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Organ Donation & Transplant Matters Resources
Combining reports, research findings and topic reviews
Curated by Deborah Verran
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Transplants Candidates How Much Does Size Matter

Transplants Candidates How Much Does Size Matter | Organ Donation & Transplant Matters Resources | Scoop.it

Obese individuals often are rejected as renal transplant candidates in large part because of their increased risk for surgical complications and adverse outcomes.

 

This article via Renal and Urology News summarises some of the evidence to date. This includes making the point that abdominal girth may be more important in determining candidacy for renal transplantation over and above body mass index(BMI). Other medical co-morbities associated with obesity also mandate that extra attention be specifically paid to the effects of diabetes and vascular disease on potential transplant recipients.

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Recipient and Donor Body Mass Index as Important Risk Factor... : Transplantation

Recipient and Donor Body Mass Index as Important Risk Factor... : Transplantation | Organ Donation & Transplant Matters Resources | Scoop.it

Background.Obesity is increasingly impacting on overall health status of populations and the global costs for health, as the rates of obesity increase in many countries. So what is the impact of obesity in renal transplantation? Is this an issue that is important only for the transplant recipients? What about the impact of obesity on the quality of kidneys obtained via organ donation?

 

Via the journal of Transplantation- @TransplantJrnl- comes this interesting analysis and note how obesity in either the donor or the recipient can have an impact on renal transplant outcomes.

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Declining liver utilization for transplantation in the United States and the impact of donation after cardiac death - Orman - 2012 - Liver Transplantation - Wiley Online Library

Declining liver utilization for transplantation in the United States and the impact of donation after cardiac death - Orman - 2012 - Liver Transplantation - Wiley Online Library | Organ Donation & Transplant Matters Resources | Scoop.it

This retrospective analysis of registry data in the United States has revealed that there has been a recent drop in the supply of quality livers from deceased donor organ donors: http://t.co/XRv8zWYJ

 

There are four factors associated with non-use of the donor liver for transplantation and these are-donation after cardiac death pathway, donor Body Mass Index(a marker for obesity), older donor age and the presence of diabetes.

 

Important point if the donor liver is not retrieved for transplantation it is not 'thrown away'( as reported)-

http://www.foxnews.com/health/2013/01/11/study-finds-increase-in-unused-transplant-livers/

 

 

There are policies and procedures in place within the United States for the differing scenarios where the various deceased donor organs are not able to be transplanted.

Deborah Verran's insight:

Important data, variably reported. Cross posted onto http://scoop.it/t/organ-donation-transplant-matters

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