@article{1a5f3728e79f4a999abda3522ca964da,
title = "HIV+ deceased donor referrals: A national survey of organ procurement organizations",
abstract = "Background: HIV-infected (HIV+) donor organs can be transplanted into HIV+ recipients under the HIV Organ Policy Equity (HOPE) Act. Quantifying HIV+ donor referrals received by organ procurement organizations (OPOs) is critical for HOPE Act implementation. Methods: We surveyed the 58 USA OPOs regarding HIV+ referral records and newly discovered HIV+ donors. Using data from OPOs that provided exact records and CDC HIV prevalence data, we projected a national estimate of HIV+ referrals. Results: Fifty-five (95%) OPOs reported HIV+ referrals ranging from 0 to 276 and newly discovered HIV+ cases ranging from 0 to 10 annually. Six OPOs in areas of high HIV prevalence reported more than 100 HIV+ donor referrals. Twenty-seven (47%) OPOs provided exact HIV+ referral records and 28 (51%) OPOs provided exact records of discovered HIV+ cases, totaling 1450 HIV+ referrals and 39 discovered HIV+ donors in the prior year. These OPOs represented 67% and 59% of prevalent HIV cases in the USA; thus, we estimated 2164 HIV+ referrals and 66 discovered HIV+ cases nationally per year. Conclusions: OPOs reported a high volume of HIV+ referrals annually, of which a subset will be medically eligible for donation. Particularly in areas of high HIV prevalence, OPOs require ongoing support to implement the HOPE Act.",
keywords = "HIV, deceased donors, organ transplantation, public health",
author = "Ayla Cash and Xun Luo and Chow, {Eric K.H.} and Bowring, {Mary Grace} and Shaffer, {Ashton A.} and Brianna Doby and Wickliffe, {Corey E.} and Charles Alexander and Deborah McRann and Tobian, {Aaron A.R.} and Segev, {Dorry L.} and Durand, {Christine M.}",
note = "Funding Information: Funding information National Institutes of Health: K23CA177321-01A1 (Durand), R34AI123023 (Durand), 1R01AI120938-01A1 (Tobian), K24DK101828 (Segev), F30DK116658-01 (Shaffer), Johns Hopkins University Center for AIDS Research: 1P30AI094189 (Durand). We thank and acknowledge the following OPOs for contributing to this research: Alabama Organ Center; Arkansas Regional Organ Recovery Agency; Donor Network of Arizona; Donor Network West staff; Sierra Donor Services; OneLegacy (Tom Mone, CEO); LifeSharing; Donor Alliance; LifeChoice Donor Services; Washington Regional Transplant Community; TransLife; Life Alliance Organ Recovery Agency; LifeQuest; LifeLink of Florida; LifeLink of Georgia; Legacy of Life Hawaii; Iowa Donor Network; Gift of Hope Organ & Tissue Donor Network; Indiana Donor Network; Kentucky Organ Donor Affiliates; Louisiana Organ Procurement Agency; New England Organ Bank; The Living Legacy Foundation; Gift of Life Michigan (Richard Pietroski, CEO Emeritus); LifeSource Organ and Tissue Donation; Mid-America Transplant Services; Mississippi Organ Recovery Agency; Midwest Transplant Network; Carolina Donor Services; Nebraska Organ Recovery System; New Jersey Organ & Tissue Sharing Network; Nevada Donor Network; Center for Donation and Transplant; Finger Lakes Donor Recovery Network; LiveOnNY (Amy L. Friedman MD, Chief Medical Officer & Executive Vice President); Upstate New York Transplant Services; Lifebanc; Life Connection of Ohio; Lifeline of Ohio: LifeCenter Organ Donor Network: LifeShare of Oklahoma; Pacific Northwest Transplant Bank; Gift of Life (Rick Hasz, VP of Clinical Services and Sharon West, Data Analyst); Center for Organ Recovery & Education; LifeLink of Puerto Rico; We are Sharing Hope SC; Tennessee Donor Services; Mid-South Transplant Foundation; LifeGift; Southwest Transplant Alliance; Intermountain Donor Services; LifeNet Health; LifeCenter Northwest; Wisconsin Donor Network; University of Wisconsin Organ and Tissue Donation. Publisher Copyright: {\textcopyright} 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd",
year = "2018",
month = feb,
doi = "10.1111/ctr.13171",
language = "English (US)",
volume = "32",
journal = "Clinical Transplantation",
issn = "0902-0063",
publisher = "Wiley-Blackwell",
number = "2",
}