Initial experience with liver transplantation in Iran

Malekhosseini, Seyed Ali; Salahi, Heshmatollah; Lahsaee, M; Bahador, Abbas; Lankarani, Mahnaz; Imanieh, Mohammad Hadi; Saberfiroozi, Mehdi; Arasteh, M. M.; Dehbashi, N; Geramizadeh, Bita; Karbassi, Arsha

doi:10.1016/s0041-1345(02)03844-7

Cited by 9 publications

(10 citation statements)

References 5 publications

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“…This is happening in an era that the possibility of using organ transplantation has raised some other issues such as increase in financial resource shortage for transplantation, decrease in services to recipients, and most importantly shortage of organs used for transplantation. As a situation that each competent country for organ transplantation like Iran will face with after the law of “organ transplantation and brain death” law is passed (24, 25, 26, 27, 28). Although this study tried to explore a range of personal, familial, and societal criteria by referring to participants’ views, interviewees emphasized that the criteria should collectively be taken into account in order to select an eligible recipient.…”

Section: Discussionmentioning

confidence: 99%

Organ Allocation for Liver Transplantation According to the Public Opinion

et al. 2012

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BackgroundAlthough liver transplantation is the last resort for treating end stage liver diseases, this medical procedure is not available for all needful patients because of inadequate organ supply. Therefore, guidelines have been developed by medical experts to regulate the process. Some professionals believe that medical criteria are inadequate for organ allocation in all situations and may not secure fairness of organ allocation.ObjectivesThe current study has been designed to identify decision criteria about allocation of donated liver to potential recipients from public points of view.Patients and MethodsThis is a qualitative study that was conducted through individual interviews and Focus Group Discussions. Individual interviews were conducted among patients’ companions and nurses in one of the two liver transplant centers in Iran. Group discussions were conducted among groups of ordinary people who had not dealt previously with the subject. Data was analyzed by Thematic Analysis method.ResultsMost of the participants in this study believe that in equal medical conditions, some individual and societal criteria could be used to prioritize patients for receiving donated livers. The criteria include psychological acceptance, ability to pay post-operative care costs, being breadwinner of the family, family support, being socially valued, ability to be instructed, lack of mental disorders, young age of the recipient, being on waiting list for a long time, lack of patient’s role in causing the illness, first time transplant recipient, critical medical condition, high success rate of transplantation, lack of concurrent medical illnesses, not being an inmate at the time of receiving transplant, and bearing Iranian nationality.ConclusionsTaking public opinion into consideration may smooth the process of organ allocation to needful patients with equal medical conditions. It seems that considering these viewpoints in drafting organ allocation guidelines may increase confidence of the society to the equity of organ allocation in the country. This strategy may also persuade people to donate organs particularly after death.

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Section: Discussionmentioning

confidence: 99%

Organ Allocation for Liver Transplantation According to the Public Opinion

et al. 2012

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“…The first deceased-donor liver transplant was performed by Dr. Malek Hosseini in Shiraz in 1992, and the first heart transplant was performed in Shariati Hospital in Tehran in 1993. 9,10 From 1989 to 2000, before the organ transplant law was passed, all deceased-donor kidney, liver, and heart transplants were performed only by religious leaders fatwa.…”

Section: Fatwa (Religious Approval) Of 1989mentioning

confidence: 99%

The History of Organ Donation and Transplantation in Iran

Ghods

2014

Exp Clin Transplant

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“…The first successful LT in Iran was performed at Shiraz University of Medical Sciences in 1992. 1 Since then, several LT programs were developed throughout the country. 2 , 3 However due to increasing number of patients with ESLD, there is a need to expand and develop new centers to provide better access to LT for patients with ESLD in Iran.…”

Section: Introductionmentioning

confidence: 99%

“…HBV and cryptogenic cirrhosis (most likely due to NAFLD) were the most common indications for LT at this center. 1 …”

Section: Introductionmentioning

confidence: 99%