Organ Donation & Transplant Matters Resources
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Organ Donation & Transplant Matters Resources
Combining reports, research findings and topic reviews
Curated by Deborah Verran
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Sgt. Darrick Kepley makes emergency organ delivery after SUV crash

Sgt. Darrick Kepley makes emergency organ delivery after SUV crash | Organ Donation & Transplant Matters Resources | Scoop.it
While patrolling in a town in Pennsylvania’s Lancaster County in the snow last Saturday, Sgt. Darrick Kepley happened across a one-car crash

Inside the crashed vehicle were an organ retrieval team who were on their way back to their base hospital (the Thomas Jefferson in Philadelphia), including with a donor liver.

In order to prevent any further delays Sgt Kepley then transported the team to the hospital so that a liver transplant procedure could continue as scheduled.
Deborah Verran's insight:
Unforseen problems with the ground transportation of donor organs can lead to alternative measures having to be adopted at short notice
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Hiranandani Hospital's CEO, 4 other doctors arrested in kidney racket case

Hiranandani Hospital's CEO, 4 other doctors arrested in kidney racket case | Organ Donation & Transplant Matters Resources | Scoop.it
Read more about the Hiranandani Hospital's CEO, and 4 other doctors who were all arrested this last week in Mumbai India as the result of an ongoing investigation into organ trafficking.

It is also becoming evident that some of the live kidney donors involved in this may be poor villagers from rural India-

One of the drivers for organ trafficking is the low deceased donor rate in India, the reasons for which are summarisedIm in this online article-

Under Indian law organ trafficking is now illegal. Should it be proven that any of these individuals broke the law, the penalties will be severe. Meanwhile there continue to be ongoing campaigns (including via social media) to try and raise public awareness about the importance of organ donation.
Deborah Verran's insight:
The authorities in India continue to have to grapple with the consequences of organ trafficking whilst ongoing efforts to promote organ donation via legitimate avenues continue.
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A Lawyer's perspective: organ donation conflict case could have been avoided

A Lawyer's perspective: organ donation conflict case could have been avoided | Organ Donation & Transplant Matters Resources | Scoop.it

Recently the case of a 2 year old child where family conflict led to court proceedings garnered media attention within the United States.

 

Now the lawyer involved in the case has given his perpective on the case. He says that the conflict over organ donation in this case could have been avoided and outlines how it may have been avoided.

Deborah Verran's insight:

Important insights into a case where family conflict led to court action. This will be of interest to healthcare professionals actively involved in organ donation and also to healthcare managers.

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Kidney transplant patients live longer than those in intensive home hemodialysis - Medical Xpress

Kidney transplant patients live longer than those in intensive home hemodialysis - Medical Xpress | Organ Donation & Transplant Matters Resources | Scoop.it

Analysis of data from a research study performed in Canada has revealed that Kidney transplant patients live longer than those receiving intensive home hemodialysis.

 

A first-ever study from a large Canadian centre has found that kidney

transplant recipients lived longer and had better treatment success regardless of what type of donor kidney that they received. 'Kidney transplant is still the best treatment option says Dr Chris Chan (pictured) who is a nephrologist at the Toronto General Hospital.

 

To read more about the findings of this study, click on the banner headline.

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Capacity Building for Hospital Staff Pays Off with First Kidney Transplant in Afghanistan

Capacity Building for Hospital Staff Pays Off with First Kidney Transplant in Afghanistan | Organ Donation & Transplant Matters Resources | Scoop.it

Doctors at a hospital in Herat city have carried out the country’s first kidney transplant after a programme for the training of healthcare workers in the diagnosis and treatment of renal disease was successfully implemented.


Up to now patients in Afghanistan with chronic kidney disease needed to travel to other countries in order to be able to undergo a kidney transplant. In addition they were faced with significant financial costs which were a major barrier for many individuals and their families.



Deborah Verran's insight:
An important development within Afghanistan which hopefully can be sustained.
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Johns Hopkins to Perform First H.I.V.-Positive Organ Transplants in U.S.

Johns Hopkins to Perform First H.I.V.-Positive Organ Transplants in U.S. | Organ Donation & Transplant Matters Resources | Scoop.it

Following passage of legislation to allow HIV positive individuals to become organ donors in the United States, the next step has involved guidelines being developed to allow this to become a clinical reality.


Now the John Hopkins hospital has said that it would become the first in the nation to perform kidney and liver transplants between H.I.V.-positive donors and H.I.V.-positive patients. This is under a strict research protocol and will require that selection criteria are applied both to the organ donors as well as the transplant recipients. 

Deborah Verran's insight:

The outcomes of these particular organ transplants will now be awaited with interest noting that the many complexities that are involved.

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Legal battle over organ donors' final wishes in the NW of the United States

Legal battle over organ donors' final wishes in the NW of the United States | Organ Donation & Transplant Matters Resources | Scoop.it

Recently in the United States a hospital sought resolution of a dispute between the known wishes of a potential organ donor and his family members.

 

As outlined in the article, the young man was declared brain dead as the result of fatal head injuries that he sustained in an automobile accident. It appears that during life, the man had declared his intent to be an organ donor when registering for his drivers license.

 

When family members were approached for authorization for the organ donation process to proceed they refused. At that point the hospital concerned took the matter to court.

 

The organ donation surgery then proceeded, two days following the court hearing. 

 

In this case the court has upheld the principle of 'first person authorization' which has been the subject of a previous post on this site-

 

http://sco.lt/6IC1dh

 

Deborah Verran's insight:

Their are some inaccuracies in the online report. First organ retrieval surgery is not performed prior to death. Second the term 'harvest' is no longer deemed an appropriate descriptor of the surgical organ recovery process.

 

The case does bring home the importance of family members all being aware of their loved ones wishes when it comes to organ donation.

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Improving family consent in organ donation could save lives-important publication out of the United Kingdom. A must read for everyone associated with improving organ donation.

Research published today in the British Journal of Anaesthesia suggests that organ donation rates in the UK could be increased if the current issues affecting declined consent are improved. This includes addressing in a systematic fashion the factors that could lead to improved consent rates, including having the right personnel in place in the hospitals[who are adequately trained]. 

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