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Title: Impact of a National Controlled Donation After Circulatory Death (DCD) Program on Organ Donation in the United Kingdom: A 10-Year Study.
Austin Authors: Hodgson, R;Young, Alastair L;Attia, M A;Lodge, J P A
Affiliation: Department of Hepatobiliary and Transplant Surgery, St James's University Hospital, Leeds, West Yorkshire, UK
Department of Surgery, Austin Health, The University of Melbourne, Heidelberg, Victoria, Australia
Issue Date: Dec-2017 2017-06-30
Publication information: American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons 2017; 17(12): 3172-3182
Abstract: Organ transplantation is the most successful treatment for some forms of organ failure, yet a lack of organs means many die on the waiting list. In the United Kingdom, the Organ Donation Taskforce was set up to identify barriers to organ donation and in 2008 released its first report (Organ Donation Taskforce Report; ODTR). This study assesses the success since the ODTR and examines the impact of the United Kingdom's controlled donation after circulatory death (DCD) program and the controversies surrounding it. There were 12 864 intended donation after brain death (DBD) or DCD donors from April 2004 to March 2014. When the 5 years preceding the ODTR was compared to the 5 years following, intended DCD donors increased 292% (1187 to 4652), and intended DBD donors increased 11% (3327 to 3698). Organs retrieved per intended DBD donor remained static (3.30 to 3.26), whereas there was a decrease in DCD (1.54 to 0.99) due to a large rise in donors who did not proceed to donation (325 to 2464). The majority of DCD donors who proceeded did so within 30 min from time of withdrawal. Our study suggests further work on converting eligible referrals to organ donation and exploring methods of converting DCD to DBD donors.
DOI: 10.1111/ajt.14374
ORCID: 0000-0002-1586-4624
PubMed URL: 28556608
Type: Journal Article
Subjects: clinical research/practice
donors and donation
donors and donation: deceased
donors and donation: donation after brain death (DBD)
donors and donation: donation after circulatory death (DCD)
health services and outcomes research
organ procurement and allocation
organ transplantation in general
Appears in Collections:Journal articles

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