The effect of an organ procurement organization surgeon on pediatric organ utilization.
liver
organ procurement organization
pediatrics
surgeon
Journal
Pediatric transplantation
ISSN: 1399-3046
Titre abrégé: Pediatr Transplant
Pays: Denmark
ID NLM: 9802574
Informations de publication
Date de publication:
18 Oct 2023
18 Oct 2023
Historique:
revised:
29
07
2023
received:
06
01
2023
accepted:
09
10
2023
medline:
18
10
2023
pubmed:
18
10
2023
entrez:
18
10
2023
Statut:
aheadofprint
Résumé
Organ procurement organizations (OPO) have started to employ transplant-trained surgeons dedicated to organ procurement with the aim to increase allograft utilization and enhance the use of procured organs. We investigated the effects of an OPO-employed surgeon on the procurement and utilization of organs from pediatric donors within the Southwestern Transplant Alliance OPO. OPO data were obtained for all procurements that were performed between 2014 and 2019. The analysis was performed to see if the presence of an OPO donor surgeon impacted the utilization of pediatric livers. Donor and recipient demographic data were examined between allografts procured with the presence of an OPO surgeon (OPO-Present) and those without an OPO surgeon (OPO-Absent). A p-value of <.05 was considered significant. Of 149 pediatric procurements, 91 included an OPO-donor surgeon. In procurements with OPO-Present, donors were younger (8.2 vs. 11.2, p < .05) and had longer distances to travel to the recipient center (334 vs. 175 miles p < .05), but had comparable cold ischemic times. In terms of organ share type, more OPO-Present livers were shared nationally and there was no difference in discard rate between OPO-Present and OPO-Absent procurements. Finally, OPO-Present livers were more likely to be transplanted to pediatric recipients compared to OPO-Absent (47.3% vs. 24.1% p < .05). The presence of an OPO surgeon has impacted organ utilization, leading to increased transplantation of pediatric livers in pediatric recipients, and has expanded the geographical share of pediatric livers.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e14627Informations de copyright
© 2023 The Authors. Pediatric Transplantation published by Wiley Periodicals LLC.
Références
Signori S, Boggi U, Vistoli F, et al. Regional procurement team for abdominal organs. Transplant Proc. 2004;36(3):435-436.
Salvalaggio PR, Ferraz-Neto BH. Liver grafts procured by other transplant teams do not affect posttransplantation outcomes. Transplant Proc. 2012;44(8):2293-2296.
Mangus RS, Fridell JA, Vianna RM, et al. No difference in clinical transplant outcomes for local and imported liver allografts. Liver Transpl. 2009;15(6):640-647.
Serrano OK, Vock DM, Snyder JJ, et al. Influence of the procurement surgeon on transplanted abdominal organ outcomes: an SRTR analysis to evaluate regional organ procurement collaboration. Am J Transplant. 2019;19:2219-2231.
Lam HD, Schaapherder AF, Kopp WH, Putter H, Braat AE, Baranski AG. Professionalization of surgical abdominal organ recovery leading to an increase in pancreatic allografts accepted for transplantation in the Netherlands: a serial analysis. Transpl Int. 2017;30(2):117-123.
Hobeika MJ, Miller CM, Pruett TL, et al. PROviding better ACcess to ORgans: a comprehensive overview of organ-access initiatives from the ASTS PROACTOR task force. Am J Transplant. 2017;17(10):2546-2558.
Doyle M, Subramanian V, Vachharajani N, et al. Organ donor recovery performed at an organ procurement organization-based facility is an effective way to minimize organ recovery costs and increase organ yield. J Am Coll Surg. 2016;222(4):591-600.
Lindemann J, Dageforde LA, Brockmeier D, et al. Organ procurement center allows for daytime liver transplantation with less resource utilization: may address burnout, pipeline, and safety for field of transplantation. Am J Transplant. 2019;19(5):1296-1304.
Shubin AD, MacConmara MP, Patel MS, et al. No stone left unturned: utilization of an organ procurement organization donor surgeon at procurement reduces discards of marginal liver allografts. Transplantation. 2022;107:648-653.
Rela M, Muiesan P, Bhatnagar V, et al. Hepatic artery thrombosis after liver transplantation in children under 5 years of age. Transplantation. 1996;61(9):1355-1357.
Ma N, Song Z, Dong C, et al. Risk factors of hepatic artery thrombosis in pediatric deceased donor liver transplantation. Pediatr Surg Int. 2019;35(8):853-859.
Cacciarelli TV, Esquivel CO, Moore DH, et al. Factors affecting survival after orthotopic liver transplantation in infants. Transplantation. 1997;64(2):242-248.
Kwong AJ, Kim WR, Lake JR, et al. OPTN/SRTR 2019 annual data report: liver. Am J Transplant. 2021;21(Suppl 2):208-315.