{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T15:28:19Z","timestamp":1791473299581,"version":"4.3.4"},"reference-count":15,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:sec>\n            <jats:title>Background.<\/jats:title>\n            <jats:p>The recent trend of organ procurement organizations (OPOs) employing independent surgeons for organ procurement has been developed with the goal of improving the supply of suitable organs for transplantation. We investigated the effects that the addition of an OPO-employed, organ-procurement specialist has on liver allograft discard rate, marginal organ utilization, and graft survival.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods.<\/jats:title>\n            <jats:p>Organ Procurement and Transplant Network and OPO data were retrospectively studied between April 1, 2014\u201a and July 31, 2019\u201a within the Southwest Transplant Alliance donor service area. Liver procurements with an OPO-surgeon present (OPO-Present) were compared to those without the involvement of an OPO surgeon (OPO-Absent). Donor and recipient characteristics as well as outcomes were analyzed across groups using propensity score matching.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results.<\/jats:title>\n            <jats:p>In total 869 OPO-Present liver allografts had similar rates of discard (5.2%) compared to 771 OPO-Absent livers (5.8%). However, after adjusting for donor risk, OPO-Present livers had a lower propensity of discard compared to OPO-Absent (3.4% versus 7.6%, <jats:italic toggle=\"yes\">P<\/jats:italic> &lt; 0.05). OPO-Present livers were more likely to be shared nationally (11.0% versus 4.8%, <jats:italic toggle=\"yes\">P<\/jats:italic> &lt; 0.001). Outcome analysis showed allograft survival of OPO-Present livers at 5 y was comparable to OPO-Absent livers (79.5% versus 80%, <jats:italic toggle=\"yes\">P<\/jats:italic> = 0.34).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions.<\/jats:title>\n            <jats:p>The presence of an OPO surgeon was associated with decreased liver allograft discard and increased utilization of marginal donor organs. The OPO surgeon\u2019s presence represents a potential strategy to increase organ utilization nationally.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/tp.0000000000004367","type":"journal-article","created":{"date-parts":[[2022,10,18]],"date-time":"2022-10-18T04:02:38Z","timestamp":1666065758000},"page":"648-653","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":8,"title":["No Stone Left Unturned: Utilization of an Organ Procurement Organization Donor Surgeon at Procurement Reduces Discards of Marginal Liver Allografts"],"prefix":"10.1097","volume":"107","author":[{"given":"Andrew D.","family":"Shubin","sequence":"first","affiliation":[{"name":"Division of Surgical Transplantation, Department of Surgery, University of Texas Southwestern Medical Center, Dallas, TX."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Malcolm P.","family":"MacConmara","sequence":"additional","affiliation":[{"name":"Transmedics Inc, Andover, MA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Madhukar S.","family":"Patel","sequence":"additional","affiliation":[{"name":"Division of Surgical Transplantation, Department of Surgery, University of Texas Southwestern Medical Center, Dallas, TX."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin K.","family":"Wang","sequence":"additional","affiliation":[{"name":"Division of Surgical Transplantation, Department of Surgery, University of Texas Southwestern Medical Center, Dallas, TX."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cyrus A.","family":"Feizpour","sequence":"additional","affiliation":[{"name":"Division of Surgical Transplantation, Department of Surgery, University of Texas Southwestern Medical Center, Dallas, TX."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey","family":"Reese","sequence":"additional","affiliation":[{"name":"Southwest Transplant Alliance, Dallas, TX."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricia A.","family":"Niles","sequence":"additional","affiliation":[{"name":"Southwest Transplant Alliance, Dallas, TX."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jigesh A.","family":"Shah","sequence":"additional","affiliation":[{"name":"Division of Surgical Transplantation, Department of Surgery, University of Texas Southwestern Medical Center, Dallas, TX."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dev M.","family":"Desai","sequence":"additional","affiliation":[{"name":"Division of Surgical Transplantation, Department of Surgery, University of Texas Southwestern Medical Center, Dallas, TX."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucia","family":"De Gregorio","sequence":"additional","affiliation":[{"name":"Division of Surgical Transplantation, Department of Surgery, University of Texas Southwestern Medical Center, Dallas, TX."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven I.","family":"Hanish","sequence":"additional","affiliation":[{"name":"Division of Surgical Transplantation, Department of Surgery, University of Texas Southwestern Medical Center, Dallas, TX."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Parsia A.","family":"Vagefi","sequence":"additional","affiliation":[{"name":"Division of Surgical Transplantation, Department of Surgery, University of Texas Southwestern Medical Center, Dallas, TX."