Expanding pancreas donor pool by evaluation of unallocated organs after brain death: Study protocol clinical trial (SPIRIT Compliant).


Journal

Medicine
ISSN: 1536-5964
Titre abrégé: Medicine (Baltimore)
Pays: United States
ID NLM: 2985248R

Informations de publication

Date de publication:
Mar 2020
Historique:
entrez: 10 3 2020
pubmed: 10 3 2020
medline: 17 3 2020
Statut: ppublish

Résumé

Pancreas graft quality directly affects morbidity and mortality rates after pancreas transplantation (PTx). The criteria for pancreas graft allocation are restricted, which has decreased the number of available organs. Suitable pancreatic allografts are selected based on donor demographics, medical history, and the transplant surgeon's assessment of organ quality during procurement. Quality is assessed based on macroscopic appearance, which is biased by individual experience and personal skills. Therefore, we aim to assess the histopathological quality of unallocated pancreas organs to determine how many unallocated organs are potentially of suitable quality for PTx. This is a multicenter cross-sectional explorative study. The demographic data and medical history of donor and cause of rejection of the allocation of graft will be recorded. Organs of included donors will be explanted and macroscopic features such as weight, color, size, and stiffness will be recorded by 2 independent transplant surgeons. A tissue sample of the organ will be fixed for further microscopic assessments. Histopathologic assessments will be performed as soon as a biopsy can be obtained. We will evaluate up to 100 pancreata in this study. This study will evaluate the histopathological quality of unallocated pancreas organs from brain-dead donors to determine how many of these unallocated organs were potentially suitable for transplantation based on a histopathologic evaluation of organ quality. The comprehensive findings of this study could help to increase the pancreas graft pool, overcome organ shortage, reduce the waiting time, and also increase the number of PTx in the future. Registration number: ClinicalTrials.gov: NCT04127266.

Sections du résumé

BACKGROUND BACKGROUND
Pancreas graft quality directly affects morbidity and mortality rates after pancreas transplantation (PTx). The criteria for pancreas graft allocation are restricted, which has decreased the number of available organs. Suitable pancreatic allografts are selected based on donor demographics, medical history, and the transplant surgeon's assessment of organ quality during procurement. Quality is assessed based on macroscopic appearance, which is biased by individual experience and personal skills. Therefore, we aim to assess the histopathological quality of unallocated pancreas organs to determine how many unallocated organs are potentially of suitable quality for PTx.
METHODS AND ANALYSIS METHODS
This is a multicenter cross-sectional explorative study. The demographic data and medical history of donor and cause of rejection of the allocation of graft will be recorded. Organs of included donors will be explanted and macroscopic features such as weight, color, size, and stiffness will be recorded by 2 independent transplant surgeons. A tissue sample of the organ will be fixed for further microscopic assessments. Histopathologic assessments will be performed as soon as a biopsy can be obtained. We will evaluate up to 100 pancreata in this study.
RESULT RESULTS
This study will evaluate the histopathological quality of unallocated pancreas organs from brain-dead donors to determine how many of these unallocated organs were potentially suitable for transplantation based on a histopathologic evaluation of organ quality.
CONCLUSION CONCLUSIONS
The comprehensive findings of this study could help to increase the pancreas graft pool, overcome organ shortage, reduce the waiting time, and also increase the number of PTx in the future. Registration number: ClinicalTrials.gov: NCT04127266.

Identifiants

pubmed: 32150070
doi: 10.1097/MD.0000000000019335
pii: 00005792-202003060-00026
pmc: PMC7478640
doi:

Banques de données

ClinicalTrials.gov
['NCT04127266']

Types de publication

Journal Article Multicenter Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

e19335

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Auteurs

Yakup Kulu (Y)

Department of General, Visceral, and Transplantation Surgery, University of Heidelberg, Heidelberg.

Elias Khajeh (E)

Department of General, Visceral, and Transplantation Surgery, University of Heidelberg, Heidelberg.

Omid Ghamarnejad (O)

Department of General, Visceral, and Transplantation Surgery, University of Heidelberg, Heidelberg.

Mohammadsadegh Nikdad (M)

Department of General, Visceral, and Transplantation Surgery, University of Heidelberg, Heidelberg.

Mohammadsadegh Sabagh (M)

Department of General, Visceral, and Transplantation Surgery, University of Heidelberg, Heidelberg.

Sadeq Ali-Hasan-Al-Saegh (S)

Department of General, Visceral, and Transplantation Surgery, University of Heidelberg, Heidelberg.

Silvio Nadalin (S)

Department of General, Visceral, and Transplant Surgery, University Hospital Tuebingen, Tuebingen.

Markus Quante (M)

Department of General, Visceral, and Transplant Surgery, University Hospital Tuebingen, Tuebingen.

Przemyslaw Pisarski (P)

Transplantation Center, Department of General and Visceral Surgery, Medical Center, Faculty of Medicine, University of Freiburg, Freiburg.

Bernd Jänigen (B)

Transplantation Center, Department of General and Visceral Surgery, Medical Center, Faculty of Medicine, University of Freiburg, Freiburg.

Christoph Reißfelder (C)

Department of Surgery, Universitätsmedizin Mannheim, Medical Faculty Mannheim, Heidelberg University, Mannheim.

Markus Mieth (M)

Department of General, Visceral, and Transplantation Surgery, University of Heidelberg, Heidelberg.

Christian Morath (C)

Department of Nephrology, Heidelberg University Hospital, Heidelberg.

Benjamin Goeppert (B)

Institute of Pathology, University of Heidelberg, Heidelberg.

Peter Schirmacher (P)

Institute of Pathology, University of Heidelberg, Heidelberg.

Oliver Strobel (O)

Department of General, Visceral, and Transplantation Surgery, University of Heidelberg, Heidelberg.

Thilo Hackert (T)

Department of General, Visceral, and Transplantation Surgery, University of Heidelberg, Heidelberg.

Martin Zeier (M)

Department of Nephrology, Heidelberg University Hospital, Heidelberg.

Rainer Springel (R)

German Organ Transplantation Foundation, Frankfurt, Germany.

Christina Schleicher (C)

German Organ Transplantation Foundation, Frankfurt, Germany.

Markus W Büchler (MW)

Department of General, Visceral, and Transplantation Surgery, University of Heidelberg, Heidelberg.

Arianeb Mehrabi (A)

Department of General, Visceral, and Transplantation Surgery, University of Heidelberg, Heidelberg.

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