{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T22:29:18Z","timestamp":1792794558751,"version":"4.5.0"},"reference-count":24,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2023,3,21]],"date-time":"2023-03-21T00:00:00Z","timestamp":1679356800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["K24AI146137-02"],"award-info":[{"award-number":["K24AI146137-02"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["R01-DK070869"],"award-info":[{"award-number":["R01-DK070869"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000133","name":"Agency for Healthcare Research and Quality","doi-asserted-by":"publisher","award":["5K12HS026372-04"],"award-info":[{"award-number":["5K12HS026372-04"]}],"id":[{"id":"10.13039\/100000133","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Prog Transpl"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Recovery of donated organs at organ procurement organization (OPO)-based recovery facilities has been proposed to improve organ donation outcomes, but few data exist to characterize differences between facilities and acute-care hospitals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Research Question<\/jats:title>\n                    <jats:p>To compare donation outcomes between organ donors that underwent recovery procedures in OPO-based recovery facilities and hospitals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Retrospective study of Organ Procurement and Transplantation Network data. From a population-based sample of deceased donors after brain death April 2017 to June 2021, donation outcomes were examined in 10 OPO regions with organ recovery facilities. Primary exposure was organ recovery procedure in an OPO-based organ recovery. Primary outcome was the number of organs transplanted per donor. Multivariable regression models were used to adjust for donor characteristics and managing OPO.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among 5010 cohort donors, 2590 (51.7%) underwent recovery procedures in an OPO-based facility. Donors in facilities differed from those in hospitals, including recovery year, mechanisms of death, and some comorbid diseases. Donors in OPO-based facilities had higher total numbers of organs transplanted per donor (mean 3.5 [SD1.8] vs 3.3 [SD1.8]; adjusted mean difference 0.27, 95% confidence interval 0.18-0.36). Organ recovery at an OPO-based facility was also associated with more lungs, livers, and pancreases transplanted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Organ recovery procedures at OPO-based facilities were associated with more organs transplanted per donor than in hospitals. Increasing access to OPO-based organ recovery facilities may improve rates of organ transplantation from deceased organ donors, although further data are needed on other important donor management quality metrics.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15269248231164176","type":"journal-article","created":{"date-parts":[[2023,3,21]],"date-time":"2023-03-21T03:23:16Z","timestamp":1679368996000},"page":"110-120","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":16,"title":["Organ Transplantation Outcomes of Deceased Organ Donors in Organ Procurement Organization-Based Recovery Facilities Versus Acute-Care Hospitals"],"prefix":"10.1177","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1849-5780","authenticated-orcid":false,"given":"Emily A.","family":"Vail","sequence":"first","affiliation":[{"name":"Department of Anesthesiology and Critical Care, University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA, USA"},{"name":"Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA, USA"},{"name":"Penn Center for Perioperative Outcomes Research and Transformation, University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Douglas E.","family":"Schaubel","sequence":"additional","affiliation":[{"name":"Department of Biostatistics, Epidemiology and Informatics, University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter L.","family":"Abt","sequence":"additional","affiliation":[{"name":"Division of Transplantation, Department of Surgery, University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA, USA"},{"name":"Penn Transplant Institute, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Niels D.","family":"Martin","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter P.","family":"Reese","sequence":"additional","affiliation":[{"name":"Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA, USA"},{"name":"Penn Transplant Institute, Philadelphia, PA, USA"},{"name":"Renal-Electrolyte and Hypertension Division, Department of Medicine, University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark D.","family":"Neuman","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Critical Care, University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA, USA"},{"name":"Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA, USA"},{"name":"Penn Center for Perioperative Outcomes