in focus
Proportion of deceased donors with a history of IV drug use and death due to drug overdose during 2008 and 2018 by region
Based on data from the national Organ Procurement and Transplantation Network (OPTN).
If an organ donor is an active intravenous drug user, their risk of acute hepatitis C (HCV) infection is higher than almost any other behavioral risk factor.
The increasing opiate epidemic in the U.S. has impacted every region. Because of this tragedy, more transplants, especially those from donors that could place the potential recipient at increased risk of disease transmission, are being completed.
Though there is research detailing the successful use of organs from donors who are currently using and abusing drugs, challenges remain and clinicians and patients continue to be cautious, especially regarding the risks of inadvertently acquiring viral hepatitis and/or HIV.
Fortunately, hepatitis B remains relatively uncommon in the U.S. and unanticipated HIV transmissions have not been documented since the new Public Health Service (PHS) Increased Risk Guidelines were put into place in 2013. The safety and efficacy of HCV treatments in transplant is improving day by day, but according to cases studied in 2018 by the OPTN Ad Hoc Disease Transmission Advisory Committee (DTAC), unexpected hepatitis C (HCV) donor-derived transmissions have been on the rise.
Read more about the committee’s findings and an update on its work presented at the spring 2019 regional meetings.
In focus
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.
Collaborative improvement project helped OPOs increase DCD transplant in 2021
Project participants experienced more DCD recoveries and transplants than the rest of the nation.
Kidney transplants set new record in 2021 following policy change
The new policy helped increase the number of kidney’s transplanted, but the system is still changing to help more people.
Heart transplant sets all-time record in 2021
31,238 lifesaving heart transplants have been performed at hospitals across the country over the past decade.
