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organ transplants involving HIV-positive patients should be 2. South African national HIV prevalence, incidence, behaviour and communication
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transplantations with HIV-positive donors or recipients 6. Pineda JA, Garcia-Garcia JA, Aguilar-Guisado M, et al. Clinical progression of
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will need to be adjusted as further evidence becomes available.
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deviations from this document, provided that such departures 12. Fabian J, Crymble K. End-of-life care and organ donation in South Africa – It’s time
for national policy to lead the way. S Afr Med J. 2017;107(7):11947. https://doi.
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contribute to continuing research in the field. These guidelines 13. Tzakis AG, Cooper MH, Dummer JS, Ragni M, Ward JW, Starzl TE. Transplantation
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Acknowledgements in the Pittsburgh transplant population. A study of 583 donors and 1043 recipients,
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Competing interests 16. Stock PG, Barin B, Murphy B, et al. Outcomes of kidney transplantation in HIV-
infected recipients. N Engl J Med. 2010;363(21):2004–2014. https://doi.
org/10.1056/NEJMoa1001197
The authors have declared that no competing interests exist.
17. Muller E, Kahn D, Mendelson M. Renal transplantation between HIV-positive
donors and recipients. N Engl J Med. 2010;362(24):2336–2337. https://doi.
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transplantation – Results at 3 to 5 years. N Engl J Med. 2015;372(7):613–620.
All authors contributed equally to this work. https://doi.org/10.1056/NEJMoa1408896
19. National Institutes of Health. Final human immunodeficiency virus (HIV) organ policy
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Funding information infected with HIV [homepage on the Internet]. 2015. p. 73785–73796. Available from:
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This research received no specific grant from any funding 20. HIV.gov. Kidney transplant from living HIV-positive donor to HIV-positive recipient:
What does this mean? [homepage on the Internet]. 2019 [cited 2019 Dec 10].
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21. UNOS.org. 100 people transplanted thanks to HOPE Act [homepage on the
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Data sharing is not applicable to this article as no new data 22. Lippincott CK. IDCM CME issue 1–10: Solid-organ transplants and HIV: A 30 year
were created or analysed in this study. journey [homepage on the Internet]. 2019 [cited 2020 Jan 05]. Available from:
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23. Koval CE, Farr M, Krisl J, et al. Heart or lung transplant outcomes in HIV-infected
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Specific recommendations provided here are intended only 24. Morabito V, Grossi P, Lombardini L, et al. Solid organ transplantation in HIV+
as a guide to clinical management, based on expert consensus recipients: Italian experience. Transplant Proc. 2016;48(2):424–430. https://doi.
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and best current evidence. Treatment decisions for patients 25. Aguero F, Castel MA, Cocchi S, et al. An update on heart transplantation in human
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consideration for individual circumstances. The most current 26. Kern RM, Seethamraju H, Blanc PD, et al. The feasibility of lung transplantation in
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