Dual listing, sometimes
called multiple listing, means you are registered at two or more transplant
centers. Because candidates at a center local to the donor hospital are usually
considered before those who are further away, multiple listing may increase the
chances of receiving a local organ offer.
Some studies suggest
multiple listing can shorten the average waiting times of kidney transplant
candidates by several months. This does not guarantee every multiple-listed
patient will have a shorter waiting time because many factors affect how long
you might wait for a transplant.
The Organ Procurement
Transplant Network (OPTN) policy allows multiple listing, but the individual
center decides whether or not to accept you as a candidate. You probably would
not benefit from listing at multiple centers in the same local allocation area
(which is usually the OPO) because waiting-time priority is first calculated
among candidates at all hospitals within the local donation area, not for each
Some transplant programs
may not accept multiple-listed patients, while others may set their own
requirements for multiple-listed candidates. If you are considering multiple
listing, ask the transplant team how they handle such requests.
As with any transplant
listing, you must be considered and accepted by a transplant center. You will
complete an evaluation and agree to all conditions set by the program, such as
your ability to come to the hospital within a certain time if you are called
for an organ offer.
Check with your insurance
provider to see if the cost of additional evaluations will be reimbursed. You
should also consider other costs associated with listing that insurance may not
cover. For example, you may need to pay for travel and lodging if the center is
far from your home.
You should also find out if
your post-transplant medical care will be provided at the center or can be
transferred to a facility closer to your home. In addition, you must maintain
current lab results and contact information for each transplant program where
you list because they will need current information if they receive an organ
offer for you. Through the OPTN database your center can know if you are
multiple-listed, but may not know the other hospital(s) where you are listed.
For more information about
multiple listing call your transplant coordinator (Brenan or Rachel) at 217-788-3441, or download a
brochure from UNOS on multiple listings.