Expanding Access to Organ Transplant for People Living With HIV: Can Policy Catch Up to Outcomes Data?

被引:2
作者
Chandran, Sindhu [1 ]
Stock, Peter G. [2 ]
Roll, Garrett R. [2 ]
机构
[1] Univ Calif San Francisco UCSF, Dept Med, San Francisco, CA USA
[2] Univ Calif San Francisco UCSF, Dept Surg, San Francisco, CA USA
关键词
HUMAN-IMMUNODEFICIENCY-VIRUS; STAGE RENAL-DISEASE; CHRONIC KIDNEY-DISEASE; HEPATITIS-C VIRUS; POSITIVE KIDNEY; ANTIRETROVIRAL THERAPY; LIVER-TRANSPLANTATION; SEGMENTAL GLOMERULOSCLEROSIS; HEART-TRANSPLANTATION; ALLOGRAFT-REJECTION;
D O I
10.1097/TP.0000000000004794
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Advances in antiretroviral and immunosuppressive regimens have improved outcomes following solid organ transplantation in people living with HIV (PLWH). The HIV Organ Policy and Equity Act was conceived to reduce the discard of HIV-positive organs and improve access to transplant for PLWH. Nevertheless, PLWH continue to experience disproportionately low rates of transplant. This overview examines the hurdles to transplantation in PLWH with end-organ disease, the potential and realized impact of the HIV Organ Policy and Equity Act, and changes that could permit expanded access to organ transplant in this population.
引用
收藏
页码:874 / 883
页数:10
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