Policies and practice of solid organ donation amongst people living with HIV in Canada: time for education and re-evaluation

The numbers of organ donors in Canada and the USA fall short of increasing demand, resulting in increased morbidity, poor health outcomes, higher medical costs and death of many individuals waitlisted for transplantation. In the US, since 2013 when the US HIV Organ Policy Equity (HOPE) Act lifted th...

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Main Authors: Branka Vulesevic, Darren Lauscher, Deepali Kumar, Ruth Sapir-Pichhadze, Jean Tchervenkov, Jonathan B. Angel, Cameron Wolfe, Cecilia T. Costiniuk
Format: Article
Language:English
Published: Taylor & Francis Group 2024-02-01
Series:HIV Research & Clinical Practice
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Online Access:http://dx.doi.org/10.1080/25787489.2024.2323848
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author Branka Vulesevic
Darren Lauscher
Deepali Kumar
Ruth Sapir-Pichhadze
Jean Tchervenkov
Jonathan B. Angel
Cameron Wolfe
Cecilia T. Costiniuk
author_facet Branka Vulesevic
Darren Lauscher
Deepali Kumar
Ruth Sapir-Pichhadze
Jean Tchervenkov
Jonathan B. Angel
Cameron Wolfe
Cecilia T. Costiniuk
author_sort Branka Vulesevic
collection DOAJ
description The numbers of organ donors in Canada and the USA fall short of increasing demand, resulting in increased morbidity, poor health outcomes, higher medical costs and death of many individuals waitlisted for transplantation. In the US, since 2013 when the US HIV Organ Policy Equity (HOPE) Act lifted the ban on organ donation between people living with HIV, the option of using organs from People with HIV became a reality. In Canada, HIV diagnosis was an exclusion criterion to organ donation until 2017, when permission was granted if requirements for ‘exceptional distribution’ could be met. Still, donation of organs from people with HIV poses challenges. Herein, we overview policies involving donors with HIV in Canada in order to inform healthcare providers, researchers and the community. We also advocate for the need to reassess these policies, highlight educational needs and engage interest in advancing research to inform policy reforms.
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issn 2578-7470
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series HIV Research & Clinical Practice
spelling doaj-art-32b6417874b1468687b6436882a9330d2025-01-02T11:44:28ZengTaylor & Francis GroupHIV Research & Clinical Practice2578-74702024-02-0125110.1080/25787489.2024.23238482323848Policies and practice of solid organ donation amongst people living with HIV in Canada: time for education and re-evaluationBranka Vulesevic0Darren Lauscher1Deepali Kumar2Ruth Sapir-Pichhadze3Jean Tchervenkov4Jonathan B. Angel5Cameron Wolfe6Cecilia T. Costiniuk7Division of Infectious Diseases and Chronic Viral Illnesses Service, McGill University Health CentreCIHR Canadian HIV Trials Network, University of British ColumbiaAjmera Transplant Centre, University Health NetworkCentre for Outcomes Research and Evaluation, Research Institute of McGill University Health CentreMultiorgan Transplant Program, Departments of Medicine and Surgery, McGill University Health CentreDivision of Infectious Diseases, Ottawa Hospital-General CampusDivision Division of Transplant Infectious Diseases, Department of Medicine, Duke University Medical CenterDivision of Infectious Diseases and Chronic Viral Illnesses Service, McGill University Health CentreThe numbers of organ donors in Canada and the USA fall short of increasing demand, resulting in increased morbidity, poor health outcomes, higher medical costs and death of many individuals waitlisted for transplantation. In the US, since 2013 when the US HIV Organ Policy Equity (HOPE) Act lifted the ban on organ donation between people living with HIV, the option of using organs from People with HIV became a reality. In Canada, HIV diagnosis was an exclusion criterion to organ donation until 2017, when permission was granted if requirements for ‘exceptional distribution’ could be met. Still, donation of organs from people with HIV poses challenges. Herein, we overview policies involving donors with HIV in Canada in order to inform healthcare providers, researchers and the community. We also advocate for the need to reassess these policies, highlight educational needs and engage interest in advancing research to inform policy reforms.http://dx.doi.org/10.1080/25787489.2024.2323848organ donationhivhope actexceptional distribution
spellingShingle Branka Vulesevic
Darren Lauscher
Deepali Kumar
Ruth Sapir-Pichhadze
Jean Tchervenkov
Jonathan B. Angel
Cameron Wolfe
Cecilia T. Costiniuk
Policies and practice of solid organ donation amongst people living with HIV in Canada: time for education and re-evaluation
HIV Research & Clinical Practice
organ donation
hiv
hope act
exceptional distribution
title Policies and practice of solid organ donation amongst people living with HIV in Canada: time for education and re-evaluation
title_full Policies and practice of solid organ donation amongst people living with HIV in Canada: time for education and re-evaluation
title_fullStr Policies and practice of solid organ donation amongst people living with HIV in Canada: time for education and re-evaluation
title_full_unstemmed Policies and practice of solid organ donation amongst people living with HIV in Canada: time for education and re-evaluation
title_short Policies and practice of solid organ donation amongst people living with HIV in Canada: time for education and re-evaluation
title_sort policies and practice of solid organ donation amongst people living with hiv in canada time for education and re evaluation
topic organ donation
hiv
hope act
exceptional distribution
url http://dx.doi.org/10.1080/25787489.2024.2323848
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