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• W2035968422 abstract "The Organ Procurement and Transplantation Network (OPTN)/United Network for Organ Sharing (UNOS) Board of Directors approved new bylaws for OPTN member transplant centers that operate liver and/or kidney programs involving living donor transplants. In an announcement made on September 17, 2007, Dr Timothy L. Pruett, president of the OPTN and UNOS, also chair of the OPTN/UNOS Board of Directors, said the new standards “are important to protect the safety of living donors and ensure the best possible outcomes from living donor transplantation. … They also ensure consistency with program requirements of other agencies, particularly new regulations established by the Center for Medicare and Medicaid Services.” The new OPTN bylaws require programs performing living donor transplantation to have written protocols addressing all phases of the living donor process and abide by those protocols once established. In addition, the bylaws require programs to have a knowledgeable person, independent from the medical professionals directly involved in the care of the potential transplant recipient, to be an advocate for the needs and interests of the potential living donor. Virtually all of the nation’s 248 kidney transplant programs perform living donor transplants, and >90 liver programs have performed ≥1 living donor transplant. Transplant programs will be asked to submit applications to demonstrate that they meet the criteria established in the bylaws. The applications will be considered in phases to ensure efficient review of the programs involved. The OPTN/UNOS Board of Directors also approved a resource document to describe commonalities of transplant programs’ protocols for ensuring informed consent for living organ donation. “This information can help inform potential donors in a consistent way about the risks and benefits of living donation, and how the living donor consent process generally happens,” said Pruett. “It can also be useful for transplant programs as they assess and revise their individual protocols.” According to the OPTN/UNOS Living Donor Committee, the document is based on practices commonly identified in a survey of protocols from programs performing living donor transplants. The document addresses elements of educating potential living donors about the donation process, explaining donor risk and benefits, ensuring proper consent, and arranging for follow-up evaluation after the donation. It will be posted as an informational resource on the OPTN and UNOS Web sites and distributed via e-mail to OPTN/UNOS transplant programs. The board approved the intent to develop a second resource document regarding medical and psychosocial evaluation of potential living donors and says it will reconsider the specific content of the recommendations at its next meeting in February 2008, including the opportunity for additional public comment. The Living Donor Committee had circulated a proposed set of recommendations on these issues in July. “A lot of good work has gone into the development of the evaluation document, and a number of modifications were made to it before the Board meeting to address issues raised by public comment,” Pruett said. “But we believe a higher degree of consensus is needed to ensure it has the right level of detail and best reflects current practice.” OPTN is operated under contract with the US Department of Health and Human Services, Health Resources and Services Administration, Division of Transplantation by UNOS. The OPTN brings together medical professionals, transplant recipients, and donor families to develop organ transplantation policy." @default.
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• W2035968422 date "2007-11-01" @default.
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• W2035968422 title "OPTN/UNOS Approves New Bylaws for Programs Performing Living Donor Liver and Kidney Transplants" @default.
• W2035968422 doi "https://doi.org/10.1053/j.gastro.2007.09.021" @default.
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