Impact of Organ Allocation Variances

HEHS-95-203R: Published: Jul 31, 1995. Publicly Released: Jul 31, 1995.

Additional Materials:


Office of Public Affairs
(202) 512-4800

Pursuant to a congressional request, GAO examined organ allocation practices, focusing on: (1) the United Network for Organ Sharing's (UNOS) progress in monitoring and evaluating the impact of approved variances to the national allocation policy; and (2) the extent to which organ procurement organizations (OPO) are not considering all patients waiting when allocating organs. GAO noted that: (1) although UNOS has procedures for approving and assessing variances to the national organ allocation policy, the impact of these variances on the equitable allocation of organs is unknown; (2) in 1993, UNOS established a policy that organs should be allocated using OPO-wide waiting lists, and any deviation from this policy requires UNOS approval; (3) the policy change has resulted in a reduction in the use of specific transplant center waiting lists from 20 OPO in 1991 to only 3 in 1995; (4) UNOS has approved deviations based on geographic and demographic factors; (5) the median time patients have to wait for a kidney transplant is under 2 months, but they can wait as long as 3 years; and (6) the median time that patients wait for heart and liver transplants also varies among OPO, but is generally shorter than the waiting time for kidney transplants.

Oct 15, 2018

Oct 1, 2018

Sep 28, 2018

Sep 17, 2018

Sep 13, 2018

Sep 10, 2018

Sep 6, 2018

Sep 5, 2018

Sep 4, 2018

Aug 24, 2018

Looking for more? Browse all our products here