Abstract
The UNOS is a not-for-profit, private, voluntary membership organization incorporated in the Commonwealth of Virginia, which qualifies as a tax exempt charity under IRC section 501(c)(3). Since 1986, it has been the sole holder of a contract from the federal government to operate the national OPTN. Its story is one of the many remarkable successes in organ transplantation.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Pierce GA. UNOS history. In: Phillips MG (ed.), Organ Procurement, Preservation and Distribution in Transplantation. Richmond, VA, The William Byrd Press, Inc., 1991, pp. 1–3.
National Organ Transplant Act. 1984 Oct 19. Report No: Title 42, USC, Section 273.
Organ procurement and transplantation network. Health resources and services administration (HRSA). Final rule. Fed Regist 1999 Oct 20;64(202):56650–56661.
USC. Section 1138 of the Social Security Act 42. 2009. Report No: 1320.
Graham W. The ‘Yin and Yang’ of UNOS, A personal retrospective on UNOS’ first two decades. UNOS Update 2008 Jun.
McDiarmid SV, Pruett TL, Graham WK. The oversight of solid organ transplantation in the United States. Am J Transplant 2008 April;8(4):739–744.
Health Resources and Services Administration (HRSA). Response to Solicitation on Organ Procurement and Transplantation Network (OPTN) Living Donor Guidelines. Fed Regist 2006 Jun 16;71:116.
Health Resources and Services Administration (HRSA). Medicare Program. Hospital conditions of participation: requirements for approval and re-approval of transplant center to perform organ transplants. Final rule. Fed Regist 2007 Mar 30;72:61.
Port FK, Bragg-Gresham JL, Metzger RA et al. Donor characteristics associated with reduced graft survival: an approach to expanding the pool of kidney donors. Transplantation 2002 Nov 15;74(9):1281–1286.
Rosengard BR, Feng S, Alfrey EJ et al. Report of the Crystal City meeting to maximize the use of organs recovered from the cadaver donor. Am J Transplant 2002 Sep;2(8):701–711.
Ojo AO, Hanson JA, Meier-Kriesche H et al. Survival in recipients of marginal cadaveric donor kidneys compared with other recipients and wait-listed transplant candidates. J Am Soc Nephrol 2001 Mar;12(3):589–597.
Sung RS, Guidinger MK, Lake CD et al. Impact of the expanded criteria donor allocation system on the use of expanded criteria donor kidneys. Transplantation 2005 May 15;79(9):1257–1261.
New England Organ Bank. 2007.
Uniform Anatomical Gift Act. 2006.
OPO Certification of 2000. Report No: Section 701 (c), 2000 Oct 13.
Association of Organ Procurement Organizations. 2004.
Health Resources and Services Administration (HRSA). Medicare and Medicaid Programs. Conditions for coverage for organ procurement organizations (OPO’s). Final rule. Fed Regist 2006 May 31;71(104).
18. Mayes G. CMS proposes rules for organ procurement organizations aimed at increasing organ donation and improving performance. Medscape Transplantation 2005 May 20;6(1).
Organ Donation Breakthrough Collaborative. 2009 Oct 19.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Glossary
- AATB
-
American Association of Tissue Banks
- AOPO
-
Association of Organ Procurement Organizations
- CMS
-
Center for Medicare and Medicaid Services; one branch of HHS
- CPRA
-
calculated panel reactive antibody; measures a recipient’s preformed antibodies to donor antigens
- Crossmatch
-
a histocompatibility test measuring the degree to which a recipient’s immune system reacts against a donor
- DCD
-
donation after cardiac death
- DonorNet ®
-
electronic donor information and organ offer system
- Donor swaps
-
when two or more recipients exchange living donors because their original donors cannot donate to them because of incompatible blood type or positive crossmatch
- DOT
-
Department of Transplantation
- DSA
-
designated service area
- ECD
-
expanded criteria donor
- FDA
-
Federal Drug Administration
- HCFA
-
Health Care Financing Administration; former name for CMS
- HHS
-
Department of Health and Human Services
- HRSA
-
Health Resources and Services Administration; one branch of HHS; home of the DOT
- IHI
-
Institute for Healthcare Improvement
- KAS
-
kidney allocation system
- LYFT
-
life years from transplant
- MPSC
-
Membership and Professional Standards Committee
- NEOB
-
New England Organ Bank
- NOTA
-
National Organ and Transplant Act of 1984
- OPO
-
organ procurement organization
- OPTN
-
Organ Procurement and Transplant Network
- Organ donation conversion rate
-
number of actual donors as percent of eligible donors
- RRT
-
renal replacement therapy
- SCD
-
standard criteria donor
- Sensitized candidate
-
has preformed anti-HLA antibodies (PRA) in the blood
- SEROPP
-
South-Eastern Regional Organ Procurement Program
- SEOPF
-
South-Eastern Organ Procurement Foundation
- SRTR
-
Scientific Registry for Transplant Recipients
- SSA
-
Social Security Act
- Transplant center
-
usually a large hospital complex where multiple types of transplants done
- Transplant program
-
usually part of a transplant center; focused on one organ
- Unet ®
-
the electronic matching system
- UNOS
-
United Network for Organ Sharing
- 0-ABDR MM
-
zero mismatch; this refers to the situation when the donor has no allele which is different from the recipient even though the donor does not have all the alleles of the recipient
Rights and permissions
Copyright information
© 2010 Springer-Verlag US
About this chapter
Cite this chapter
Adams, P.L., Graham, W.K., Gunderson, S. (2010). Kidney Allocation: Role of UNOS and OPOs. In: McKay, D., Steinberg, S. (eds) Kidney Transplantation: A Guide to the Care of Kidney Transplant Recipients. Springer, Boston, MA. https://doi.org/10.1007/978-1-4419-1690-7_5
Download citation
DOI: https://doi.org/10.1007/978-1-4419-1690-7_5
Published:
Publisher Name: Springer, Boston, MA
Print ISBN: 978-1-4419-1689-1
Online ISBN: 978-1-4419-1690-7
eBook Packages: MedicineMedicine (R0)