{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T01:56:57Z","timestamp":1777427817688,"version":"3.51.4"},"reference-count":34,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2020,7,23]],"date-time":"2020-07-23T00:00:00Z","timestamp":1595462400000},"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":["Transplant Infectious Dis"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Despite increased utilization of hepatitis C virus\u2010infected (HCV+) organs for transplantation into HCV\u2010uninfected recipients, there is lack of standardization in HCV\u2010related patient education\/consent and limited data on financial and social impact on patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted a survey on patients with donor\u2010derived HCV infection at our center transplanted between 4\/1\/2017 and 11\/1\/2019 to assess: why patients chose to accept HCV+ organ(s), the adequacy of their pre\u2010transplant HCV education and informed consent process, financial issues related to copays after discharge, and social challenges they faced.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among 49 patients surveyed, transplanted organs included heart (n\u00a0=\u00a019), lung (n\u00a0=\u00a09), kidney (n\u00a0=\u00a011), liver (n\u00a0=\u00a04), heart\/kidney (n\u00a0=\u00a04), and liver\/kidney (n\u00a0=\u00a02). Many recipients accepted an HCV\u2010viremic (HCV\u2010V) organ due to perceived reduction in waitlist time (n\u00a0=\u00a033) and\/or trust in their physician's recommendation (n\u00a0=\u00a029). Almost all (n\u00a0=\u00a047) felt that pre\u2010transplant education and consent was appropriate. Thirty patients had no copay for direct\u2010acting antivirals (DAA) for HCV, including 21 with household income &lt;$20\u00a0000; seven had copays of &lt;$100 and one had a copay &gt;$1000. Two patients reported feeling isolated due to HCV infection and eight reported higher than anticipated medication costs. Patients\u2019 biggest concern was potential HCV transmission to partners (n\u00a0=\u00a018) and family\/friends (n\u00a0=\u00a015). Overall almost all (n\u00a0=\u00a047) patients reported a positive experience with HCV\u2010V organ transplantation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>We demonstrate that real\u2010world patient experiences surrounding HCV\u2010V organ transplantation have been favorable. Almost all patients report comprehensive HCV\u2010related pre\u2010transplant consent and education. Additionally, medication costs and social isolation\/exclusion were not barriers to the use of these organs.<\/jats:p><\/jats:sec>","DOI":"10.1111\/tid.13402","type":"journal-article","created":{"date-parts":[[2020,7,7]],"date-time":"2020-07-07T17:49:54Z","timestamp":1594144194000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Post\u2010transplant survey to assess patient experiences with donor\u2010derived HCV infection"],"prefix":"10.1111","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8653-4657","authenticated-orcid":false,"given":"Katya","family":"Prakash","sequence":"first","affiliation":[{"name":"Department of Medicine University of California San Diego California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claudia","family":"Ramirez\u2010Sanchez","sequence":"additional","affiliation":[{"name":"Department of Medicine University of California San Diego California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sydney I.","family":"Ramirez","sequence":"additional","affiliation":[{"name":"Department of Medicine University of California San Diego California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cathy","family":"Logan","sequence":"additional","affiliation":[{"name":"Department of Medicine University of California San Diego California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nancy","family":"Law","sequence":"additional","affiliation":[{"name":"Department of Medicine University of California San Diego California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristin","family":"Mekeel","sequence":"additional","affiliation":[{"name":"Department of Surgery University of California San Diego California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Victor","family":"Pretorius","sequence":"additional","affiliation":[{"name":"Department of Surgery University of California San Diego California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saima","family":"Aslam","sequence":"additional","affiliation":[{"name":"Department of Medicine University of California San Diego California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,7,23]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"National data \u2010 OPTN. https:\/\/optn.transplant.hrsa.gov\/data\/view\u2010data\u2010reports\/national\u2010data\/#. 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