Challenges of Organ Shortage for Transplantation: Solutions and Opportunities
Organ shortage is the greatest challenge facing the field of organ transplantation today. A variety of approaches have been implemented to expand the organ donor pool including live donation, a national effort to expand deceased donor donation, split organ donation, paired donor exchange, national s...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Shiraz University of Medical Sciences
2014-07-01
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| Series: | International Journal of Organ Transplantation Medicine |
| Subjects: | |
| Online Access: | http://www.ijotm.com/ojs/index.php/IJOTM/article/view/207 |
| _version_ | 1818235516019015680 |
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| author | RF Saidi SK Hejazii Kenari |
| author_facet | RF Saidi SK Hejazii Kenari |
| author_sort | RF Saidi |
| collection | DOAJ |
| description | Organ shortage is the greatest challenge facing the field of organ transplantation today. A variety of approaches have been implemented to expand the organ donor pool including live donation, a national effort to expand deceased donor donation, split organ donation, paired donor exchange, national sharing models and greater utilization of expanded criteria donors. Increased public awareness, improved efficiency of the donation process, greater expectations for transplantation, expansion of the living donor pool and the development of standardized donor management protocols have led to unprecedented rates of organ procurement and transplantation. Although live donors and donation after brain death account for the majority of organ donors, in the recent years there has been a growing interest in donors who have severe and irreversible brain injuries but do not meet the criteria for brain death. If the physician and family agree that the patient has no chance of recovery to a meaningful life, life support can be discontinued and the patient can be allowed to progress to circulatory arrest and then still donate organs (donation after circulatory death). Increasing utilization of marginal organs has been advocated to address the organ shortage. |
| first_indexed | 2024-12-12T11:55:12Z |
| format | Article |
| id | doaj.art-1f6f811ae6a14ea0bd47368442dbe764 |
| institution | Directory Open Access Journal |
| issn | 2008-6482 2008-6490 |
| language | English |
| last_indexed | 2024-12-12T11:55:12Z |
| publishDate | 2014-07-01 |
| publisher | Shiraz University of Medical Sciences |
| record_format | Article |
| series | International Journal of Organ Transplantation Medicine |
| spelling | doaj.art-1f6f811ae6a14ea0bd47368442dbe7642022-12-22T00:25:12ZengShiraz University of Medical SciencesInternational Journal of Organ Transplantation Medicine2008-64822008-64902014-07-0153161Challenges of Organ Shortage for Transplantation: Solutions and OpportunitiesRF Saidi0SK Hejazii Kenari1Division of Organ Transplantation, Department of Surgery, Alpert Medical School of Brown University, Providence, RI, USADivision of Organ Transplantation, Department of Surgery, Alpert Medical School of Brown University, Providence, RI, USAOrgan shortage is the greatest challenge facing the field of organ transplantation today. A variety of approaches have been implemented to expand the organ donor pool including live donation, a national effort to expand deceased donor donation, split organ donation, paired donor exchange, national sharing models and greater utilization of expanded criteria donors. Increased public awareness, improved efficiency of the donation process, greater expectations for transplantation, expansion of the living donor pool and the development of standardized donor management protocols have led to unprecedented rates of organ procurement and transplantation. Although live donors and donation after brain death account for the majority of organ donors, in the recent years there has been a growing interest in donors who have severe and irreversible brain injuries but do not meet the criteria for brain death. If the physician and family agree that the patient has no chance of recovery to a meaningful life, life support can be discontinued and the patient can be allowed to progress to circulatory arrest and then still donate organs (donation after circulatory death). Increasing utilization of marginal organs has been advocated to address the organ shortage.http://www.ijotm.com/ojs/index.php/IJOTM/article/view/207Organ transplantationTissue donorTissue and organ procurementAwarenessLiving donors |
| spellingShingle | RF Saidi SK Hejazii Kenari Challenges of Organ Shortage for Transplantation: Solutions and Opportunities International Journal of Organ Transplantation Medicine Organ transplantation Tissue donor Tissue and organ procurement Awareness Living donors |
| title | Challenges of Organ Shortage for Transplantation: Solutions and Opportunities |
| title_full | Challenges of Organ Shortage for Transplantation: Solutions and Opportunities |
| title_fullStr | Challenges of Organ Shortage for Transplantation: Solutions and Opportunities |
| title_full_unstemmed | Challenges of Organ Shortage for Transplantation: Solutions and Opportunities |
| title_short | Challenges of Organ Shortage for Transplantation: Solutions and Opportunities |
| title_sort | challenges of organ shortage for transplantation solutions and opportunities |
| topic | Organ transplantation Tissue donor Tissue and organ procurement Awareness Living donors |
| url | http://www.ijotm.com/ojs/index.php/IJOTM/article/view/207 |
| work_keys_str_mv | AT rfsaidi challengesoforganshortagefortransplantationsolutionsandopportunities AT skhejaziikenari challengesoforganshortagefortransplantationsolutionsandopportunities |