Current landscape of kidney allocation: Organ procurement organization perspectives
dc.contributor.author | Concepcion, Beatrice P. | |
dc.contributor.author | Harhay, Meera | |
dc.contributor.author | Ruterbories, Jay | |
dc.contributor.author | Finn, Jan | |
dc.contributor.author | Wiseman, Alex | |
dc.contributor.author | Cooper, Matthew | |
dc.contributor.author | Mohan, Sumit | |
dc.contributor.author | Doshi, Mona D. | |
dc.date.accessioned | 2023-05-01T19:10:47Z | |
dc.date.available | 2024-05-01 15:10:45 | en |
dc.date.available | 2023-05-01T19:10:47Z | |
dc.date.issued | 2023-04 | |
dc.identifier.citation | Concepcion, Beatrice P.; Harhay, Meera; Ruterbories, Jay; Finn, Jan; Wiseman, Alex; Cooper, Matthew; Mohan, Sumit; Doshi, Mona D. (2023). "Current landscape of kidney allocation: Organ procurement organization perspectives." Clinical Transplantation 37(4): n/a-n/a. | |
dc.identifier.issn | 0902-0063 | |
dc.identifier.issn | 1399-0012 | |
dc.identifier.uri | https://hdl.handle.net/2027.42/176272 | |
dc.description.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. | |
dc.publisher | Wiley Periodicals, Inc. | |
dc.subject.other | barriers | |
dc.subject.other | organ procurement organizations | |
dc.subject.other | organ allocation | |
dc.subject.other | deceased donor kidneys | |
dc.title | Current landscape of kidney allocation: Organ procurement organization perspectives | |
dc.type | Article | |
dc.rights.robots | IndexNoFollow | |
dc.subject.hlbsecondlevel | Medicine (General) | |
dc.subject.hlbtoplevel | Health Sciences | |
dc.description.peerreviewed | Peer Reviewed | |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/176272/1/ctr14925-sup-0004-TableS1.pdf | |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/176272/2/ctr14925_am.pdf | |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/176272/3/ctr14925.pdf | |
dc.identifier.doi | 10.1111/ctr.14925 | |
dc.identifier.source | Clinical Transplantation | |
dc.identifier.citedreference | Husain SA, King KL, Batal I, et al. Reproducibility of deceased donor kidney procurement biopsies. Clin J Am Soc Nephrol. 2020; 15 ( 2 ): 257 - 264. | |
dc.identifier.citedreference | United Network for Organ Sharing. Making kidney and pancreas distribution more fair and equitable. Accessed April 1, 2022. https://unos.org/policy/improving-access-for-kidney-and-pancreas-allocation/ | |
dc.identifier.citedreference | Adler JT, Husain SA, King KL, Mohan S. Greater complexity and monitoring of the new Kidney Allocation System: implications and unintended consequences of concentric circle kidney allocation on network complexity. Am J Transplant. 2021; 21 ( 6 ): 2007 - 2013. | |
dc.identifier.citedreference | Rohan VS, Pilch N, McGillicuddy J, et al. Early assessment of National Kidney Allocation Policy Change. J Am Coll Surg. 2022; 234 ( 4 ): 565 - 570. | |
dc.identifier.citedreference | Emmons BR, Husain SA, King KL, Adler JT, Mohan S. Variations in deceased donor kidney procurement biopsy practice patterns: a survey of U.S. organ procurement organizations. Clin Transplant. 2021; 35 ( 9 ): e14411. | |
dc.identifier.citedreference | Harris PA, Taylor R, Thielke R, Payne J, Gonzalez N, Conde JG. Research electronic data capture (REDCap) – a metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform. 2009; 42 ( 2 ): 377 - 381. | |
dc.identifier.citedreference | Scientific Registry of Transplant Recipients. Organ Procurement Organization (OPO) Reports. Accessed January 22, 2022. https://www.srtr.org/reports/opo-specific-reports/ | |
dc.identifier.citedreference | King KL, Husain SA, Perotte A, Adler JT, Schold JD, Mohan S. Deceased donor kidneys allocated out of sequence by organ procurement organizations. Am J Transplant. 2022; 22 ( 5 ): 1372 - 1381. | |
dc.identifier.citedreference | Organ Procurement and Transplantation Network. Eliminate use of DSA and region from kidney allocation one year post-implementation monitoring report. Published July 1, 2022. Accessed November 10, 2022. https://optn.transplant.hrsa.gov/media/p2oc3ada/data_report_kidney_full_20220624_1.pdf | |
dc.identifier.citedreference | Aubert O, Reese PP, Audry B, et al. Disparities in acceptance of deceased donor kidneys between the United States and France and estimated effects of increased US acceptance. JAMA Intern Med. 2019; 179 ( 10 ): 1365 - 1374. | |
dc.identifier.citedreference | Lynch RJ, Doby BL, Goldberg DS, Lee KJ, Cimeno A, Karp SJ. Procurement characteristics of high- and low-performing OPOs as seen in OPTN/SRTR data. Am J Transplant. 2022; 22 ( 2 ): 455 - 463. | |
dc.identifier.citedreference | Organ Procurement Organizations Conditions for Coverage: Revisions to Outcome Measure Requirements for Organ Procurement Organizations. In: Centers for Medicare & Medicaid Services HaHS eFV. In. 86 ed. | |
