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The OPTN Expeditious Task Force: Improved Organ Utilization and Efficiency to Drive Transformational Growth in Solid Organ Transplant in the United States
American Journal of Kidney Diseases ( IF 9.4 ) Pub Date : 2024-10-09 , DOI: 10.1053/j.ajkd.2024.07.015
Alden Doyle, David Marshman

The Organ Procurement and Transplant Network (OPTN) Expeditious Task Force (ETF) was conceived and initiated in response to a need to move quickly to greatly expand successful deceased-donor transplant across the United States. The ETF, using data from the top 20% of transplant programs ranked by ability to manage successful growth in transplant volume, came up with a bold aim of facilitating 60,000 successful transplants by 2026 to save more lives. In order to achieve this transformational growth, the ETF will use a data-driven approach, partnering with key stakeholders across the transplant system to secure commitments, reduce barriers, obtain data, align metrics, evaluate new technologies, and run short trials that will better inform future policy developments. To achieve this growth, the 2 primary aims of the ETF are increasing system efficiency and improving organ and donor utilization. The initial ETF work streams will focus on 6 areas: (1) assessments of organ nonutilization (where donors are consented but organs not recovered) and nonuse (where organs are recovered but not transplanted), (2) facilitating community events to address challenges in utilization and efficiency, (3) hosting transplant growth collaboratives focused on securing resources needed for transformational growth, (4) creating tools for patient empowerment, (5) evaluating OPTN policies to remove barriers, and (6) designing short trials of rescue pathways for organs at risk for nonuse.

中文翻译:


OPTN 快速工作组:提高器官利用率和效率,推动美国实体器官移植的转型增长



器官获取和移植网络 (OPTN) 快速工作组 (ETF) 的构思和启动是为了响应迅速采取行动以在美国范围内大幅扩大成功的已故供体移植的需求。该 ETF 使用根据管理移植量成功增长的能力排名前 20% 的移植项目的数据,提出了一个大胆的目标,即到 2026 年促进 60,000 例成功移植以挽救更多生命。为了实现这种转型增长,ETF 将使用数据驱动的方法,与整个移植系统的主要利益相关者合作,以确保承诺、减少障碍、获取数据、调整指标、评估新技术并进行短期试验,这将更好地为未来的政策发展提供信息。为了实现这一增长,ETF 的 2 个主要目标是提高系统效率以及提高器官和供体利用率。最初的 ETF 工作流程将侧重于 6 个领域:(1) 器官未使用(捐献者同意但器官未恢复)和不使用(器官已恢复但未移植)的评估,(2) 促进社区活动以应对利用和效率方面的挑战,(3) 举办移植生长合作组织,专注于确保转型增长所需的资源, (4) 创建患者赋权工具,(5) 评估 OPTN 政策以消除障碍,以及 (6) 为有不使用风险的器官设计拯救途径的短期试验。
更新日期:2024-10-09
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