Deceased Donors With HIV in the Era of the HOPE Act: Referrals and Procurement

Autor: Tao Liang, MSPH, Jordan H. Salas, BS, MCR, Mary G. Bowring, MPH, Oyinkan Kusemiju, MPH, Brittany Barnaba, MS, Matthew Wingler, CPTC, Deborah McRann, MBA, Alghidak Salama, MD, MPA, R. Patrick Wood, MD, Allan Massie, PhD, William Werbel, MD, PhD, Aaron A. R. Tobian, MD, PhD, Dorry L. Segev, MD, PhD, Christine M. Durand, MD
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Transplantation Direct, Vol 10, Iss 6, p e1641 (2024)
Druh dokumentu: article
ISSN: 2373-8731
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DOI: 10.1097/TXD.0000000000001641
Popis: Background. The HIV Organ Policy Equity Act legalizes organ procurement from donors with HIV (HIV D+). A prior survey of Organ Procurement Organizations (OPOs) estimated >2000 HIV D+ referrals/year; however, only 30–35 HIV D+/year have had organs procured. Given this gap, we sought to understand HIV D+ referrals and procurements in practice. Methods. We prospectively collected data on all OPO-reported HIV D+ referrals, including reasons for nonprocurement. We evaluated trends and compared HIV D+ characteristics by procurement status using regression, chi-squared tests, and Wilcoxon rank-sum tests. Results. From December 23, 2015 to May 31, 2021, there were 710 HIV D+ referrals from 49 OPOs, of which 171 (24%) had organs procured. HIV D+ referrals increased from 7 to 15 per month (P
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