age ≤ 30 years positive with at least 1 or more autoantibodies. |
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3. (nPOD DKA) Pancreas from non-diabetic donors 30 years in age or less, BMI less than 30 and cause of death related to Diabetic ketoacidosis (DKA), and/or has an HbA1C of 6.5% or higher. This criterion is to capture undiagnosed T1D donors. |
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4. (nPOD Slices) (Sun 0800- Fri 0800) Pancreas from donor 2-30 yo, non-diabetic, BMI 30 or less, normal amylase/lipase level, downtime less than 30 min, DCD okay. |
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Controls needed- Females 11-13 years and 19-30 years |
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Controls needed- Males 25- 30 years |
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Controls needed- Male and Female early age groups (0-10 years) |
|
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5. (nPOD adolescent T2D) Pancreas from donors 10-18 yo with type 2 diabetes or BMI greater than 35. |
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6. (CaRe-T1D Heart) Heart, kidneys, and peripheral vessels. (Calls Admin On-Call) |
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a. 18 years and older w/ T1D any duration, no illegal drug use, BMI <40 |
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b. (Daily 0800 - 2000) 18-65 yo w/ T2D any duration with documented cardiovascular disease (including dx during terminal admission), no illegal drug use, BMI <40 |
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c. (Daily 0800 - 2000) 18-65 years; Control donors, no illegal drug use, BMI <35 |
|
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7. (HANDEL-P) Pancreas from donors 2 to 4 years in age, non-diabetic donors. (islet isolation) |
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8. (HANDEL-I) Lung (right, left or bilateral), intestine, blood, spleen, and nodes from donors 26 weeks gestation to 12 years in age, non-diabetic donors. |
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9. (Tier 3 Pancreas) (Sun-Thurs from 0800-2000) Pancreas from donors 11-40 yo, BMI less than 30 (Calls Admin 2 On-Call) |
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