United Network for Organ Sharing

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United Network for Organ Sharing (UNOS) is a non-profit organization that plays a critical role in the United States' organ transplant system. It operates under the auspices of the United States Department of Health and Human Services to manage the nation's organ transplant system under the National Organ Transplant Act of 1984. UNOS brings together hundreds of transplant and organ procurement professionals and thousands of volunteers to facilitate organ matching and allocation, aiming to save lives through organ donation and transplantation.

History[edit | edit source]

The foundation of UNOS dates back to the early 1980s when the need for a national system to coordinate organ allocation became apparent due to the increasing success and demand for organ transplants. In 1984, the National Organ Transplant Act was passed, which led to the creation of a national network to match organs and individuals in need of transplants. UNOS was subsequently established to administer this network.

Function[edit | edit source]

UNOS operates the Organ Procurement and Transplantation Network (OPTN), which is a unified transplant network involved in the recovery, allocation, and transportation of organs. It is responsible for maintaining the national transplant waiting list, matching donated organs to recipients, and developing policies and standards for organ recovery, distribution, and transplantation. UNOS's policies are designed to ensure the equitable distribution of organs and to increase the availability of donor organs.

Organ Allocation[edit | edit source]

One of the primary functions of UNOS is to facilitate the organ allocation process. This involves a complex system that takes into account various factors such as medical urgency, blood type compatibility, time on the waiting list, and geographical location among others. The goal is to ensure that organs are allocated in a fair and efficient manner to those in most need.

Membership[edit | edit source]

UNOS's membership includes a wide range of organizations and individuals involved in the organ transplant field, including transplant centers, organ procurement organizations, and medical professionals. Membership is crucial for the operation of the transplant system, as it allows for a collaborative approach to organ donation and transplantation.

Education and Research[edit | edit source]

In addition to its operational roles, UNOS is also committed to advancing organ donation and transplantation through education and research. It provides resources and training for healthcare professionals, conducts public education campaigns to encourage organ donation, and supports research initiatives to improve transplant outcomes.

Challenges and Controversies[edit | edit source]

Despite its critical role, UNOS has faced challenges and controversies, particularly regarding organ allocation policies and the equitable access to transplants. The organization continuously works to refine its policies and procedures in response to evolving medical knowledge, ethical considerations, and public input.

Conclusion[edit | edit source]

UNOS plays a vital role in the organ transplant system in the United States, saving thousands of lives each year through its coordination of organ donation and transplantation. While challenges remain, the organization's efforts to improve the system continue to evolve, aiming to provide hope and life-saving transplants to those in need.


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Contributors: Prab R. Tumpati, MD