Qualitative review of group decision-making in transplant selection committees

S77Poster Sessions in the time period after the policy change: 1.5x10 6 miles for all lung transplants, 3.1x10 6 for all heart transplants, 2.2x10 6 miles for all liver transplants, and 3.2x10 6 miles for all kidney transplants, for a total of 1.0x10 7 .This led to increased carbon emissions for each organ: 3.1x10 6 kg CO2e for lung (Range: 3.063-3.094x10 6) (50% increase), 6.2x10 6 kg CO2e for heart (Range: 6.179-6.228x10 6) (96% increase), 4.4x10 6 for liver (Range: 4.176-4.488x10 6) (41% increase), 2.3x10 5 kg CO2e for kidney (Range: 1.605-4.264x10 5) (36% increase), for a total of 1.4x10 7 kg CO2e (Range:1.384-1.397x107 ) (58% increase).This data suggests that there was an increase in total distance traveled with a resulting increase in carbon emissions for each organ analyzed.This issue should be considered as the OPTN pursues Continuous Distribution.Carbon emissions from kidney transplants were relatively small because of the higher usage of commercial air transport.