The Barnabas Health Renal and Pancreas Transplant Division is the first program in New Jersey and among a few in the country to offer patients participation in
its award-winning Compatible Share Program – the latest exciting addition to its comprehensive Living Donor Institute. An innovation in the delivery of living donor
transplantation, it is designed to help more people receive life-saving kidney transplants.
Through Compatible Share, a compatible donor/recipient pair may be offered the opportunity to participate in a kidney exchange. Therefore, to understand Compatible Share, it’s important to first explain the Living Donor Kidney Exchange Program.
Many individuals have willing kidney donors that are incompatible due to blood type or cross-matching. These pairs enter the Living Donor Kidney Exchange Program which involves the matching and exchange of kidneys between incompatible donor/recipient pairs so that all recipients receive a compatible transplant. Many incompatible pairs wait long periods of time for compatible matches because of a lack of ‘O’ blood type donors. (See chart below)
Some compatible pairs are deemed favorable for the Compatible Share Program because the donor is blood type ‘O’ and the recipient is blood type ‘A’, ‘B’, or ‘AB’. This allows the compatible pair to exchange with one or more incompatible pairs and results in each recipient receiving a compatible transplant.
An opportunity to improve the recipient’s long-term outcome. For example, the recipient would have the option to receive a younger donor kidney and/or an improved compatibility match.
An opportunity for a compatible pair to help more people receive a kidney transplant who otherwise may continue to wait for an extended period of time.
It is important to note that the timing of the transplant is not delayed by participation in the Compatible Share Program. Transplantation can be scheduled at the preferred timing of the compatible pair. This may vary depending on the preferences chosen by the compatible pair and will be discussed on an individual basis.
Matched donor/recipient pairs must meet the same medical, psychosocial and ethical selection criteria used for standard living donor transplants. All pairs remain anonymous to each other prior to transplantation.
For those interested in the Compatible Share Program, an educational session for the donor and recipient will be arranged with a Physician or Nurse Practitioner.
|Antonio and Liza Carreiro, Compatible Share Program participants
When Antonio Carreiro needed a kidney transplant, he was fortunate. His wife of 27 years and mother of his two daughters stepped forward and was a match.
Many transplants would begin and end there — with one donor and one recipient. But, the transplant team with The Living Donor Institute, part of the Renal and
Pancreas Transplant Program at Saint Barnabas Medical Center, approached the Carreiros about the Compatible Share Program — a unique opportunity to help others waiting on life-saving kidney transplantation.
When presented with the option, the Carreiros liked that other patients awaiting transplant could potentially be helped. They also learned that while Mrs. Carreiro’s kidney was a very good match for her husband, receiving a younger donor kidney and one with a better compatibility could actually improve his long-term outcome.
After taking some time to think about it, they decided to move ahead. “As long as we were doing this, we decided it was best to find a closer match for better success,” Liza Carreiro explains.
“During their own time of need, the Carreiros, who were fortunate enough to be compatible with each other, were able to embrace the opportunity available through this
new program and help others in the process,” explains Shamkant Mulgaonkar, MD, Chief of the Barnabas Health Renal and Pancreas Transplant Division. “It’s a beautiful gift.”
Ultimately, the Carreiros decision to take part in the compatible share resulted in two other women receiving new kidneys. “Once we understood how the Compatible Share Program worked, we supported the idea and in the end it greatly benefited everyone involved,” says Mr. Carreiro.
“We are so glad that we were not just getting him well, but helping others get well too,” Ms. Carreiro adds.
|Pictured from left, are Liza Carreiro (standing) who gave a kidney to Josephine Bryan (seated); Chelisha Tyson (standing) who donated a kidney to Antonio Carreiro; and Kassandra Bryan (standing) who gave a kidney to Sharon Bland (seated).
By choosing to participate in one of the first Compatible Share Program transplants performed at Saint Barnabas Medical Center, the Carreiros made it possible for two incompatible mother/daughter pairs, Kassandra and Josephine Bryan and Chelisha Tyson and Sharon Bland, to receive kidneys.
The Renal and Pancreas Transplant Programs take pride in their commitment to providing the highest quality of care and education to patients and their families. Decisions concerning donation are kept strictly confidential.
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