{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,13]],"date-time":"2026-09-13T00:57:02Z","timestamp":1789261022077,"version":"build-2803163510"},"reference-count":28,"publisher":"Elsevier BV","issue":"4","license":[{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/100006088","name":"National Center for Emerging and Zoonotic Infectious Diseases","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006088","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["amjtransplant.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["American Journal of Transplantation"],"published-print":{"date-parts":[[2026,4]]},"DOI":"10.1016\/j.ajt.2025.11.009","type":"journal-article","created":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T22:05:53Z","timestamp":1763762753000},"page":"772-784","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"title":["Utilization of organs following implementation of the 2020 United States Public Health Service guideline recommendations"],"prefix":"10.1016","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4113-8412","authenticated-orcid":false,"given":"Isabel","family":"Griffin","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3233-9466","authenticated-orcid":false,"given":"Ian","family":"Kracalik","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6938-6683","authenticated-orcid":false,"given":"Matthew","family":"Sapiano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5564-8785","authenticated-orcid":false,"given":"Pallavi","family":"Annambhotla","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-4546-8435","authenticated-orcid":false,"given":"James","family":"Bowman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9463-7157","authenticated-orcid":false,"given":"Marilyn E.","family":"Levi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8376-0499","authenticated-orcid":false,"given":"Sridhar V.","family":"Basavaraju","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"RR-8","key":"10.1016\/j.ajt.2025.11.009_bib1","first-page":"1","article-title":"Guidelines for preventing transmission of human immunodeficiency virus through transplantation of human tissue and organs. Centers for Disease Control and Prevention","volume":"43","year":"1994","journal-title":"MMWR Recomm Rep"},{"issue":"4","key":"10.1016\/j.ajt.2025.11.009_bib2","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1177\/003335491312800403","article-title":"PHS guideline for reducing human immunodeficiency virus, hepatitis B virus, and hepatitis C virus transmission through organ transplantation","volume":"128","author":"Seem","year":"2013","journal-title":"Public Health Rep"},{"issue":"4","key":"10.1016\/j.ajt.2025.11.009_bib3","doi-asserted-by":"crossref","first-page":"1","DOI":"10.15585\/mmwr.rr6904a1","article-title":"Assessing solid organ donors and monitoring transplant recipients for human immunodeficiency virus, hepatitis B virus, and hepatitis C virus infection \u2014 U.S. Public Health Service guideline, 2020","volume":"69","author":"Jones","year":"2020","journal-title":"MMWR Recomm Rep"},{"issue":"9","key":"10.1016\/j.ajt.2025.11.009_bib4","doi-asserted-by":"crossref","first-page":"2560","DOI":"10.1111\/ajt.15388","article-title":"Impact of US Public Health Service increased risk deceased donor designation on organ utilization","volume":"19","author":"Sapiano","year":"2019","journal-title":"Am J Transplant"},{"issue":"7","key":"10.1016\/j.ajt.2025.11.009_bib5","doi-asserted-by":"crossref","first-page":"1666","DOI":"10.1097\/TP.0000000000001673","article-title":"The \u201cPHS Increased Risk\u201d label is associated with nonutilization of hundreds of organs per year","volume":"101","author":"Volk","year":"2017","journal-title":"Transplantation"},{"issue":"3","key":"10.1016\/j.ajt.2025.11.009_bib6","doi-asserted-by":"crossref","first-page":"617","DOI":"10.1111\/ajt.14577","article-title":"Turn down for what? Patient outcomes associated with declining increased