The fate of organs refused locally and transplanted elsewhere

Transplantation Proceedings
R Cadillo-ChávezD Heinrichs

Abstract

The number of kidney allografts procured from deceased donors has been fairly constant in the past few years, while organs from living donors steadily increase. In our program, existing protocols refused some kidneys which were subsequently accepted and transplanted at other hospitals. Thus, a review of our criteria to accept kidneys became necessary. We studied the outcome of all kidneys refused by us but transplanted in other programs between 2002 and 2004. The data analyzed included ID no. donor, transplant center, procurement date, donor age, ischemic times, recipient alive or dead, creatinine level (when it was offered), initial function, hypertension, diabetes mellitus, biopsy, reason why the kidney was not accepted in our program, kidney functioning or lost, and cause of graft failure. The chi-square, Fisher, and t tests were used to analyze our data; P values of <.05 were regarded as significant. Originally 137, we excluded kidneys exported due to mandatory sharing (26 of 137 = 18.97%) and multiorgan placement (10 of 137 = 7.3%). Thus, 101 kidneys were not accepted by us because they did not meet the existing criteria of our program, but were accepted elsewhere. Reasons for nonacceptance were divided into donor quality,...Continue Reading

References

Jan 3, 2006·Transplantation Proceedings·M SaadeE A Santiago-Delpin

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Citations

Jul 11, 2009·Néphrologie & thérapeutique·Odette AbbadieBruno Hurault de Ligny
May 22, 2008·Clinical Transplantation·Stuart M GreensteinVivian Tellis
Apr 13, 2007·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·R A WolfeA B Leichtman
Oct 28, 2014·Transplant International : Official Journal of the European Society for Organ Transplantation·Dietlind Tittelbach-HelmrichPrzemyslaw Pisarski

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