{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T07:41:47Z","timestamp":1792222907109,"version":"4.4.0"},"reference-count":28,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2019,8,27]],"date-time":"2019-08-27T00:00:00Z","timestamp":1566864000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Transplantation"],"published-print":{"date-parts":[[2019,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Efforts to increase deceased donation have included the use of US Public Health Service (PHS) high\u2010risk donors. The homeless have high rates of medical and substance abuse issues that are often unrecognized. This study investigates whether the homeless should become suitable organ donors. We retrospectively reviewed 193 brain\u2010dead prospective donors from Hawaii's organ procurement organization (OPO; 2013\u20102018) and compared two groups: homeless (n\u00a0=\u00a013) and non\u2010homeless (n\u00a0=\u00a0180) prospective donors. The homeless prospective donors were older (48.0 vs 40.7\u00a0years, <jats:italic>P<\/jats:italic>\u00a0=\u00a0.009) and had more substance abuse (30.8% vs 10%, <jats:italic>P<\/jats:italic>\u00a0=\u00a0.046), methamphetamine use (53.8% vs 12.2%, <jats:italic>P<\/jats:italic>\u00a0=\u00a0.001), cocaine use (23.1% vs 3.9%, <jats:italic>P<\/jats:italic>\u00a0=\u00a0.022), and urine with amphetamines (54.5% vs 17.9%, <jats:italic>P<\/jats:italic>\u00a0=\u00a0.049). The homeless prospective donors trended toward more PHS high\u2010risk designation (50% vs 19%, <jats:italic>P<\/jats:italic>\u00a0=\u00a0.062). There was no difference in medical history, gender\/race, hepatitis serologies, authorization for donation, and organs procured\/transplanted between prospective donors. We have provided evidence that the homeless should become prospective organ donors; however, they have more high\u2010risk behaviors and often have limited information. Larger studies from OPOs are needed to better characterize organ donation and track disease transmission in this population.<\/jats:p>","DOI":"10.1111\/ctr.13685","type":"journal-article","created":{"date-parts":[[2019,8,5]],"date-time":"2019-08-05T14:39:09Z","timestamp":1565015949000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Should a homeless person become a deceased organ donor?"],"prefix":"10.1111","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1487-6551","authenticated-orcid":false,"given":"William G.","family":"Lee","sequence":"first","affiliation":[{"name":"Department of Surgery University of Hawaii John A. Burns School of Medicine Honolulu Hawaii"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3143-5384","authenticated-orcid":false,"given":"Linda L.","family":"Wong","sequence":"additional","affiliation":[{"name":"Department of Surgery University of Hawaii John A. Burns School of Medicine Honolulu Hawaii"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roderick","family":"Olivas","sequence":"additional","affiliation":[{"name":"Department of Surgery University of Hawaii John A. Burns School of Medicine Honolulu Hawaii"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ailea","family":"Apana","sequence":"additional","affiliation":[{"name":"Department of Surgery University of Hawaii John A. Burns School of Medicine Honolulu Hawaii"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katharine","family":"Kickertz","sequence":"additional","affiliation":[{"name":"Legacy of Life Hawaii Honolulu Hawaii"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Makoto","family":"Ogihara","sequence":"additional","affiliation":[{"name":"Department of Surgery University of Hawaii John A. Burns School of Medicine Honolulu Hawaii"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,8,27]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajt.15276"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajt.15274"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/003335491312800403"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-6143.2009.02700.x"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-6143.2011.03597.x"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/TP.0000000000001716"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajt.14506"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajt.14577"},{"key":"e_1_2_8_10_1","unstructured":"HenryM MahatheyA MorrillT et al. The 2018Annual Homeless Assessment Report (AHAR) to Congress. The United States Department of Housing and Urban Development; 2018.https:\/\/www.hudexchange.info\/resources\/documents\/2018-AHAR-Part-1.pdf. Accessed February 10 2019."},{"key":"e_1_2_8_11_1","unstructured":"United States Interagency Council on Homelessness.Hawaii homelessness statistics. 2018. Accessed on July 7 2019.https:\/\/www.usich.gov\/homelessness-statistics\/hi\/."},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dyp160"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(12)70177-9"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(12)70186-X"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.5588\/ijtld.13.0270"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(14)61132-6"},{"key":"e_1_2_8_17_1","first-page":"673","article-title":"The medical treatment of homeless people","volume":"114","author":"Kaduszkiewicz H","year":"2017","journal-title":"Dtsch Arztebl Int"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.healun.2010.10.007"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2005.076190"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-6143.2011.03631.x"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1177\/0033354917694008"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(01)00062-7"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12882-017-0794-0"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0014-2999(00)00264-8"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-0012.2007.00703.x"},{"key":"e_1_2_8_26_1","unstructured":"National Donate Life Registry.Donate Life America. 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