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New task force sets bold goal of achieving 60K transplants by 2026
The OPTN Expeditious Task Force embarks on ambitious project to save more lives, increase efficiency.
UNOS strengthens leadership team
Several new leaders will play integral roles in advancing UNOS’ mission to strengthen the organ donation and transplant system.
Innovations and policy updates drive equity and a record number of lifesaving organ transplants in 2023
Another record year for organ transplants, with 46,632 transplants performed in 2023 thanks to the selfless and generous gifts from donors.
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Kidney – Pancreas
Implementation notice: CPRA calculation change
CPRA >98% signatures must be entered in Waitlist for the candidate to receive additional allocation priority.
Predictive analytics tool now available to all kidney programs
Innovative new technology helps transplant hospitals make the right match for their patients
Available now: Predictive analytics for adult kidney offers
The predictive analytics tool seeks to show the likely impacts for a candidate if their current offer is refused, based on relevant historical data for similar candidates.
Liver – Intestine
Two-year monitoring report for liver, intestine policy shows success in key aspects
Report details outcomes since policy implementation in February 2020.
Updated National Liver Review Board guidance now in effect
Updates made to guidance for HCC and adult MELD exceptions.
Updates to living donor exclusion criteria now in effect
Four exclusion criteria in OPTN Policy 14.4.E have been updated to align with current research and guidelines as well as ensure consistency throughout OPTN policy language.
Heart – Lung
Four-year monitoring report for adult heart allocation now available
Latest report shows key measures of adult heart allocation following policy changes implemented in October 2018.
Six-month monitoring report for heart policy following a device recall now available
Policy allows exception status for heart candidates with a recalled assist device.
New data fields available June 29 to prepare for simultaneous heart-kidney and lung-kidney allocation
Updating data in advance will ensure candidates get priority when the policy takes effect.
VCA
Applying for OPTN vascularized composite allograft transplant program approval
See list of membership requirements for VCA programs.
Improving the system together
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.
Stronger together: A collaborative study between U.S. and U.K. researchers
A collaborative study between U.S. and U.K. researchers reveals shared learning opportunities that could spur increased kidney utilization rates.
Using behavioral research to test and improve transplant decision making
UNOS researchers used simulated organ offers to test the effect of biopsies on kidney offers and published the results in the inaugural issue of Kidney360.
UNet
VCA allocation is now in UNet
Allocation of all Vascularized Composite Allograft (VCA) organs has been moved to UNetSM. Any patients on the “VCA Candidate List” have been added to WaitlistSM by UNOS staff.
New kidney biopsy fields added to DonorNet and TIEDI
New kidney biopsy fields have been added to DonorNet® and TIEDI®.
Important note on upcoming VCA data collection
Members will continue to receive TRR and TRF forms for VCA transplants from UNOS via secure email and return the finished forms via secure email.
“… policy is the living, breathing expression of group values.”
Martha Pavlakis, M.D.
Policy changes
New data fields available June 29 to prepare for simultaneous heart-kidney and lung-kidney allocation
Updating data in advance will ensure candidates get priority when the policy takes effect.
Safety net policies for kidney-after-heart and kidney-after-lung allocation in effect June 29
Candidates who meet criteria will get additional kidney allocation priority.
Updated National Liver Review Board HCC guidance in effect April 28, 2023
Clarifications made to diagnostic criteria.
Policy monitoring
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Learn: Collaborative improvement and educational resources
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.
Collaboration
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Education
White paper addresses ethical issues in information to support transplant program selection
Paper addresses likely patient questions and approaches for plain language communication.
TMF 2023 presenter Jesse Schold, Ph.D., on reducing health care disparities in the organ transplant system
TMF session to focus on improving access to transplantation through collaboration.
Effective practices
Learn about collaborative improvement projects
Learn about issues impacting patients, donors, donor families, and the national system. Issues and advocacy
Patient safety
CMS issues COVID-19 guidance to health care providers
The new adult elective surgery and procedure guidelines prioritizes transplant surgeries as essential care.
Field notification addresses perfusion circuit sample port
Recall affects specified lots of Organ Recovery Systems’ LKT200 Perfusion Circuit Sample Port
Recall notice affects Sodium chloride vials
A manufacturer of retail drugs has issued a voluntary recall of a product used in recovery and preparation of donor lungs.
Transplant hospital
Changes to security personnel requirements and reporting
Changes to security personnel requirements and reporting to be implemented following policy changes approved by the OPTN Board of Directors.
Pre-implementation notice: New transplant performance metric to go into effect July 27
A new risk-adjusted pre-transplant performance monitoring metric – the offer acceptance rate ratio – will take effect July 27, 2023.
UNet user audit now open
Site security administrators have four weeks to conduct a required audit of their UNet users.
OPO
New lung allocation policy in effect
First organ type to use continuous distribution framework.
OPO partners with Black history museum to increase organ donor registrations
Kia Potts tells us how LifeNet Health and a Richmond-area cultural institution worked together to change lingering misconceptions about organ donation.
An important message from the MPSC on donation after circulatory death (DCD) protocols and managing multiple organs
The Membership and Professional Standards Committee shares opportunities for improvement with the donation and transplant community.
Histocompatibility
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