Clinical transplantation 2017 12 09() doi 10.1111/ctr.13171
HIV-infected (HIV+) donor organs can be transplanted into HIV+ recipients under the HIV Organ Policy Equity (HOPE) Act. Quantifying HIV+ donor referrals received by Organ Procurement Organizations (OPOs) is critical for HOPE Act implementation.
We surveyed the 58 US OPOs regarding HIV+ referral records and newly discovered HIV+ donors. Using data from OPOs that provided exact records and CDC HIV prevalence data, we projected a national estimate of HIV+ referrals.
Fifty-five (95%) OPOs reported HIV+ referrals ranging from 0-276 and newly discovered HIV+ cases ranging from 0-10 annually. Six OPOs in areas of high HIV prevalence reported more than 100 HIV+ donor referrals. Twenty-seven (47%) OPOs provided exact HIV+ referral records and 28 (51%) OPOs provided exact records of discovered HIV+ cases, totaling 1,450 HIV+ referrals and 39 discovered HIV+ donors in the prior year. These OPOs represented 67% and 59% of prevalent HIV cases in the US; thus, we estimated 2,164 HIV+ referrals and 66 discovered HIV+ cases nationally per year.
OPOs reported a high volume of HIV+ referrals annually, of which a subset will be medically-eligible for donation. Particularly in areas of high HIV prevalence, OPOs require ongoing support to implement the HOPE Act. This article is protected by copyright. All rights reserved.