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The United
Network for Organ Sharing (UNOS), which certifies the transplant
programs of the more than 250 U.S. transplant centers, has decided
to create a special certification program for living-donor kidney
and living-donor liver transplant programs.
Until now,
the need for UNOS certification has largely rested on the organization's
role in operating the nation's cadaver organ allocation network.
Membership in UNOS is a prerequisite to a hospital receiving cadaver
organs for patients in need of a transplant. As a result, every
transplant hospital in the United States is a UNOS member.
But the UNOS
Board of Directors, with the number of living donor kidney transplants
soaring and controversy lingering over the degree of risk involved
for donors of a potion of their liver, said it has now decided
to create an additional certification progress for programs that
perform living-donor transplants.
"To receive
certification, programs must demonstrate that they have surgical
staff with defined experience in living-donor procedures,"
UNOS said in a statement.
The board
also adopted a series of actions to more fully assess and report
the medical risks associated with living organ donation.
UNOS approved
refinements to forms used to collect medical followup data on
living donors, and Dr. Andrew Klein, chair of the Living Donor
Committee, said information derived from the data will "help
quantify what the risks are and what patients can expect."
The board
also recommended that each potential living donor undergo a psychosocial
evaluation to ensure full understanding and agreement to the living
donation process.
Other
Sources: UNOS
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