Changing the paradigm of organ utilization from PHS increased-risk donors: an opportunity whose time has come?

Abstract:

:Approximately 8-11% of all organ donors are classified by Public Health Service (PHS) as increased-risk. The proportion of PHS increased-risk donors is on the rise. At the University of Washington Medical Center, in 2014, the proportion of transplants from PHS increased-risk donors was 28% of liver transplants and 23% of kidney transplants. Nationally, transplant providers have been reluctant to use organs from PHS increased-risk donors because of concern for transmission of HIV, HCV, or HBV. There is also patient apprehension when these organs are being offered, and thus the discard rate of these otherwise good quality organs is high. Because of the organ shortage, preventing underutilization of such organs is essential. We provide data and considerations that should be used to guide the use of organs from PHS increased-risk donors.

journal_name

Clin Transplant

journal_title

Clinical transplantation

authors

Sibulesky L,Javed I,Reyes JD,Limaye AP

doi

10.1111/ctr.12582

subject

Has Abstract

pub_date

2015-09-01 00:00:00

pages

724-7

issue

9

eissn

0902-0063

issn

1399-0012

journal_volume

29

pub_type

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