in focus
Multi-organ transplant (MOT) combinations and their frequencies performed in the U.S. from 2013–2017
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
Over 5,000 organs tracked with UNOS Organ Tracking Service
26% of all OPOs are now utilizing the UNOS Organ Tracking Service to monitor organs in transit.
Kidney monitoring data shows 16% increase in transplant
Aimed at increasing equity, a report on new allocation policy shows increases in transplant among key populations.
Four decades of lifesaving work: the Organ Center turns 40
The F.M. Kirby Foundation Organ Center is celebrating its 40th year of continuous operation without any service interruptions
OUT tool now allows OPOs to see movement of organs across the country
Enhancements to OUT (Organ Utilization Tool) give insight into organ movement, timing of responses and use of provisional yes at each program.
