The decrease in organ donations from 1985 to 1990 caused by increasing medical contraindications and refusals by relatives.

Abstract:

:After the progressive improvement in the results of organ transplantation we now face the challenge of shortage in organ supply. The decreasing number of organ retrievals performed in 1990 at our hospital has raised questions concerning loss of potential organ donors and opposition to donation by the next of kin. We investigated these questions and the number of organs available per million inhabitants in the area covered by our university hospital. Our surgical intensive care unit provides about 85% of all organ donations for this area. To this end, all 375 deaths occurring in the surgical ICU during the period between January 1, 1985 and December 31, 1990 were analyzed. Of 138 brain-stem deaths, 43 presented medical contraindications preventing organ harvesting for transplantation. Consent for donation was sought from the families of the 95 remaining potential donors and was refused for 17 patients. Organ retrieval followed all of the 78 agreements to donate, so that no suitable donor was lost. Over the 6 years surveyed, a progressive decrease in organs procured was observed, due to an increase of medical contraindications to organ harvesting for transplantation (P less than 0.001) and a higher rate of refusals to donate organs (P less than 0.002). The rate of kidney retrieval was thereby reduced from 45 to less than 25 per million population per year between 1985 and 1990 for our hospital's catchment area. The reasons cited by the families for denying organ donation suggest that the publicity campaigns aimed at the medical community and the public concerning organ transplant programs should be modified, and that a careful selection of indications for transplantation seems mandatory.

journal_name

Transplantation

journal_title

Transplantation

authors

Faltin DL,Jeannet M,Suter PM

doi

10.1097/00007890-199207000-00015

subject

Has Abstract

pub_date

1992-07-01 00:00:00

pages

85-8

issue

1

eissn

0041-1337

issn

1534-6080

journal_volume

54

pub_type

杂志文章
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    authors: Cantrelle C,Laurens C,Luciolli E,Loty B,Tuppin P

    更新日期:2006-04-27 00:00:00

  • Active enhancement in the primate by bone marrow I. Ia-like determinants on nucleated bone marrow cells.

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    journal_title:Transplantation

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    authors: Smit JA,Myburgh JA,Gaillard VJ

    更新日期:1978-08-01 00:00:00

  • Transplantation of DLA-compatible and incompatible fetal liver hematopoietic cells in dogs.

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    pub_type: 杂志文章

    doi:10.1097/00007890-198712000-00004

    authors: Cain G,Stitzel K,Gale R,Champlin R

    更新日期:1987-12-01 00:00:00

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    doi:10.1097/00007890-200001150-00031

    authors: Kuo PC,Plotkin JS,Stevens S,Cribbs A,Johnson LB

    更新日期:2000-01-15 00:00:00

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    pub_type: 杂志文章

    doi:10.1097/00007890-198902000-00033

    authors: Suthanthiran M

    更新日期:1989-02-01 00:00:00

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    journal_title:Transplantation

    pub_type: 杂志文章

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    authors: Tullius SG,Pomahac B,Kim HB,Carty MJ,Talbot SG,Nelson HM,Delmonico FL

    更新日期:2016-10-01 00:00:00

  • Immunofluorescent localization of beta2-microglobulin in the human kidney.

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    pub_type: 杂志文章

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    authors: Ooi BS,Rubin SC,Pesce AJ,Pollak VE

    更新日期:1977-07-01 00:00:00

  • Measuring compliance with drug regimens after renal transplantation: comparison of self-report and clinician rating with electronic monitoring.

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    journal_title:Transplantation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/01.tp.0000110412.20050.36

    authors: Butler JA,Peveler RC,Roderick P,Horne R,Mason JC

    更新日期:2004-03-15 00:00:00

  • Ethics Guide Recommendations for Organ-Donation-Focused Physicians: Endorsed by the Canadian Medical Association.

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    pub_type: 杂志文章,实务指引

    doi:10.1097/TP.0000000000001694

    authors: Shemie SD,Simpson C,Blackmer J,MacDonald S,Dhanani S,Torrance S,Byrne P,Donation Physician Ethics Guide Meeting Participants.

    更新日期:2017-05-01 00:00:00

  • Intravenous infusion of Galalpha1-3Gal oligosaccharides in baboons delays hyperacute rejection of porcine heart xenografts.

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    pub_type: 杂志文章

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    authors: Simon PM,Neethling FA,Taniguchi S,Goode PL,Zopf D,Hancock WW,Cooper DK

    更新日期:1998-02-15 00:00:00

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    pub_type: 杂志文章

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    authors: Gassel HJ,Hutchinson IV,Engemann R,Morris PJ

    更新日期:1992-12-01 00:00:00

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    journal_title:Transplantation

    pub_type: 杂志文章

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    authors: O'Connor MJ,Harville TO,Rhodes-Clark B,Pye SE,Knecht KR,Imamura M,Frazier EA,Morrow WR

    更新日期:2013-06-27 00:00:00

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    journal_title:Transplantation

    pub_type: 杂志文章

    doi:

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    更新日期:1995-10-27 00:00:00

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    pub_type: 杂志文章

    doi:10.1097/00007890-199912270-00003

    authors: Cantarovich M,Elstein E,de Varennes B,Barkun JS

    更新日期:1999-12-27 00:00:00

  • Cyclosporine minimization and cost reduction in renal transplant recipients receiving a C2-monitored, cyclosporine-based quadruple immunosuppressive regimen.

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    journal_title:Transplantation

    pub_type: 临床试验,杂志文章

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    authors: Hardinger KL,Schnitzler MA,Koch MJ,Enkvetchakul D,Desai N,Jendrisak M,Lowell JA,Miller B,Shenoy S,Brennan DC

    更新日期:2004-10-27 00:00:00

  • Immunoregulatory abnormalities in patients with Epstein-Barr virus-associated B cell lymphoproliferative disorders.