Research and Transformation, University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,3,21]]},"reference":[{"key":"bibr1-15269248231164176","unstructured":"2021 Annual Report of the U.S. Organ Procurement and Transplantation Network and the Scientific Registry of Transplant Recipients. Department of Health and Human Services, Health Resources and Services Administration, Healthcare Systems Bureau, Division of Transplantation, Rockville, MD; United Network for Organ Sharing, Richmond, VA; University Renal Research and Education Association, Ann Arbor, MI. 2021. Accessed February 3, 2023. Available at: http:\/\/optn.transplant.hrsa.gov"},{"key":"bibr2-15269248231164176","first-page":"831501","author":"Razdan M","year":"2015","journal-title":"J Transplant"},{"key":"bibr3-15269248231164176","volume-title":"Realizing the Promise of Equity in the Organ Transplantation System","author":"National Academies of Science, Engineering, and Medicine","year":"2022"},{"key":"bibr4-15269248231164176","doi-asserted-by":"publisher","DOI":"10.1111\/ajt.12607"},{"key":"bibr5-15269248231164176","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2015.12.032"},{"key":"bibr6-15269248231164176","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2017.12.009"},{"key":"bibr7-15269248231164176","doi-asserted-by":"publisher","DOI":"10.21037\/jtd-20-1575"},{"key":"bibr8-15269248231164176","doi-asserted-by":"publisher","DOI":"10.1111\/ctr.14178"},{"key":"bibr9-15269248231164176","unstructured":"Tsai S, Neuman MD, Vail EA. Population and Performance Characteristics of United States Organ Procurement Organizations Operating Independent Deceased Organ Donor Management Facilities [Abstract]. Academy Health Annual Research Meeting. Washington, DC. June 6, 2022. Abstract 52027. Access February 3, 2023. https:\/\/academyhealth.confex.com\/academyhealth\/2022arm\/meetingapp.cgi\/Paper\/52027."},{"key":"bibr10-15269248231164176","doi-asserted-by":"publisher","DOI":"10.1111\/ajt.14391"},{"key":"bibr11-15269248231164176","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2020.5395"},{"key":"bibr12-15269248231164176","doi-asserted-by":"publisher","DOI":"10.1097\/TP.0000000000003019"},{"key":"bibr13-15269248231164176","unstructured":"Centers for Medicare and Medicaid Services. Request for Information: Organ Recovery Facilities. RIN 0938-AU55. US Department of Health and Human Services. Washington, DC. December 3, 2021. Accessed February 23, 2023. https:\/\/www.federalregister.gov\/documents\/2021\/12\/03\/2021-26146\/request-for-information-health-and-safety-requirements-for-transplant-programs-organ-procurement"},{"key":"bibr14-15269248231164176","unstructured":"Brockmeier D. OPO Center Experience. Presentation to the National Academies of Science, Engineering, and Medicine Virtual Workshop: A Fairer and More Equitable, Cost-Effective, and Transparent System of Donor Organ Procurement, Allocation, and Distribution. Accessed February 3, 2023. https:\/\/www.nationalacademies.org\/event\/02-04-2021\/docs\/D9CC1FB8200374EDA12023AA50752CC5AEB625C27CA5?noSaveAs=1"},{"key":"bibr15-15269248231164176","unstructured":"Vail EA, Vaughan CJ, Reese PP, Neuman MD. Models of Centralized Deceased Organ Donor Management in the United States [Abstract]. Academy Health Annual Research Meeting. Washington, DC. June 5, 2022. Abstract 52627. Accessed February 3, 2023. https:\/\/academyhealth.confex.com\/academyhealth\/2022arm\/meetingapp.cgi\/Paper\/52627"},{"key":"bibr16-15269248231164176","unstructured":"Organ Procurement and Transplantation Network database. Health Resources and Services Administration, US Department of Health and Human Services. Updated July 2021. Accessed February 3, 2023. https:\/\/optn.transplant.hrsa.gov\/data\/about-data\/optn-database\/"},{"key":"bibr17-15269248231164176","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.122047"},{"key":"bibr18-15269248231164176","unstructured":"Organ Procurement and Transplantation Network. A Guide to Calculating and Interpreting the Kidney Donor Profile Index. Updated March 31, 2021. Accessed February 9, 2022. https:\/\/optn.transplant.hrsa.gov\/media\/4615\/kdpi_guide.pdf Accessed February 3, 2023"},{"key":"bibr19-15269248231164176","doi-asserted-by":"publisher","DOI":"10.1177\/003335491312800403"},{"key":"bibr20-15269248231164176","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-6143.2006.01242.x"},{"key":"bibr21-15269248231164176","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0b013e318271198c"},{"key":"bibr22-15269248231164176","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e31822779e5"},{"key":"bibr23-15269248231164176","unstructured":"Vail EA, Abt PL, Martin ND, Reese PP, Neuman MD. Comparison of characteristics and outcomes of deceased organ donors managed in acute care hospitals and independent donor management facilities: Study design and data analysis plan. Open Science Foundation. December 14, 2021. 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