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          Invited Commentary
          December?2, 2020

          The Current Opaque State of Organ Donation Metrics in the United States

          Author Affiliations
          • 1Department of Surgery, University of North Carolina, Chapel Hill
          • 2Washington University School of Medicine, Department of Hepatobiliary & Liver Transplantation, St Louis, Missouri
          JAMA Surg. Published online December 2, 2020. doi:10.1001/jamasurg.2020.5396

          The regulatory framework for transplantation in the United States is governed by the Organ Procurement and Transplant Network (OPTN), a federally established process that is managed by an independent contractor. A component of the guidance of the OPTN is that transplant centers and organ procurement organizations (OPOs) will be subject to transparent and recurring analysis of their individual performance. With a continued disparity between the supply and the demand of transplantable organs, the systems established to evaluate performance must critically assess where opportunities for improvement exist.

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