terus transplant is a treatment for women affected by absolute uterine-factor infertility (AUFI), previously considered untreatable. AUFI is a major cause of female infertility, reported to affect 1 in 500 women. 1,2 Primary care clinicians are typically the front line of care when AUFI is suspected or diagnosed. Given the lifeframing nature of the diagnosis, appropriate counseling is challenging. Many are told that family-building options are limited to use of a gestational carrier or adoption. 3 Uterus transplant uniquely restores reproductive ability and enables gestation and childbirth. 4 Increased data regarding outcomes following uterus transplant are essential to coun-sel individuals with AUFI to evaluate all available pathways to parenthood.The United States Uterus Transplant Consortium (USUTC)
Organ transplant offers are sent to transplant centers in the United States by organ procurement organizations (OPOs) for organ allocation. Each organ offer notification is sent electronically to a person, usually a coordinator, who must act on the notification by reviewing the offer, inputting an initial decision, and communicating the offer to a transplant surgeon or physician. Over the past 2 years, our transplant center has experienced a substantial increase in the volume of liver and kidney organ offers received, requiring our donor coordinator answering service to hire additional staff and to change their role to provide fewer services for donor offer management. Rapid increases in organ offer volume seemed to coincide with changes to circle-based liver and kidney allocation. This perception is supported by a recent Organ Procurement and Transplant Network (OPTN) monitoring report on the impact of the implementation of the Acuity Circles (AC) allocation system for livers, which found a decrease in the liver utilization rate (overall and in each individual region) and an increase in the accepting candidate sequence number, 1 both of which suggest less efficient allocation of deceased donor organs. In addition, the number
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.