Improving Organ Procurement Practices in Michigan

被引:27
作者
Lynch, R. J. [1 ]
Mathur, A. K. [1 ]
Hundley, J. C. [2 ]
Kubus, J. [1 ]
Pietroski, R. E. [3 ]
Mattice, B. J. [3 ]
Punch, J. D. [1 ]
Englesbe, M. J. [1 ]
机构
[1] Univ Michigan, Dept Surg, Div Transplantat, Ann Arbor, MI 48109 USA
[2] Henry Ford Hosp, Dept Surg, Transplant Inst, Detroit, MI 48202 USA
[3] Gift Life Michigan, Ann Arbor, MI USA
关键词
Organ and tissue procurement; transplantation policy; transplant coordination; TRANSPLANTATION; TEAM; EFFICIENCY; DONATION;
D O I
10.1111/j.1600-6143.2009.02784.x
中图分类号
R61 [外科手术学];
学科分类号
摘要
Travel to procure deceased donor organs is associated with risk to transplant personnel. In many instances, multiple teams are present for a given operation. We studied our statewide experience to determine how much excess travel this redundancy entails, and generated alternate models for organ recovery. We reviewed our organ procurement organization's experience with deceased donor operations between 2002 and 2008. Travel was expressed as cumulative person-miles between procurement team origin and donor hospital. A model of minimal travel was created, using thoracic and abdominal teams from the closest in-state center. A second model involved transporting donors to a dedicated procurement facility. Travel distance was recalculated using these models, and mode and cost of travel extrapolated from current practices. In 654 thoracic and 1469 abdominal donors studied, the mean travel for thoracic teams was 1066 person-miles and for abdominal teams was 550 person-miles. The mean distance traveled by thoracic and abdominal organs was 223 miles and 142 miles, respectively. Both hypothetical models showed reductions in team travel and reliance on air transport, with favorable costs and organ transport times compared to historical data. In summary, we found significant inefficiency in current practice, which may be alleviated using new paradigms for donor procurement.
引用
收藏
页码:2416 / 2423
页数:8
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