A Survey of United States Transplant Center Donation After Circulatory Death Kidney Transplant Practices in the Modern Era

被引:1
作者
Alghannam, Karima [1 ]
Howard, Brian [2 ]
Loza, Jennifer [1 ]
Goussous, Naeem [1 ]
Sageshima, Junichiro [1 ]
Mineyev, Neal M. [1 ]
Wang, Aileen [3 ]
Perez, Richard, V [1 ]
Than, Peter A. [4 ,5 ]
机构
[1] Univ Calif Davis Hlth, Dept Surg, Div Transplant Surg, Sacramento, CA USA
[2] Univ Calif Davis, Sch Med, Sacramento, CA USA
[3] Univ Calif Davis Hlth, Dept Med, Div Transplant Nephrol, Sacramento, CA USA
[4] Univ Calif San Diego Hlth, Dept Surg, Div Transplantat & Hepatobiliary Surg, La Jolla, CA USA
[5] Univ Calif San Diego, Div Transplantat & Hepatobiliary Surg, 9300 Campus Point Dr 7745, La Jolla, CA 92037 USA
基金
美国国家卫生研究院;
关键词
CARDIAC DEATH; TIME; OUTCOMES; DONORS; LIFE;
D O I
10.1016/j.transproceed.2024.07.010
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Background. The mismatch between the number of patients awaiting kidney transplantation and the supply of donor organs has contributed to the increase in kidney transplantation from donors after circulatory death (DCD). Persistently long waiting times have led the transplant community to continue to explore the use of expanded- criteria DCD kidneys. In parallel, advances in organ preservation strategies have contributed to an overall increase in DCD organ transplantation and are altering the transplant landscape. Some of these techniques may improve kidney allograft outcomes and affect how DCD kidneys are used. We aimed to better understand practices in accepting DCD kidney offers in the modern era. Methods. Directors of 196 US kidney transplant centers were emailed a link to an online survey over a 5-week period. Results. Forty-eight out of the 364 directors (13%) responded, with all United Network for Organ Sharing regions represented. Definitions fi nitions of warm ischemia time (WIT) used in DCD kidney evaluation varied widely among the respondents. The maximum total WIT limit varied, with 19 (39.6%) G 60-minute responses, followed by 16 (33%) G 90-minute responses, and 10 (20.8%) G 120-minute responses. Conclusions. Despite increasing DCD kidney transplantation volumes in the United States, there are no standardized procurement biopsy practices, organ procurement organization preoperative protocols, or consensus definition fi nition or limits of WIT. Agreement on terminology may facilitate rapid clinical communication, efficiency fi ciency of organ allocation and utilization, recording of data, research, and improvements in policy.
引用
收藏
页码:1712 / 1720
页数:9
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