Expedited placement to maximize utilization of marginal organs.PURPOSE OF REVIEW

PURPOSE OF REVIEW
Deceased donation represents the largest supply of organs for transplant in the United States. 
the United States
Organs with suboptimal characteristics related to donor disease or recovery-related issues are increasingly discarded at the time of recovery, prompting late allocation to candidates later in the match sequence. 
the match sequence
Expedited placement to maximize utilization of marginal organs.PURPOSE OF REVIEW
 Expedited placement of marginal organs has emerged as a strategy to address the growing problem of organ discard of marginal organs that have been declined late after recovery.  Multiple policy mechanisms exist to facilitate expedited placement, including simultaneous offers to multiple centers, predesignation of aggressive centers, and increasing organ procurement organization autonomy in late allocation. 
Expedited placement
In this review, we describe the basis for expedited organ placement, and approaches to facilitating placement of these grafts, drawing examples from kidney and liver donation and transplantation globally.



kidney and liver donation and transplantation
Multiple policy mechanisms exist to facilitate expedited placement, including simultaneous offers to multiple centers, predesignation of aggressive centers, and increasing organ procurement organization autonomy in late allocation. 
organ procurement organization