Journal article
Current landscape of kidney allocation: Organ procurement organization perspectives
Clinical transplantation, v 37(4), e14925
Apr 2023
PMID: 36715287
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Organ procurement organizations (OPOs) play a central role in the recovery, preservation, and distribution of deceased donor kidneys for transplantation in the United States. We conducted a national survey to gather information on OPO practices and perceived barriers to efficient organ placement in the face of the new circle-based allocation and asked for suggestions to overcome them. Of the 57 OPOs, 44 responded (77%). The majority of OPOs (61%) reported barriers to obtaining a kidney biopsy, including lack of an available pathologist. Most OPOs (55%) indicated barriers to pumping owing to a lack of available staff and transportation. Respondents agreed or strongly agreed that the new allocation system has worsened transportation challenges (85%), increased provisional acceptances of kidneys (66%), increased communication challenges with transplant centers (68%), and worsened the efficiency of organ allocation (83%). OPO-suggested solutions include making transplant centers more accountable for inefficient selection practices, developing reliable transportation options, and removing the requirement for national sharing. These findings underscore the need to examine closely the trade-offs of the new allocation system with respect to costs, organ ischemia, and discard. These findings may help inform practice and policy for overcoming transportation barriers and improving the efficiency of organ placement.
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Details
- Title
- Current landscape of kidney allocation: Organ procurement organization perspectives
- Creators
- Beatrice P Concepcion - Vanderbilt University Medical CenterMeera Harhay - Drexel University, College of MedicineJay Ruterbories - Alliance Data (United States)Jan Finn - MRIGlobalAlex Wiseman - Centura Transplant, Denver, Colorado, USAMatthew Cooper - Medical College of WisconsinSumit Mohan - Columbia UniversityMona D Doshi - University of Michigan
- Publication Details
- Clinical transplantation, v 37(4), e14925
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- College of Medicine; SOM Dean - Research Administration
- Web of Science ID
- WOS:000929491800001
- Scopus ID
- 2-s2.0-85148040562
- Other Identifier
- 991021861294304721
UN Sustainable Development Goals (SDGs)
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Source: SDGs in the Output
InCites Highlights
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Surgery
- Transplantation