COVID-19 and solid organ transplant

News and resources for organ procurement organizations and transplant hospitals about COVID-19

What happened in public comment? See what the community had to say

Data

Current state of organ donation and transplantation

This data visualization shows high-level data on transplants, deceased donors recovered, patients added to the waitlist and patients temporarily moved to inactive waitlist status*. It is updated daily. Find detailed and localized data through the preceding month in the OPTN website’s data section.

*A temporary inactivation means that the transplant program has determined that a candidate is temporarily unavailable or unsuitable for transplantation and should not receive organ offers. The transplant program may reactivate the candidate at any time.

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All organ donation and transplant professionals

Vaccination information (updated 11/04/21)

New

Updated CDC guidance addresses potential COVID-19 vaccine booster for some immunocompromised people

The U.S. Centers for Disease Control and Prevention (CDC) has updated interim guidance regarding COVID-19 vaccination for moderately to severely immunocompromised people. The guidance says, at the discretion of the clinical team, a booster for immunocompromised adults may be provided six months or more after they have received a third dose of an mRNA vaccine, or at least two months after they have received a Johnson & Johnson vaccine. For more detail, read the CDC guidance.


ASTS statement on the role of COVID-19 vaccination for transplant candidates and recipients

The American Society of Transplant Surgeons continues to recommend routine vaccination for all organ recipients (along with timely boosters). It also recommends vaccines for those on the waiting list (if possible within time limitations). These recommendations are consistent with ASTS’ existing “routine standards of care,” which focus on patient safety by reducing known infectious disease prior to organ transplantation. Read more here.


Protocols for vaccination requirements

Transplant hospitals decide which patients to add to the transplant waiting list based on their own specified criteria and medical judgment to create the best chance for a positive transplant outcome, with the understanding that the patients will be active participants in their medical care. UNOS, as the national Organ Procurement and Transplantation Network (OPTN), does not have any authority over or provide guidance regarding these decisions. Our authority begins after a transplant program adds a transplant candidate to the list, where we then primarily address organ matching.

Patients have the right to seek transplant at an alternate hospital. However, the requirements may be the same. UNOS does not track transplant programs based on their requirements to receive the COVID vaccine nor other vaccinations. Patients can contact a specific transplant hospital directly to ask questions about their protocols for vaccination requirements.


Third dose of COVID-19 vaccine approved for immunocompromised people

The U.S. Food and Drug Administration (FDA) has amended emergency usage authorizations to administer an additional dose of either the Pfizer-BioNTech or Moderna COVID-19 vaccine for certain immunosuppressed individuals, such as organ transplant recipients. For more information, refer to the FDA statement.

The Centers for Disease Control and Prevention (CDC) has also endorsed the recommendation for an additional dose of vaccine. For more information, read the CDC statement.

Reminder for organ recovery teams to carry proof of vaccine

Organ recovery teams should be aware of donor hospital vaccine requirements before traveling. Given the spread of the Delta variant, many hospitals now require evidence of COVID vaccination from their employees and other professionals who enter the facility.

Some hospitals are requiring the local OPO to certify that teams are fully vaccinated, so some OPOs are also now requiring teams to show evidence of COVID vaccination.

Carrying a vaccine card or other evidence of vaccination will help recovery teams meet hospital requirements and avoid disruptions to the organ recovery process.

Summary of Evidence on SARS-CoV-2 donor evaluation and testing UPDATED

The OPTN Summary of Evidence on SARS-CoV-2 has been updated to reflect review of additional evidence, including discussion of the Delta variant and of post-implementation data from the emergency lower respiratory testing policy. The OPTN Ad Hoc Disease Transmission Advisory Committee compiled this document to include the latest information known for minimizing the risk of donor-derived COVID-19 transmission while maximizing donor utilization. It has developed the summary in collaboration with colleagues representing AST, ASTS, AOPO, HRSA and the CDC.

View summary

AST recommendations and guidance for organ donor testing
In response to inquiries regarding COVID-19, the American Society of Transplantation’s Infectious Disease Community of Practice has developed recommendations regarding organ donor testing. This guidance reflects the current state of knowledge and involves questions pertaining to screening and testing of living and deceased donors in the COVID era. Learn more here.
MPSC reviews

On March 25, 2021, the OPTN Membership and Professional Standards Committee agreed to resume monitoring of transplant program functional activity and patient notification requirements, effective July 1, 2021.

