{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T00:16:58Z","timestamp":1777940218115,"version":"3.51.4"},"reference-count":27,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2023,11,9]],"date-time":"2023-11-09T00:00:00Z","timestamp":1699488000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000062","name":"National Institute of Diabetes and Digestive and Kidney Diseases","doi-asserted-by":"publisher","award":["K24AI146137"],"award-info":[{"award-number":["K24AI146137"]}],"id":[{"id":"10.13039\/100000062","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000062","name":"National Institute of Diabetes and Digestive and Kidney Diseases","doi-asserted-by":"publisher","award":["R01-DK070869"],"award-info":[{"award-number":["R01-DK070869"]}],"id":[{"id":"10.13039\/100000062","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000133","name":"Agency for Healthcare Research and Quality","doi-asserted-by":"publisher","award":["K12HS0236372"],"award-info":[{"award-number":["K12HS0236372"]}],"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":[[2023,12]]},"abstract":"<jats:p>Introduction: Organ recovery facilities address the logistical challenges of hospital-based deceased organ donor management. While more organs are transplanted from donors in facilities, differences in donor management and donation processes are not fully characterized. Research Question: Does deceased donor management and organ transport distance differ between organ procurement organization (OPO)-based recovery facilities versus hospitals? Design: Retrospective analysis of Organ Procurement and Transplant Network data, including adults after brain death in 10 procurement regions (April 2017-June 2021). The primary outcomes were ischemic times of transplanted hearts, kidneys, livers, and lungs. Secondary outcomes included transport distances (between the facility or hospital and the transplant program) for each transplanted organ. Results: Among 5010 deceased donors, 51.7% underwent recovery in an OPO-based recovery facility. After adjustment for recipient and system factors, mean differences in ischemic times of any transplanted organ were not significantly different between donors in facilities and hospitals. Transplanted hearts recovered from donors in facilities were transported further than hearts from hospital donors (median 255\u2005mi [IQR 27, 475] versus 174 [IQR 42, 365], P\u2009=\u2009.002); transport distances for livers and kidneys were significantly shorter ( P\u2009&lt;\u2009.001 for both). Conclusion: Organ recovery procedures performed in OPO-based recovery facilities were not associated with differences in ischemic times in transplanted organs from organs recovered in hospitals, but differences in organ transport distances exist. Further work is needed to determine whether other observed differences in donor management and organ distribution meaningfully impact donation and transplantation outcomes.<\/jats:p>","DOI":"10.1177\/15269248231212918","type":"journal-article","created":{"date-parts":[[2023,11,9]],"date-time":"2023-11-09T04:24:18Z","timestamp":1699503858000},"page":"283-292","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Deceased Organ Donor Management and Organ Distribution From 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":[{"role":"author","vocabulary":"crossref"}]},{"given":"Douglas E.","family":"Schaubel","sequence":"additional","affiliation":[{"name":"Department of Biostatistics, Epidemiology, and Informatics, University of Pennsylvania, Perelman School of Medicine, Blockley Hall, Philadelphia, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vishnu S.","family":"Potluri","sequence":"additional","affiliation":[{"name":"Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA, USA"},{"name":"Renal-Electrolyte and Hypertension Division, Department of Medicine, University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA, USA"},{"name":"Penn Transplant Institute, Philadelphia, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter L.","family":"Abt","sequence":"additional","affiliation":[{"name":"Renal-Electrolyte and Hypertension Division, Department of Medicine, University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA, USA"},{"name":"Penn Transplant Institute, Philadelphia, PA, USA"},{"name":"Division of Transplantation, Department of Surgery, University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Niels D.","family":"Martin","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter P.","family":"Reese","sequence":"additional","affiliation":[{"name":"Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA, USA"},{"name":"Renal-Electrolyte and Hypertension Division, Department of Medicine, University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA, USA"},{"name":"Penn Transplant Institute, Philadelphia, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"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":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,11,9]]},"reference":[{"key":"bibr1-15269248231212918","doi-asserted-by":"publisher","DOI":"10.1001\/jama.280.20.1747"},{"key":"bibr2-15269248231212918","first-page":"831501","author":"Razdan M","year":"2015","journal-title":"J Transplant"},{"key":"bibr3-15269248231212918","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.122047"},{"key":"bibr4-15269248231212918","unstructured":"Vail EA, Vaugha n 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 August 6, 2023. https:\/\/academyhealth.confex.com\/academyhealth\/2022arm\/meetingapp.cgi\/Paper\/52627"},{"key":"bibr5-15269248231212918","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. 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