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Knowledge and Attitudes Associated with Willingness to Accept HIV+ Organs Among Persons Living with HIV.

S. Anjum, S. Halpern, K. Kumar, A. Nyugen, S. Rasmussen, A. Massie, A. Tobian, D. Segev, J. Sugarman, C. Durand.

Surgery, Johns Hopkins, Baltimore

Meeting: 2017 American Transplant Congress

Abstract number: 164

Keywords: HIV virus, Kidney transplantation, Kidney/liver transplantation

Session Information

Session Name: Concurrent Session: New Insights - HCV / HIV

Session Type: Concurrent Session

Date: Sunday, April 30, 2017

Session Time: 4:30pm-6:00pm

 Presentation Time: 5:30pm-5:42pm

Location: E271b

HIV-to-HIV organ transplants are a novel treatment for organ failure in HIV-positive (HIV+) individuals. However, attitudes of potential HIV+ recipients regarding HIV+ donors remain unknown.

Methods: We conducted a cross-sectional survey of HIV+ individuals using a convenience sample at our institution. We collected demographic and clinical information and knowledge and attitudes about HIV-to-HIV transplantation. Chi-squared tests were used to investigate associations with willingness-to-accept an HIV+ organ.

Results: Among 115 respondents, the median age was 55 (IQR 49-58), 52% were men, 91% were AA, and 97% had government insurance. Most (79%) respondents were willing to accept HIV+ organs (Table 1). Regarding potential risks, of those willing to accept an HIV+ organ, 77% believed that it would be safe (vs. 33% of those not willing), 68% that an HIV+ organ would work as well as an HIV-negative organ (vs. 33%), and 35% that they might get a resistant HIV infection (vs. 58%). Regarding potential benefits, 89% of those willing to accept an HIV+ organ believed they would receive an organ faster (vs. 71%), 85% believed this would help those on the general waitlist (vs. 67%), and 96% believed one should be able to donate to other HIV+ individuals (vs. 71%) (Table 2). There was no statistically significant trend between knowledge of the organ shortage and the HOPE Act with willingness-to-accept.

Conclusion: At our institution, the majority of HIV+ individuals were willing to accept HIV+ organs. Of those, almost half believed there would be some risks but believed that accepting an HIV+ organ would result in increased access to transplant and shorter waiting times, benefiting themselves and HIV- waitlist registrants.

CITATION INFORMATION: Anjum S, Halpern S, Kumar K, Nyugen A, Rasmussen S, Massie A, Tobian A, Segev D, Sugarman J, Durand C. Knowledge and Attitudes Associated with Willingness to Accept HIV+ Organs Among Persons Living with HIV. Am J Transplant. 2017;17 (suppl 3).

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To cite this abstract in AMA style:

Anjum S, Halpern S, Kumar K, Nyugen A, Rasmussen S, Massie A, Tobian A, Segev D, Sugarman J, Durand C. Knowledge and Attitudes Associated with Willingness to Accept HIV+ Organs Among Persons Living with HIV. [abstract]. Am J Transplant. 2017; 17 (suppl 3). https://atcmeetingabstracts.com/abstract/knowledge-and-attitudes-associated-with-willingness-to-accept-hiv-organs-among-persons-living-with-hiv/. Accessed May 25, 2025.

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