All updates to monitoring changes may be found in a supplement to the OPTN member evaluation plan on the OPTN compliance page.

View the updated list of time-limited monitoring changes

This supplemental document serves as a quick-reference guide to all temporary member monitoring changes implemented as a result of the pandemic. Unless new monitoring changes are implemented or effective dates are delayed, it will be retired on July 1, 2021. Any remaining changes as of that date will be published in the OPTN Member Evaluation Plan.

Site surveys updated

Site surveys to gradually transition to in-person visits starting in December. Member Quality hopes to conduct all routine reviews for all member organizations onsite by early 2022. During this time we will continue to monitor the pandemic conditions and will be prepared to pivot back to our virtual survey model if needed. Site surveyors will contact your organization’s staff directly to learn more about your facility’s COVID protocols in order to make the safest arrangements possible for an in-person visit. Please email MQfeedback@unos.org with questions.

Performance monitoring

The MPSC and the Scientific Registry of Transplant Recipients have made adjustments to the July 2021 program-specific reports (PSRs) and OPO-specific reports (OSRs). Evaluation cohorts will continue to exclude transplants and follow-up time beyond March 12, 2020. Find details about the SRTR monitoring changes here.

About MPSC and rationale for COVID-19 updates

The MPSC is a body of peers from within the donation and transplant community. It maintains membership criteria and monitors OPTN member compliance with OPTN membership criteria, OPTN bylaws and policies, and the OPTN Final Rule.

OPTN policies and requirements have not been suspended as a result of COVID-19. However, deviations from OPTN requirements will be evaluated in the context of the circumstances that have arisen due to this national crisis. The MPSC will look for a commitment to patient safety, stewardship of donated organs, and the rationale for the decisions that your transplant program or OPO make.

Reporting interruptions and issues

The OPTN is collecting information about challenges and issues created by the outbreak in order to evaluate further improvements or assistance that HHS, the OPTN and UNOS can provide. Please use the survey tool linked below to report interruptions or issues. Please note that the link works in the Google Chrome browser, but it does not work in Internet Explorer.

Report COVID-19 issues

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Transplant hospitals

COVID-19 vaccination information (updated 11/04/21)

New

Updated CDC guidance addresses potential COVID-19 vaccine booster for some immunocompromised people

The U.S. Centers for Disease Control and Prevention (CDC) has updated interim guidance regarding COVID-19 vaccination for moderately to severely immunocompromised people. The guidance says, at the discretion of the clinical team, a booster for immunocompromised adults may be provided six months or more after they have received a third dose of an mRNA vaccine, or at least two months after they have received a Johnson & Johnson vaccine. For more detail, read the CDC guidance.

Third dose of COVID-19 vaccine approved for immunocompromised people

The U.S. Food and Drug Administration (FDA) has amended emergency usage authorizations to administer an additional dose of either the Pfizer-BioNTech or Moderna COVID-19 vaccine for certain immunosuppressed individuals, such as organ transplant recipients. For more information, refer to the FDA statement.

The Centers for Disease Control and Prevention (CDC) has also endorsed the recommendation for an additional dose of vaccine. For more information, read the CDC statement.


AST COVID-19 guidance documents

ISHLT

VCU Health

Find additional patient-focused vaccination resources on the Transplant Living website.

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Organ procurement organizations

Organ matching guidance

To the extent practical, continue to follow the match run. If transportation systems become disrupted and an organ cannot be transported to a hospital on the match run, use the 861 bypass code and proceed to allocate as high on the match run as logistics allow. These decisions should be based on the availability of transportation options, not on DSA or regional boundaries.

Additional resources for organ procurement

Webinars

COVID Updates and Controversies

The American Society of Transplantation hosted an educational webinar for organ donation and transplant professionals on Oct. 4.

Watch recording

COVID-19: Organ Donation and Transplant Town Hall International Webinar #4

Organ transplant organizations convened for a fourth town-hall style webinar to discuss the impact of COVID-19 on organ donation and transplant.

Recorded webinars: Effective practices and guidance

Members, you can now find COVID-19 webinars on UNOS Connect. Transplant and OPO professionals share effective practices related to organ recovery and transplantation during COVID-19. Available now:

  • COVID-19: Past, present and future OPO operations
  • Telemedicine, transplant and COVID-19: One transplant center’s experience
  • COVID-10: Past, present and future transplant center operations

Learn more

Previous webinars

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