infectious risk kidneys","volume":"18","author":"Bowring","year":"2018","journal-title":"Am J Transplant"},{"issue":"2","key":"10.1016\/j.ajt.2025.11.009_bib7","doi-asserted-by":"crossref","first-page":"416","DOI":"10.1111\/j.1600-6143.2009.02931.x","article-title":"Centers for Disease Control \u2018high-risk\u2019 donors and kidney utilization","volume":"10","author":"Duan","year":"2010","journal-title":"Am J Transplant"},{"issue":"2","key":"10.1016\/j.ajt.2025.11.009_bib8","doi-asserted-by":"crossref","DOI":"10.1111\/petr.13863","article-title":"Public health service increased risk donor kidney grafts for transplant into children, a survey of pediatric nephrologists","volume":"25","author":"Anderson","year":"2021","journal-title":"Pediatr Transplant"},{"issue":"2","key":"10.1016\/j.ajt.2025.11.009_bib9","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1097\/MOT.0000000000000735","article-title":"Increased-risk donors and solid organ transplantation: current practices and opportunities for improvement","volume":"25","author":"Brown","year":"2020","journal-title":"Curr Opin Organ Transplant"},{"issue":"12","key":"10.1016\/j.ajt.2025.11.009_bib10","doi-asserted-by":"crossref","DOI":"10.1111\/ctr.13427","article-title":"Outcomes for potential kidney transplant recipients offered public health service increased risk kidneys: a single-center experience","volume":"32","author":"Fernandez","year":"2018","journal-title":"Clin Transplant"},{"issue":"7","key":"10.1016\/j.ajt.2025.11.009_bib11","doi-asserted-by":"crossref","first-page":"850","DOI":"10.1002\/lt.23882","article-title":"Pilot test of a patient decision aid about liver transplant organ quality","volume":"20","author":"Volk","year":"2014","journal-title":"Liver Transpl"},{"issue":"8","key":"10.1016\/j.ajt.2025.11.009_bib12","doi-asserted-by":"crossref","first-page":"533","DOI":"10.7326\/M17-2871","article-title":"Direct-acting antiviral prophylaxis in kidney transplantation from hepatitis C virus\u2013infected donors to noninfected recipients: an open-label nonrandomized trial","volume":"168","author":"Durand","year":"2018","journal-title":"Ann Intern Med"},{"issue":"24","key":"10.1016\/j.ajt.2025.11.009_bib13","doi-asserted-by":"crossref","first-page":"2394","DOI":"10.1056\/NEJMc1705221","article-title":"Trial of transplantation of HCV-infected kidneys into uninfected recipients","volume":"376","author":"Goldberg","year":"2017","journal-title":"N Engl J Med"},{"issue":"5","key":"10.1016\/j.ajt.2025.11.009_bib14","doi-asserted-by":"crossref","first-page":"273","DOI":"10.7326\/M18-0749","article-title":"Twelve-month outcomes after transplant of hepatitis C\u2013infected kidneys into uninfected recipients: a single-group trial","volume":"169","author":"Reese","year":"2018","journal-title":"Ann Intern Med"},{"issue":"1","key":"10.1016\/j.ajt.2025.11.009_bib15","doi-asserted-by":"crossref","DOI":"10.1097\/AS9.0000000000000368","article-title":"The Public Health Service \u201cIncreased Risk\u201d 2020 policy change has not improved organ utilization in the United States: a nationwide cohort study","volume":"5","author":"Paneitz","year":"2024","journal-title":"Ann Surg Open"},{"issue":"5","key":"10.1016\/j.ajt.2025.11.009_bib16","doi-asserted-by":"crossref","first-page":"610","DOI":"10.1016\/j.jchf.2022.09.014","article-title":"Elimination of the \u201cIncreased Risk\u201d label has not improved donor heart utilization in the U.S","volume":"11","author":"Paneitz","year":"2023","journal-title":"JACC Heart Fail"},{"issue":"6","key":"10.1016\/j.ajt.2025.11.009_bib17","doi-asserted-by":"crossref","first-page":"1440","DOI":"10.1097\/TP.0000000000004929","article-title":"Organ nonutilization following revision to the Public Health Service donor risk criteria for HIV, HCV, or HBV transmission","volume":"108","author":"Patel","year":"2024","journal-title":"Transplantation"},{"issue":"10237","key":"10.1016\/j.ajt.2025.11.009_bib18","doi-asserted-by":"crossref","first-page":"e95","DOI":"10.1016\/S0140-6736(20)31040-0","article-title":"Organ procurement and transplantation during the COVID-19 pandemic","volume":"395","author":"Loupy","year":"2020","journal-title":"Lancet"},{"issue":"10","key":"10.1016\/j.ajt.2025.11.009_bib19","doi-asserted-by":"crossref","first-page":"e709","DOI":"10.1016\/S2468-2667(21)00200-0","article-title":"COVID-19 pandemic and worldwide organ transplantation: a population-based study","volume":"6","author":"Aubert","year":"2021","journal-title":"Lancet Public Health"},{"key":"10.1016\/j.ajt.2025.11.009_bib20","unstructured":"Risk adjustment models: posttransplant outcomes. Scientific Registry of Transplant Recipients. Accessed January 31, 2024. https:\/\/www.srtr.org\/reports-tools\/risk-adjustment-models-posttransplant-outcomes\/."},{"issue":"1","key":"10.1016\/j.ajt.2025.11.009_bib21","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1093\/biomet\/73.1.13","article-title":"Longitudinal data analysis using generalized linear models","volume":"73","author":"Liang","year":"1986","journal-title":"Biometrika"},{"key":"10.1016\/j.ajt.2025.11.009_bib22","unstructured":"OPTN. Regions. Organ Procurement and Transplantation Network. Accessed August 13, 2024. https:\/\/optn.transplant.hrsa.gov\/about\/regions."},{"key":"10.1016\/j.ajt.2025.11.009_bib23","unstructured":"OPTN. Policy. Part 8: allocation of kidneys. 8.2: kidney allocation score. Organ Procurement and Transplantation Network. https:\/\/optn.transplant.hrsa.gov\/media\/eavh5bf3\/optn_policies.pdf."},{"key":"10.1016\/j.ajt.2025.11.009_bib24","unstructured":"OPTN Policy. Part 8: allocation of Kidneys. 8.4.B. Deceased Donor Classifications. Organ Procurement and Transplantation Network. https:\/\/optn.transplant.hrsa.gov\/media\/eavh5bf3\/optn_policies.pdf."},{"issue":"23","key":"10.1016\/j.ajt.2025.11.009_bib25","doi-asserted-by":"crossref","DOI":"10.1161\/JAHA.121.021346","article-title":"Impact of obesity on heart transplantation outcomes","volume":"10","author":"Chouairi","year":"2021","journal-title":"J Am Heart Assoc"},{"key":"10.1016\/j.ajt.2025.11.009_bib26","series-title":"Presented at: American Transplant Congress","article-title":"Donor derived transmissions 2021: analysis of the OPTN ad hoc Disease Transmission Advisory Committee (DTAC)","author":"Pouch","year":"2023"},{"key":"10.1016\/j.ajt.2025.11.009_bib27","series-title":"Presented at: American Transplant Congress","article-title":"Donor derived transmissions 2022: analysis of the OPTN ad hoc Disease Transmission Advisory Committee (DTAC)","author":"Pouch","year":"2024"},{"key":"10.1016\/j.ajt.2025.11.009_bib28","series-title":"Personal communication","author":"Howell","year":"2024"}],"container-title":["American Journal of Transplantation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1600613525031156?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1600613525031156?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T07:26:59Z","timestamp":1777620419000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1600613525031156"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4]]},"references-count":28,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["S1600613525031156"],"URL":"https:\/\/doi.org\/10.1016\/j.ajt.2025.11.009","relation":{},"ISSN":["1600-6135"],"issn-type":[{"value":"1600-6135","type":"print"}],"subject":[],"published":{"date-parts":[[2026,4]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Utilization of organs following implementation of the 2020 United States Public Health Service guideline recommendations","name":"articletitle","label":"Article Title"},{"value":"American Journal of Transplantation","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.ajt.2025.11.009","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"Published by Elsevier Inc. on behalf of American Society of Transplantation & American Society of Transplant Surgeons.","name":"copyright","label":"Copyright"}]}}