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UNOS welcomes new seven-member board of directors
New seven-person UNOS Board will be independent of OPTN Board March 30
UNOS applauds president’s FY2025 budget request
Statement applauding President Biden’s budget proposal which includes $67 million to fund HRSA’s OPTN Modernization Initiative
UNOS expands leadership team
Tina Rhoades promoted to director of patient and member relations
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Kidney – Pancreas
UNOS supports the Living Donor Protection Act
UNOS is proud to continue supporting the Living Donor Protection Act, providing vital protections for living organ donors.
New milestone reached in kidney donation and transplant
For the first time, more than 25,000 kidney transplants were performed in a single year
UNOS statement on kidney continuous distribution policy in development
The OPTN Kidney Transplantation Committee intends for both prior and future living donors to receive the same level of priority for a deceased donor organ in the new framework as they receive in the current allocation system.
Liver – Intestine
More than 15,000 liver transplants performed in first two years of acuity circles policy
Two-year monitoring shows many states had volume changes within 10 percent of previous policy.
National collaborative focusing on organ offer acceptance to launch at the end of January 2023
More than 80 transplant programs are participating in the project; a virtual option for the in-person kickoff event is available to the entire community.
UNOS launches first national liver paired donation pilot program
The UNOS LPD pilot program aims to increase the number of living liver donations.
Heart – Lung
Coming soon: Simultaneous heart-kidney and lung-kidney allocation changes
Once the policy goes into effect, OPOs must offer required shares that are displayed on the match run.
Coming soon: Reporting primary graft dysfunction in heart
The new data collected will allow for improved monitoring of outcomes for recipients with primary graft disfunction (PGD).
New candidate inactivation code available for multi-organ transplant candidates
The new code (“Candidate requires multi-organ TX only, isolated offers not accepted”) will exclude the candidate from receiving offers of the specified individual organ type(s).
VCA
System notice: VCA distribution to be based on fixed distance circle of 500 nautical miles
Effective Thursday, June 18, 2020, VCA offers will first be made to compatible transplant candidates listed at VCA programs within a radius of 500 nautical miles of the donor. This replaces the previous distribution unit, which had been the OPTN region of the donor hospital.
Pre-implementation system notice: VCA distribution to be based on fixed distance circle of 500 nautical miles
Effective June 18, vascular composite allograft offers will first be made to compatible transplant candidates listed at VCA programs within a radius of 500 nautical miles of the donor.
Newly available VCA resources
The Division of Transplantation (DoT) recently created multiple new resources to help your organization increase public awareness of Vascular Composite Allografts (VCA).
Improving the system together
High-flying hopes: Are drones the future of organ transportation?
The University of Maryland’s Joseph Scalea, M.D., delivered a kidney via drone in April 2019. Now, he’s founded a nationwide organ transplant logistics company.
Bridging the gap: Kidney biopsy results and transplant survival outcomes
UNOS researchers seek to quantify the association between kidney-specific prognostic markers and post-transplant outcomes.
Better screening accelerates organ offers
The University of Florida’s kidney-pancreas surgical director, Kenneth Andreoni, M.D., on his participation in UNOS’ organ offer filters project.
UNet
Pre-implementation notice: Lung policy modification for blood type
Effective Sept. 27, 2023, the points assigned for blood type in lung allocation will be updated.
Impella 5.5 devices can now be reported in Waitlist and TIEDI
New device option added to menu
Patient Status Confirmation link available in UNet℠ beginning Oct. 2, closes Oct. 23
Transplant programs will be asked to confirm or update patient status for selected patients.
“… policy is the living, breathing expression of group values.”
Martha Pavlakis, M.D.
Policy changes
Public Comment open from July 27 through Sept. 19, 2023
The OPTN is offering 14 items for review.
Updated liver allocation policy regarding HCC criteria in effect
Policy terminology updated for consistency with imaging standards
Improvements to MELD and PELD now in effect
Resources and education available for patients and clinicians
Policy monitoring
Updated 15–month monitoring report available for liver, intestine policy
Geographic variability in median urgency scores at transplant has decreased.
Monitoring report available for lower respiratory testing of lung donors
Policy that requires SARS-CoV-2 lower respiratory testing of lung donors went into effect May 27.
Monitoring report of early kidney data shows increase in transplants
Monitoring report addresses first two months following implementation of 250 nautical mile circles.
Learn: Collaborative improvement and educational resources
IN FOCUS
7 years of HOPE
Implemented in 2015 , the HIV Organ Policy Equity (HOPE) Act has given more than 350 living with HIV an opportunity to receive a lifesaving transplant from an HIV-positive donor.
Collaboration
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Education
TMF 2023 presenter Robert Montgomery, M.D., D.Phil., on increasing organ supply with xenotransplantation
TMF session to explore threats to the organ supply and alternative, renewable solutions.
Community update: Policy development based on continuous distribution
Updates on the status of each of the continuous distribution initiatives from Board of Directors President Jerry McCauley, M.D.
Effective practices
Learn about collaborative improvement projects
Learn about issues impacting patients, donors, donor families, and the national system. Issues and advocacy
Patient safety
Voluntary recall addresses Vecuronium Bromide
If your institution has stock from any of the affected lots, please contact your supplier.
Resource lists lower respiratory tract testing available
Tests authorized by the FDA to analyze lower respiratory tract specimens.
AST Innovation Award presented to DTAC
Committee honored for big ideas and out of the box thinking that has made a significant impact on transplantation.
Transplant hospital
UNOS researchers present studies at 2023 American Transplant Congress
Twenty-two UNOS staff members presented research from 42 studies at the 2023 American Transplant Congress, addressing topics including social determinants of health, offer-acceptance practices, and the impacts of allocation-policy changes.
Now in effect: Changes to security personnel requirements and reporting
These changes were approved by the OPTN Board of Directors at their June 26, 2023 meeting.
Public Comment open from July 27 through Sept. 19, 2023
The OPTN is offering 14 items for review.
OPO
Important information about attachments in DonorNet
Starting Nov. 1, users will no longer be able to attach files to donor records in DonorNet® via email or fax. Users will need to utilize the other tools available to upload attachments to donor records.
UNOS statement on the 2023 OPO Public Performance Report by CMS
UNOS supports working with CMS to increase accountability and improve the performance of our nation’s 56 OPOs.
New store for OPTN transport labels
The OPTN transport label distributor has changed. Users will need to create a new account when logging in for the first time.
Histocompatibility
Coming June 17: HLA equivalency table update and addition of DPB1 epitopes
These changes will occur in DonorNet®, Waitlist℠, TIEDI® and KPD℠ applications.
Labs gain access to Data Services beginning Sept. 11
Beginning Sept. 11, UNet security administrators will now be able to give laboratory staff permission to access the Data Services portal in UNet.