{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T17:55:13Z","timestamp":1785779713234,"version":"3.56.0"},"reference-count":20,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T00:00:00Z","timestamp":1780012800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T00:00:00Z","timestamp":1780012800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Transplantation"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>A significant percentage of livers from DCD donors do not undergo allocation or procurement. We identified non\u2010allocated and non\u2010procured livers to understand reasons for non\u2010utilization and to quantify allografts potentially suitable for transplantation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The SRTR database was reviewed from 09\/29\/2021 to 12\/31\/2024 to identify all DCD procurements where at least one organ was transplanted. Donors were compared based on whether liver allocation and procurement occurred. Multivariable logistic regression identified independent predictors of liver allocation and procurement. Non\u2010procured DCD livers were propensity matched to procured DCD livers based on donor characteristics to investigate potential outcomes of non\u2010procured livers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 14\u00a0470 DCD donors had at least one organ successfully transplanted; from these, 18.7% (\n                      <jats:italic>n<\/jats:italic>\n                      = 2714) had no attempt at liver allocation (NAA). NAA livers were more likely to have elevated bilirubin and a history of heavy alcohol use. Among allocated livers, 39.2% (\n                      <jats:italic>n<\/jats:italic>\n                      = 4614) were not procured, primarily due to poor organ quality (70.5%), although logistical factors were equally as common (e.g., projected cold ischemia time, 70.4%). Non\u2010procured liver donors were more likely to be older (&gt;60 years: 14.7%\u00a0vs. 13.5%,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.01), with a withdrawal time &gt;30\u00a0min (35.9%\u00a0vs. 17.7%,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.01). Despite these differences, procured\u2010livers propensity\u2010matched to non\u2010procured livers had high organ utilization rates and comparable allograft survival to all other DCD livers (1\u2010year: 90.1%\u00a0vs. 90.6%,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.51).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Traditionally high\u2010risk transplanted DCD livers demonstrated comparable graft survival to other procured DCD livers. Given similar donor profile characteristics among non\u2010procured and non\u2010allocated livers, this suggests a potentially missed opportunity to expand the donor pool.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ctr.70568","type":"journal-article","created":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T12:32:08Z","timestamp":1780057928000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Missed Opportunities in Donation After Circulatory Death Liver Transplantation: A National Analysis of Non\u2010Allocation and Non\u2010Procurement"],"prefix":"10.1111","volume":"40","author":[{"given":"Andrew D.","family":"Shubin","sequence":"first","affiliation":[{"name":"Division of Transplant Surgery Department of Surgery UT\u2010Southwestern  Dallas Texas USA"},{"name":"LifeShare Network Inc.  Oklahoma City Oklahoma USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shreya L.","family":"Hariharakumar","sequence":"additional","affiliation":[{"name":"Division of Transplant Surgery Department of Surgery UT\u2010Southwestern  Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren E.","family":"Matevish","sequence":"additional","affiliation":[{"name":"Division of Transplant Surgery Department of Surgery UT\u2010Southwestern  Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taylor M.","family":"Coe","sequence":"additional","affiliation":[{"name":"Division of Transplant Surgery Department of Surgery UT\u2010Southwestern  Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ratul","family":"Bhattacharrya","sequence":"additional","affiliation":[{"name":"Division of Transplant Surgery Department of Surgery UT\u2010Southwestern  Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason Y.","family":"Wang","sequence":"additional","affiliation":[{"name":"Division of Transplant Surgery Department of Surgery UT\u2010Southwestern  Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian A.","family":"Jafari","sequence":"additional","affiliation":[{"name":"Division of Transplant Surgery Department of Surgery UT\u2010Southwestern  Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chistine S.","family":"Hwang","sequence":"additional","affiliation":[{"name":"Division of Transplant Surgery Department of Surgery UT\u2010Southwestern  Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yanik J.","family":"Bababekov","sequence":"additional","affiliation":[{"name":"Department of Surgery Tufts University School of Medicine  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Parsia A.","family":"Vagefi","sequence":"additional","affiliation":[{"name":"Division of Transplant Surgery Department of Surgery UT\u2010Southwestern  Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Madhukar S.","family":"Patel","sequence":"additional","affiliation":[{"name":"Division of Transplant Surgery Department of Surgery UT\u2010Southwestern  Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,29]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajt.2025.01.022"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/TXD.0000000000001679"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2024.0520"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2021.6781"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/TXD.0000000000001777"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/TXD.0000000000001861"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/XCS.0000000000001398"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/TP.0000000000004777"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajt.2024.03.027"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2025.116512"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u20106143.2012.04195.x"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/TP.0000000000002151"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/ctr.15155"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm14082773"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajt.2024.12.249"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/TXD.0000000000001650"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2025.109670"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajt.2025.04.005"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2026.110177"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/XCS.0000000000000555"}],"container-title":["Clinical 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