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    journal_title:Transplantation

    pub_type: 杂志文章

    doi:

    authors: Mathur A,Kamat DM,Filipovich AH,Steinbuch M,Shapiro RS

    更新日期:1994-04-15 00:00:00

  • Photopheresis for the treatment of refractory renal graft rejection.

    abstract::Acute rejection episodes still occur after kidney transplantation in spite of modern immunosuppressive protocols including combined tacrolimus, mycophenolate mofetil, and prednisolone. The authors present seven cases of biopsy-proven acute rejection after kidney transplantation refractory to conventional rejection the...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000147197.24050.61

    authors: Kumlien G,Genberg H,Shanwell A,Tydén G

    更新日期:2005-01-15 00:00:00

  • Pretransplant immunologic risk assessment of kidney transplant recipients with donor-specific anti-human leukocyte antigen antibodies.

    abstract:BACKGROUND:Patients with pretransplantation strong donor-specific anti-human leukocyte antigen (HLA) antibodies (DSA) are at higher risk for rejection. We aimed to study the safety of kidney transplantation in patients with lower strength DSAs in a prospective cohort study. METHODS:Three hundred and seventy-three cons...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000000191

    authors: Marfo K,Ajaimy M,Colovai A,Kayler L,Greenstein S,Lubetzky M,Gupta A,Kamal L,de Boccardo G,Masiakos P,Kinkhabwala M,Akalin E

    更新日期:2014-11-27 00:00:00

  • Outcomes of Liver Transplantation for Hepatocellular Carcinoma Beyond the University of California San Francisco Criteria: A Single-center Experience.

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    pub_type: 杂志文章

    doi:10.1097/TP.0000000000002835

    authors: Victor DW 3rd,Monsour HP Jr,Boktour M,Lunsford K,Balogh J,Graviss EA,Nguyen DT,McFadden R,Divatia MK,Heyne K,Ankoma-Sey V,Egwim C,Galati J,Duchini A,Saharia A,Mobley C,Gaber AO,Ghobrial RM

    更新日期:2020-01-01 00:00:00

  • Cytomegalovirus serology and replication remain associated with solid organ graft rejection and graft loss in the era of prophylactic treatment.

    abstract:BACKGROUND:Cytomegalovirus (CMV) replication has been associated with more risk for solid organ graft rejection. We wondered whether this association still holds when patients at risk receive prophylactic treatment for CMV. METHODS:We correlated CMV infection, biopsy-proven graft rejection, and graft loss in 1,414 pat...

    journal_title:Transplantation

    pub_type: 杂志文章,多中心研究

    doi:10.1097/TP.0000000000000160

    authors: Stern M,Hirsch H,Cusini A,van Delden C,Manuel O,Meylan P,Boggian K,Mueller NJ,Dickenmann M,Members of Swiss Transplant Cohort Study.

    更新日期:2014-11-15 00:00:00

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    pub_type: 杂志文章

    doi:10.1097/00007890-199009000-00020

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    更新日期:1990-09-01 00:00:00

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    pub_type: 杂志文章

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    更新日期:2008-05-15 00:00:00

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    pub_type: 杂志文章

    doi:10.1097/00007890-198504000-00012

    authors: Gattone VH 2nd,Filo RS,Evan AP,Leapman SB,Smith EJ,Luft FC

    更新日期:1985-04-01 00:00:00

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    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199609270-00017

    authors: Allaire E,Mandet C,Bruneval P,Bensenane S,Becquemin JP,Michel JB

    更新日期:1996-09-27 00:00:00

  • Lack of GVHD across classical, single minor histocompatibiliTy (miH) locus barriers in mice.

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    pub_type: 杂志文章

    doi:10.1097/00007890-199602270-00017

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    更新日期:1996-02-27 00:00:00

  • Successful preemptive cidofovir treatment for CMV antigenemia after dose-reduced conditioning and allogeneic blood stem cell transplantation.

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    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200104150-00010

    authors: Platzbecker U,Bandt D,Thiede C,Helwig A,Freiberg-Richter J,Schuler U,Plettig R,Geissler G,Rethwilm A,Ehninger G,Bornhäuser M

    更新日期:2001-04-15 00:00:00

  • Evaluation of Pefabloc as a serine protease inhibitor during human-islet isolation.

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    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.TP.0000046537.47139.CE

    authors: Rose NL,Palcic MM,Helms LM,Lakey JR

    更新日期:2003-02-27 00:00:00

  • Liver transplantation for alcoholic cirrhosis: long term follow-up and impact of disease recurrence.

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    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200108270-00010

    authors: Bellamy CO,DiMartini AM,Ruppert K,Jain A,Dodson F,Torbenson M,Starzl TE,Fung JJ,Demetris AJ

    更新日期:2001-08-27 00:00:00

  • Prophylaxis with caspofungin for invasive fungal infections in high-risk liver transplant recipients.

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    pub_type: 杂志文章,多中心研究

    doi:10.1097/TP.0b013e3181932e76

    authors: Fortún J,Martín-Dávila P,Montejo M,Muñoz P,Cisneros JM,Ramos A,Aragón C,Blanes M,San Juan R,Gavaldá J,Llinares P,GESITRA Study Group.

    更新日期:2009-02-15 00:00:00

  • Long-term outcomes of kidney transplantation across a positive complement-dependent cytotoxicity crossmatch.

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    pub_type: 杂志文章

    doi:10.1097/01.TP.0000442782.98131.7c

    authors: Riella LV,Safa K,Yagan J,Lee B,Azzi J,Najafian N,Abdi R,Milford E,Mah H,Gabardi S,Malek S,Tullius SG,Magee C,Chandraker A

    更新日期:2014-06-27 00:00:00