Do we need a different organ allocation system for kidney transplants using donors after circulatory death?
| Autor: | Shanka K, Benaragama, Teressa, Tymkewycz, Biku J, John, Andrew, Davenport, Ben, Lindsey, David, Nicol, Jonathon, Olsburgh, Martin, Drage, Nizam, Mamode, Francis, Calder, John, Taylor, Geoff, Koffman, Nicos, Kessaris, Mohamed, Morsy, Roberto, Cacciola, Carmelo, Puliatti, Susana, Fernadez-Diaz, Asim, Syed, Nadey, Hakim, Vassilios, Papalois, Bimbi S, Fernando |
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| Jazyk: | angličtina |
| Předmět: |
Adult
Graft Rejection Male Medical Audit Donation after circulatory death Health Care Rationing Tissue and Organ Procurement Cold ischemia time Cold Ischemia Graft Survival Allocation Delayed graft function Tissue Banks Middle Aged Kidney Kidney Transplantation Tissue Donors United Kingdom Young Adult Nephrology Humans Kidney Failure Chronic Female Research Article |
| Zdroj: | BMC Nephrology |
| ISSN: | 1471-2369 |
| DOI: | 10.1186/1471-2369-15-83 |
| Popis: | Background There is no national policy for allocation of kidneys from Donation after circulatory death (DCD) donors in the UK. Allocation is geographical and based on individual/regional centre policies. We have evaluated the short term outcomes of paired kidneys from DCD donors subject to this allocation policy. Methods Retrospective analysis of paired renal transplants from DCD’s from 2002 to 2010 in London. Cold ischemia time (CIT), recipient risk factors, delayed graft function (DGF), 3 and 12 month creatinine) were compared. Results Complete data was available on 129 paired kidneys.115 pairs were transplanted in the same centre and 14 pairs transplanted in different centres. There was a significant increase in CIT in kidneys transplanted second when both kidneys were accepted by the same centre (15.5 ± 4.1 vs 20.5 ± 5.8 hrs p |
| Databáze: | OpenAIRE |
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