Based on data from the national Organ Procurement and Transplantation Network (OPTN).
The number of multi-organ transplants (MOT), excluding kidney/pancreas and heart/lung, has nearly doubled in the past six years from 625 procedures in 2012 to 1,035 in 2017.
This increase raises ethical questions that call for greater consistency in allocation strategy (currently, allocation for multi-organ transplant (MOT) combinations is not consistent across organ types). The OPTN Ethics Committee analyzed policy and relevant literature focusing on the potential conflict in the principles of equity and utility in the allocation of MOT.
For example, the graph below shows that MOT recipients commonly receive lower KDPI kidneys—or those that have longer-than-expected graft function—than single-organ transplant (SOT) recipients. This could disadvantage SOT candidates because they are less likely to receive kidneys with the longest expected function.
Distribution of KDPI for deceased donor kidney recipients by multi-organ (MOT) status during 2015-2017
Read the Ethics Committee white paper that examines the implications of MOT and provides an ethical framework for allocation policy changes. Plus, review public comments on the proposal.
In focus
Lung and liver perfusion on the rise
Lung perfusion has more than tripled since 2015, growing from 1.7 percent to 6.3 percent and potentially expanding the pool of organs available for transplant.
How will the new liver system help pediatric patients?
More pediatric patients will receive transplants as a result of new OPTN liver distribution policy
Unexpected HCV donor-derived transmissions on the rise
Unexpected HCV donor-derived transmissions on the rise according to the OPTN Ad Hoc Disease Transmission Advisory Committee
Getting patients ready for transplant sooner
How Thomas Jefferson University Hospital in Philadelphia reduced its inactive kidney waitlist by 17 percent