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Professionalization of surgical abdominal organ recovery leading to an increase in pancreatic allografts accepted for transplantation in the Netherlands: a serial analysis.
Lam, Hwai-Ding; Schaapherder, Alexander F; Kopp, Wouter H; Putter, Hein; Braat, Andries E; Baranski, Andrzej G.
Afiliação
  • Lam HD; Department of Transplantation Surgery, LUMC, Leiden, The Netherlands.
  • Schaapherder AF; Department of Transplantation Surgery, LUMC, Leiden, The Netherlands.
  • Kopp WH; Department of Transplantation Surgery, LUMC, Leiden, The Netherlands.
  • Putter H; Department of Statistics, LUMC, Leiden, The Netherlands.
  • Braat AE; Department of Transplantation Surgery, LUMC, Leiden, The Netherlands.
  • Baranski AG; Department of Transplantation Surgery, LUMC, Leiden, The Netherlands.
Transpl Int ; 30(2): 117-123, 2017 Feb.
Article em En | MEDLINE | ID: mdl-27874968
Professional abdominal organ recovery with certification has been mandatory in the Netherlands since 2010. This study analyses the effects of certification (January 2010-September 2015) on pancreas transplantation and compares it to an era before certification (February 2002-May 2008) for surgical injuries and the number of pancreases transplanted. A total of 264 cases were analysed. Eighty-four recovered pancreases (31.8%) with surgically injuries were encountered. Forty-six of those were surgically salvaged for transplantation, resulting in a total of 226 (85.6%) being transplanted. It was found that certified surgeons recovered grafts from older donors (36.8 vs. 33.3; P = 0.021), more often from donation after circulatory death (DCD) donors (18% vs. 0%; P < 0.001) and had less surgical injuries (21.6% vs. 41.0%; P < 0.001). Certification (OR: 0.285; P < 0.001) and surgeons from a pancreas transplant centre (OR: 0.420; P = 0.002) were independent risk factors for surgical organ injury. Predictors for proceeding to the actual pancreas transplantation were a recovering surgeon from a pancreas transplantation centre (OR: 3.230; P = 0.003), certification (OR: 3.750; P = 0.004), donation after brain death (DBD) (OR: 8.313; P = 0.002) and donor body mass index (BMI) (OR: 0.851; P = 0.023). It is concluded that certification in abdominal organ recovery will limit the number of surgical injuries in pancreas grafts which will translate in more pancreases available for transplantation.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Transplante de Pâncreas / Coleta de Tecidos e Órgãos / Aloenxertos Tipo de estudo: Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Adult / Humans / Middle aged País/Região como assunto: Europa Idioma: En Revista: Transpl Int Assunto da revista: TRANSPLANTE Ano de publicação: 2017 Tipo de documento: Article País de afiliação: Holanda

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Transplante de Pâncreas / Coleta de Tecidos e Órgãos / Aloenxertos Tipo de estudo: Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Adult / Humans / Middle aged País/Região como assunto: Europa Idioma: En Revista: Transpl Int Assunto da revista: TRANSPLANTE Ano de publicação: 2017 Tipo de documento: Article País de afiliação: Holanda