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Organ Donation & Transplant Matters Resources
Combining reports, research findings and topic reviews
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New Organ Procurement Approach May Benefit Transplants - Supply & Demand Chain Executive

New Organ Procurement Approach May Benefit Transplants - Supply & Demand Chain Executive | Organ Donation & Transplant Matters Resources | Scoop.it

This report of a new organ donor management approach which may be beneficial particularly for liver transplant purposes comes from the United States. What it reveals is that centralisation of organ retrieval services potentially is cost effective.

As donor organs have a finite shelf life (ie a limited time that can be spent in cold storage — livers 6 to 10 hours following retrieval from the donor; hearts and lungs even less, kidneys less than 24 hours), measures which can increase the number of organs for transplantation are also important.

 

To read more on this story click on the following link (the sdcexec link is not available free online)-

http://o.canada.com/health/transplant-study-shows-benefits-of-a-single-organ-donation-centre/

 

Deborah Verran's insight:

This development will be watched closely and with interest. Whether it remains more cost effective to transfer potential organ donors to a fully resourced central facility or not, remains to be seen in many regions around the world.

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Brain death decline means fewer donors - Vancouver Sun

Brain death decline means fewer donors - Vancouver Sun | Organ Donation & Transplant Matters Resources | Scoop.it

The incidence of brain death may be declining hence leading to fewer numbers of organ donors  as reported via the Vancouver Sun.
The report summarises the results of a research study that has been published in the Canadian Medical Association Journal.

 

Analysis of data from hospitals in one region of Canada has revealed a decrease in the number of patients in whom the diagnosis of brain death was able to be made over the course of the study period.

 

Hence this has implications for organ donation with mention being made of the alternative pathway to deceased donor organ donation- Donation after circulatory death

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Older Circulatory-Death Donor Kidneys Acceptable for Transplant - Renal and Urology News

Older Circulatory-Death Donor Kidneys Acceptable for Transplant - Renal and Urology News | Organ Donation & Transplant Matters Resources | Scoop.it

Reported initially via the medical journal The Lancet is this analysis of United Kingdom data of the outcomes of kidney transplantation from deceased donors. Although older Circulatory-Death Donor Kidneys are acceptable for transplantation the results reflect organ donor selection practices, including during the organ retrieval surgery. Plus as noted in the accompanying editorial there has been a relatively high rate of discardment of deceased donor kidneys within the United Kingdom in recent years.

 

The government-funded study of 6,490 kidney transplants also confirmed that donor age over 60 years compared to age under 40 years is associated with an increased risk of graft loss and inferior longer term graft survival, with there also being an added impact of longer cold storage times.

 

To read the online commentary in Renal & Urology News clisk on the banner headline. Access to the online article is via- http://www.thelancet.com

published the first week of March 2013 

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New proposal for the better allocation of donated livers in transplants

New proposal for the better allocation of donated livers in transplants | Organ Donation & Transplant Matters Resources | Scoop.it

Researchers at the University of Cordoba (Spain) have developed a system that measures compatibility between donors and the most serious receivers in liver transplants. 

 

This takes into account over 30 donor and recipient variables from a retrospective analysis of over 1,000 liver transplant procedures,

 

However as yet the new algorithm has not been prospectively validated. 

 

Click on the banner headline to read more about the research.

Deborah Verran's insight:

The matching of donor livers to recipients involves that a number of both donor as well as recipient variables be taken into consideration. Apart from blood group matching, size matching of the donor organ to the recipient as well as undertaking a risk assessment of the outcome of the planned transplant procedure are all important in practice.

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Could Redistricting Shorten The Wait For A Liver Transplant? - Huffington Post

Could Redistricting Shorten The Wait For A Liver Transplant? - Huffington Post | Organ Donation & Transplant Matters Resources | Scoop.it

Could Redistricting Shorten The Wait For A Liver Transplant?
Reported via the Huffington Post

Where you live can affect your chances of getting a liver transplant, as well as your risk of dying while waiting, if you live in the United States.

 

Analysis of organ donor rates versus time spent waiting for a donor liver have revealed that there is indeed variation across the United States in waiting times for a liver transplant.

 

Why this may be the case and what could be done to try and address this variation is also outlined in the article.

 

 

Deborah Verran's insight:

Interesting article which attempts to address a complex issue

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