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine S.","family":"Hwang","sequence":"additional","affiliation":[{"name":"Division of Surgical Transplantation, Department of Surgery, University of Texas Southwestern Medical Center, Dallas, TX."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2022,10,18]]},"reference":[{"issue":"Suppl 2","key":"R1-20250604","doi-asserted-by":"crossref","first-page":"208","DOI":"10.1111\/ajt.16494","article-title":"OPTN\/SRTR 2019 Annual Data Report: Liver.","volume":"21","author":"Kwong","year":"2021","journal-title":"Am J Transplant"},{"key":"R2-20250604","doi-asserted-by":"crossref","first-page":"748","DOI":"10.1097\/01.sla.0000219669.84192.b3","article-title":"Optimal utilization of donor grafts with extended criteria: a single-center experience in over 1000 liver transplants.","volume":"243","author":"Cameron","year":"2006","journal-title":"Ann Surg"},{"key":"R3-20250604","doi-asserted-by":"crossref","first-page":"2636","DOI":"10.4254\/wjh.v7.i26.2636","article-title":"Strategies to optimize the use of marginal donors in liver transplantation.","volume":"7","author":"Pezzati","year":"2015","journal-title":"World J Hepatol"},{"key":"R4-20250604","doi-asserted-by":"crossref","first-page":"556","DOI":"10.1097\/01.sla.0000183973.49899.b1","article-title":"Utilization of extended donor criteria liver allografts maximizes donor use and patient access to liver transplantation.","volume":"242","author":"Renz","year":"2005","journal-title":"Ann Surg"},{"key":"R5-20250604","doi-asserted-by":"crossref","first-page":"761","DOI":"10.1034\/j.1600-6143.2002.20810.x","article-title":"Increased transplanted organs from the use of a standardized donor management protocol.","volume":"2","author":"Rosendale","year":"2002","journal-title":"Am J Transplant"},{"key":"R6-20250604","doi-asserted-by":"crossref","first-page":"2219","DOI":"10.1111\/ajt.15301","article-title":"Influence of the procurement surgeon on transplanted abdominal organ outcomes: an SRTR analysis to evaluate regional organ procurement collaboration.","volume":"19","author":"Serrano","year":"2019","journal-title":"Am J Transplant"},{"key":"R7-20250604","doi-asserted-by":"crossref","first-page":"1296","DOI":"10.1111\/ajt.15129","article-title":"Organ procurement center allows for daytime liver transplantation with less resource utilization: May address burnout, pipeline, and safety for field of transplantation.","volume":"19","author":"Lindemann","year":"2019","journal-title":"Am J Transplant"},{"key":"R8-20250604","doi-asserted-by":"crossref","first-page":"615","DOI":"10.1111\/ajt.12607","article-title":"A novel organ donor facility: a decade of experience with liver donors.","volume":"14","author":"Doyle","year":"2014","journal-title":"Am J Transplant"},{"key":"R9-20250604","doi-asserted-by":"crossref","first-page":"640","DOI":"10.1002\/lt.21726","article-title":"No difference in clinical transplant outcomes for local and imported liver allografts.","volume":"15","author":"Mangus","year":"2009","journal-title":"Liver Transpl"},{"key":"R10-20250604","doi-asserted-by":"crossref","first-page":"2293","DOI":"10.1016\/j.transproceed.2012.07.043","article-title":"Liver grafts procured by other transplant teams do not affect posttransplantation outcomes.","volume":"44","author":"Salvalaggio","year":"2012","journal-title":"Transplant Proc"},{"key":"R11-20250604","doi-asserted-by":"crossref","first-page":"435","DOI":"10.1016\/j.transproceed.2004.02.060","article-title":"Regional procurement team for abdominal organs.","volume":"36","author":"Signori","year":"2004","journal-title":"Transplant Proc"},{"key":"R12-20250604","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1016\/S0003-4975(97)00129-X","article-title":"Retrieval by other procurement teams provides favorable lung transplantation outcome.","volume":"64","author":"Shiraishi","year":"1997","journal-title":"Ann Thorac Surg"},{"key":"R13-20250604","doi-asserted-by":"crossref","first-page":"783","DOI":"10.1111\/j.1600-6143.2006.01242.x","article-title":"Characteristics associated with liver graft failure: the concept of a donor risk index.","volume":"6","author":"Feng","year":"2006","journal-title":"Am J Transplant"},{"key":"R14-20250604","doi-asserted-by":"crossref","first-page":"1453","DOI":"10.1002\/lt.25291","article-title":"Development of clinical criteria for functional assessment to predict primary nonfunction of high-risk livers using normothermic machine perfusion.","volume":"24","author":"Mergental","year":"2018","journal-title":"Liver Transpl"},{"key":"R15-20250604","doi-asserted-by":"crossref","first-page":"156","DOI":"10.1097\/MOT.0000000000000612","article-title":"The finances of a liver transplant program.","volume":"24","author":"Cook","year":"2019","journal-title":"Curr Opin Organ Transplant"}],"container-title":["Transplantation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.1097\/TP.0000000000004367","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,4]],"date-time":"2025-06-04T18:19:27Z","timestamp":1749061167000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1097\/TP.0000000000004367"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,10,18]]},"references-count":15,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.1097\/tp.0000000000004367","relation":{},"ISSN":["0041-1337"],"issn-type":[{"value":"0041-1337","type":"print"}],"subject":[],"published":{"date-parts":[[2022,10,18]]}}}