Expanding the Donor Pool: Can the Spanish Model Work in the United States?

Chang, George J.; Mahanty, Harish; Ascher, Nancy L.; Roberts, John P.

doi:10.1046/j.1600-6143.2003.00255.x

Cited by 56 publications

(34 citation statements)

References 8 publications

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“…The authors note that the number of donors per million population (DPMP) achieved in Spain is double that of the other European countries. This accomplishment in Spain certainly exceeds what is reported in America according to an accompanying article on organ donation performance from Chang and colleagues (4). We commend the Spanish for their success; however, we would also suggest that the comparative measure of donation performance used by Miranda and Chang in each of their reports, the DPMP, is scientifically flawed.…”

Section: Introductionmentioning

confidence: 74%

See 1 more Smart Citation

Assessing Organ Donation from the Dead Should Not Be Done by Reporting a Census of the Living

Luskin

Delmonico

2003

American Journal of Transplantation

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Section: Introductionmentioning

confidence: 74%

“…Chang and colleagues report substantial differences in cerebrovascular deaths between Spain and the United States (4). SRTR data shown in Figure 2 record evaluable deaths among DSAs that bring a compelling conclusion: suitable potential organ donors are not uniformly distributed geographically.…”

Section: The Inaccuracy Of Donors Per Million Populationmentioning

confidence: 99%

Assessing Organ Donation from the Dead Should Not Be Done by Reporting a Census of the Living

Luskin

Delmonico

2003

American Journal of Transplantation

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“…However, the only ECD criterion predictive of increased graft loss among recipients of DCD kidneys is donor age 2 Serum creatinine in mg/dL in a donor aged 50 to 59 years. 3 History of hypertension in a donor aged 50 to 59 years. 4 Cause of death, intracranial hemorrhage in a donor aged 50 to 59 years.…”

Section: Outcomes Of Dcd Kidneysmentioning

confidence: 99%

Outcomes of Kidneys from Donors After Cardiac Death: Implications for Allocation and Preservation

Locke

Segev

Warren

et al. 2007

American Journal of Transplantation

223

198

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Although donation after cardiac death (DCD) kidneys have a high incidence of delayed graft function (DGF) and have been considered marginal, no tool for stratifying risk of graft loss nor a specific policy governing their allocation exist. We compared outcomes of 2562 DCD, 62 800 standard criteria donor (SCD) and 12 812 expanded criteria donor (ECD) transplants reported between 1993 and 2005, and evaluated factors associated with risk of graft loss and DGF in DCD kidneys. Donor age was the only criterion used in the definition of ECD kidneys that independently predicted graft loss among DCD kidneys. Kidneys from DCD donors <50 had similar long-term graft survival to those from SCD (RR 1.1, p = NS). While DGF was higher among DCD compared to SCD and ECD, limiting cold ischemia (CIT) to <12 h decreased the rate of DGF 15% among DCD <50 kidneys. These findings suggest that DCD <50 kidneys function like SCD kidneys and should not be viewed as marginal or ECD, and further, limiting CIT <12 h markedly reduces DGF.

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“…At the same time, free plasma hemoglobin at the end of a 4 h perfusion of whole blood in the closed standard loop using Mars pump was 0.154±0.012 g L −1 . This indicator does not exceed the values obtained in the experiment for roller pumps of foreign manufacturers (0.24 g L −1 ) (Chang et al, 2003;De Vries et al, 2003;Fieux et al, 2009;Garcia et al, 2000;Harper et al, 2006;Linfert et al, 2009) (Fig. 6).…”

Section: Resultsmentioning

confidence: 45%

Technical Support of Preclinical Hydrodynamic and Functional Tests of New Medical Mechatronic Peristaltic Blood Pumps Developed by Central Research Institute of Robotics and Cybernetics

Lopota¹,

Gryaznov²,

Velichko³

et al. 2016

American Journal of Applied Sciences

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Abstract:The article considers the results of scientific research works on creation of hydrodynamic and functional experimental benches for preclinical physiological tests of new mechatronic peristaltic blood pumps. The conclusion states the need in carrying out such tests before the start of biological experiments involving animals. An example of the device developed at Central Research Institute of Robotics and Cybernetics-a centrifugal pump-having optimal physiological characteristics is provided. The novelty of the proposed approaches to creation of hydrodynamic and functional experimental benches, as well as their technical equipment and data obtained as a result of the experiments, form a new approach to conduct of preclinical and physiological tests of mechatronic peristaltic pumps.

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Expanding the Donor Pool: Can the Spanish Model Work in the United States?

Cited by 56 publications

References 8 publications

Assessing Organ Donation from the Dead Should Not Be Done by Reporting a Census of the Living

Assessing Organ Donation from the Dead Should Not Be Done by Reporting a Census of the Living

Outcomes of Kidneys from Donors After Cardiac Death: Implications for Allocation and Preservation

Technical Support of Preclinical Hydrodynamic and Functional Tests of New Medical Mechatronic Peristaltic Blood Pumps Developed by Central Research Institute of Robotics and Cybernetics

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