Pediatric Training and Experience Requirements—Development of UNOS Bylaws
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Purpose of Review
We review the background and process of policy development, which led to the development of the UNOS Pediatric Training and Experience Bylaws.
Pre- and posttransplant outcomes mirror findings observed in the management of a variety of pediatric surgical diseases ranging from acute appendicitis to complex congenital heart disease. Specifically, patients treated at higher volume and typically pediatric focused institutions exhibit improved outcomes in terms of diagnosis, waitlist survival, and postoperative morbidity and mortality.
Pediatric transplantation is a defined subspecialty within transplantation and requires additional pediatric training, experience, and resources to achieve optimal short- and long-term outcomes in this unique patient population.
KeywordsPediatric Transplantation Bylaws UNOS
Compliance with Ethical Standards
Conflict of Interest
The authors declare that they have no conflict of interest.
Human and Animal Rights and Informed Consent
This article does not contain any studies with human or animal subjects performed by any of the authors.
Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major Importance
- 1.U.S. National Organ Transplant Act. 1984. Public Law 98-507, Title III, §301. 42 USC 274e. Available from: http://uscode.house.gov/statviewer.htm?volume=98&page=2346.
- 2.UNOS/OPTN Proposal to Establish Pediatric Training and Experience Requirements in the Bylaws. Available from: https://optn.transplant.hrsa.gov/media/1181/0815-01_pediatric_bylaws.pdf.
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- 4.Department of Health & Human Services. Centers for Medicaid & Medicare Services. 42 CFR Parts 405, 482, 488, and 498 Medicare Program; Hospital Conditions of Participation: Requirements for Approval and Re-Approval of Transplant Centers To Perform Organ Transplants; Final Rule, 2007. Available at https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/GuidanceforLawsAndRegulations/Downloads/TransplantFinalLawandReg.pdf.
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