dc.identifier.citedreference | Doby BL, Ross-Driscoll K, Yu S, Godwin M, Lee KJ, Lynch RJ. Examining utilization of kidneys as a function of procurement performance. Am J Transplant. 2022; 22 ( 6 ): 1614 - 1623. | |
dc.identifier.citedreference | King KL, Husain SA, Schold JD, et al. Major variation across local transplant centers in probability of kidney transplant for wait-listed patients. J Am Soc Nephrol. 2020; 31 ( 12 ): 2900 - 2911. | |
dc.identifier.citedreference | Brennan C, Husain SA, King KL, et al. A donor utilization index to assess the utilization and discard of deceased donor kidneys perceived as high risk. Clin J Am Soc Nephrol. 2019; 14 ( 11 ): 1634 - 1641. | |
dc.identifier.citedreference | Garonzik-Wang JM, James NT, Weatherspoon KC, et al. The aggressive phenotype: center-level patterns in the utilization of suboptimal kidneys. Am J Transplant. 2012; 12 ( 2 ): 400 - 408. | |
dc.identifier.citedreference | U.S. Department of Health and Human Services. Establish minimum kidney donor criteria to require biopsy. Accessed March 27, 2022. https://optn.transplant.hrsa.gov/policies-bylaws/public-comment/establish-minimum-kidney-donor-criteria-to-require-biopsy/ | |
dc.identifier.citedreference | Reese PP, Aubert O, Naesens M, et al. Assessment of the utility of kidney histology as a basis for discarding organs in the United States: a comparison of international transplant practices and outcomes. J Am Soc Nephrol. 2021; 32 ( 2 ): 397 - 409. | |
dc.identifier.citedreference | Hall IE, Parikh CR, Schroppel B, et al. Procurement biopsy findings versus kidney donor risk index for predicting renal allograft survival. Transplant Direct. 2018; 4 ( 8 ): e373. | |
dc.identifier.citedreference | Mansour SG, Hall IE, Reese PP, et al. Reliability of deceased-donor procurement kidney biopsy images uploaded in United Network for Organ Sharing. Clin Transplant. 2018; 32 ( 12 ): e13441. | |
dc.identifier.citedreference | Carpenter DJ, Chiles MC, Verna EC, et al. Deceased brain dead donor liver transplantation and utilization in the United States: nighttime and weekend effects. Transplantation. 2019; 103 ( 7 ): 1392 - 1404. | |
dc.identifier.citedreference | Mohan S, Foley K, Chiles MC, et al. The weekend effect alters the procurement and discard rates of deceased donor kidneys in the United States. Kidney Int. 2016; 90 ( 1 ): 157 - 163. | |
dc.identifier.citedreference | King KL, Husain SA, Cohen DJ, Schold JD, Mohan S. The role of bypass filters in deceased donor kidney allocation in the United States. Am J Transplant. 2022; 22 ( 6 ): 1593 - 1602. | |
dc.identifier.citedreference | U.S. Department of Health and Human Services. Standardize kidney biopsy reporting and data collection. Accessed March 27, 2022. https://optn.transplant.hrsa.gov/policies-bylaws/public-comment/standardize-kidney-biopsy-reporting-and-data-collection/ | |
dc.identifier.citedreference | Organ Procurement and Transplantation Network. Continuous distribution of kidneys and pancreata concept paper. Published 2021. Accessed November 12, 2022. https://optn.transplant.hrsa.gov/media/4776/continuous_distribution_of_kidneys_and-pancreata_concept_paper.pdf | |
dc.identifier.citedreference | Organ Procurement and Transplantation Network. Update on continuous distribution of kidneys and pancreata. Published 2022. Accessed November 12, 2022. https://optn.transplant.hrsa.gov/media/ha2mpuor/continuous-distribution-of-kidneys-and-pancreata_comm-update_summer-2022.pdf | |
dc.identifier.citedreference | Salvalaggio PR. Geographic disparities in transplantation. Curr Opin Organ Transplant. 2021; 26 ( 5 ): 547 - 553. | |
dc.identifier.citedreference | Zhou S, Massie AB, Luo X, et al. Geographic disparity in kidney transplantation under KAS. Am J Transplant. 2018; 18 ( 6 ): 1415 - 1423. | |
dc.identifier.citedreference | Mohan S, Chiles MC, Patzer RE, et al. Factors leading to the discard of deceased donor kidneys in the United States. Kidney Int. 2018; 94 ( 1 ): 187 - 198. | |
dc.identifier.citedreference | Hippen BE, Reed AI, Ketchersid T, Maddux FW. Implications of the Advancing American Kidney Health Initiative for kidney transplant centers. Am J Transplant. 2020; 20 ( 5 ): 1244 - 1250. | |
dc.identifier.citedreference | Centers for Medicare & Medicaid Services. Organ Procurement Organization (OPO) Conditions for Coverage Final Rule: Revisions to Outcome Measures for OPOs CMS-3380-F. Published 2020. Accessed April 1, 2022. https://www.cms.gov/newsroom/fact-sheets/organ-procurement-organization-opo-conditions-coverage-final-rule-revisions-outcome-measures-opos | |
dc.working.doi | NO | en |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
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