{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T23:50:28Z","timestamp":1785887428196,"version":"3.56.0"},"reference-count":9,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T00:00:00Z","timestamp":1783900800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Prog Transpl"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:p>Pancreas transplantation remains a highly specialized and life-enhancing procedure for selected patients with insulin-dependent diabetes mellitus. As national transplant volumes have declined over the past decade, many U.S. transplant centers are finding it increasingly difficult to satisfy the personnel credentialing standards established by the Organ Procurement and Transplantation Network (OPTN). These standards, designed to ensure safety and competency, require documented case volumes and training experience that are difficult to achieve in today's landscape, where most programs perform fewer than 10 pancreas transplants annually, and training opportunities are limited. This growing mismatch between regulatory expectations and real-world practice highlights the need to reassess current personnel criteria and consider more flexible, competency-based approaches that maintain quality while supporting program viability and patient access.<\/jats:p>","DOI":"10.1177\/15269248261469205","type":"journal-article","created":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T10:38:23Z","timestamp":1783939103000},"page":"132-134","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Challenges in Meeting UNOS Personnel Requirements for Pancreas Transplant Programs Amid Declining National Case Volumes"],"prefix":"10.1177","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6054-709X","authenticated-orcid":false,"given":"Matin Moallem","family":"Shahri","sequence":"first","affiliation":[{"name":"SUNY Upstate Medical University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reza F.","family":"Saidi","sequence":"additional","affiliation":[{"name":"SUNY Upstate Medical University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,13]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.transproceed.2022.03.059"},{"key":"e_1_3_2_3_2","unstructured":"Scientific Registry of Transplant Recipients (SRTR). Pancreas Transplantation Trends 2010\u20132023. Available at: https:\/\/www.srtr.org. Accessed June 2025."},{"key":"e_1_3_2_4_2","unstructured":"Organ Procurement and Transplantation Network (OPTN). OPTN Management and Membership Policies. U.S. Department of Health and Human Services. Published November 20 2025. Available at: https:\/\/www.hrsa.gov\/sites\/default\/files\/hrsa\/optn\/optn-management-and-membership-policies.pdf. Accessed May 18 2026."},{"key":"e_1_3_2_5_2","volume-title":"Transplant Accreditation & Certification Council: Fellowship Training Opportunities","author":"American Society of Transplant Surgeons","year":"2025","unstructured":"American Society of Transplant Surgeons. Transplant Accreditation & Certification Council: Fellowship Training Opportunities. ASTS; 2025, Available at: https:\/\/www.asts.org\/transplant-accreditation-certification-council\/opportunities. Accessed July 25, 2025."},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1210\/jcem\/8042156"},{"issue":"2","key":"e_1_3_2_7_2","first-page":"110","article-title":"OPTN\/SRTR 2020 annual data report: Pancreas","volume":"22","author":"Kandaswamy R","year":"2022","unstructured":"Kandaswamy R, Stock PG, Gustafson SK, et al. OPTN\/SRTR 2020 annual data report: Pancreas. Am J Transplant. 2022;22(Suppl 2):110\u2013157.","journal-title":"Am J Transplant"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12909-024-06299-w"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/TP.0000000000001628"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/TP.0000000000001308"}],"container-title":["Progress in Transplantation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15269248261469205","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/15269248261469205","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15269248261469205","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T23:17:02Z","timestamp":1785885422000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/15269248261469205"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,13]]},"references-count":9,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1177\/15269248261469205"],"URL":"https:\/\/doi.org\/10.1177\/15269248261469205","relation":{},"ISSN":["1526-9248","2164-6708"],"issn-type":[{"value":"1526-9248","type":"print"},{"value":"2164-6708","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,13]]}}}