The development and outcomes of organ transplantation from donation after circulatory death in Taiwan
Background: It is imperative to increase the donor pool due to a persistent shortfall of organs for transplantation. Therefore, organ donation after circulatory death (DCD) was reintroduced in Taiwan in 2017, and has become a rightful source for kidney and liver transplantation. We aim to report the...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-12-01
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| Series: | Transplantation Reports |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S245195962200021X |
| _version_ | 1798006484226801664 |
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| author | Yueh-Ping Liu Chi-Shin Tseng Yang-Jen Chiang Jeff S. Chueh Jui-Yuan Hsueh |
| author_facet | Yueh-Ping Liu Chi-Shin Tseng Yang-Jen Chiang Jeff S. Chueh Jui-Yuan Hsueh |
| author_sort | Yueh-Ping Liu |
| collection | DOAJ |
| description | Background: It is imperative to increase the donor pool due to a persistent shortfall of organs for transplantation. Therefore, organ donation after circulatory death (DCD) was reintroduced in Taiwan in 2017, and has become a rightful source for kidney and liver transplantation. We aim to report the preliminary outcomes of organ transplantation from DCD donors in Taiwan. Methods: All data of 48 DCD donors and consecutively 106 grafts were obtained from the registry of Taiwan Organ Registry and Sharing Center. Kidney and liver transplantations were performed between Jan 5th, 2018 and Sep 24th, 2021. The primary endpoints were recipient survival and graft survival by using Kaplan-Meier method. Results: Overall, DCD donors accounted for 9.6% (48/501) of all deceased donors in Taiwan from 2017 to 2021. The recipient survival for 3-month, 1-year, and 3-year were 99, 94, and 94% for DCD kidney transplants; 86, 76 and 76% for DCD liver transplants. The 3-month and three-year kidney graft survival (censored for death) reached 95% and 94%, respectively; while liver graft survival (censored for death) reached 95% and 89%, respectively. Conclusions: Transplantations from DCD donors showed satisfactory graft and recipient survivals in both kidney and liver transplants. Both kidney and liver transplantation from potential DCD donors should be advocated for its comparable outcomes to organs from brain-dead deceased donors. |
| first_indexed | 2024-04-11T12:55:37Z |
| format | Article |
| id | doaj.art-e4876cedb69e442ca4d5054732658843 |
| institution | Directory Open Access Journal |
| issn | 2451-9596 |
| language | English |
| last_indexed | 2024-04-11T12:55:37Z |
| publishDate | 2022-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Transplantation Reports |
| spelling | doaj.art-e4876cedb69e442ca4d50547326588432022-12-22T04:23:05ZengElsevierTransplantation Reports2451-95962022-12-0174100113The development and outcomes of organ transplantation from donation after circulatory death in TaiwanYueh-Ping Liu0Chi-Shin Tseng1Yang-Jen Chiang2Jeff S. Chueh3Jui-Yuan Hsueh4CEO of TORSC; Director General, Department of Medical Affairs, Ministry of Health and Welfare, TaiwanDepartment of Urology, National Taiwan University Hospital, National Taiwan University, Taipei, TaiwanDepartment of Surgery, Chang Gung Memorial Hospital, Chang Gung University, TaiwanDepartment of Urology, National Taiwan University Hospital, National Taiwan University, Taipei, TaiwanDirector of TORSC; Minister, Ministry of Health and Welfare, Taiwan; Corresponding author.Background: It is imperative to increase the donor pool due to a persistent shortfall of organs for transplantation. Therefore, organ donation after circulatory death (DCD) was reintroduced in Taiwan in 2017, and has become a rightful source for kidney and liver transplantation. We aim to report the preliminary outcomes of organ transplantation from DCD donors in Taiwan. Methods: All data of 48 DCD donors and consecutively 106 grafts were obtained from the registry of Taiwan Organ Registry and Sharing Center. Kidney and liver transplantations were performed between Jan 5th, 2018 and Sep 24th, 2021. The primary endpoints were recipient survival and graft survival by using Kaplan-Meier method. Results: Overall, DCD donors accounted for 9.6% (48/501) of all deceased donors in Taiwan from 2017 to 2021. The recipient survival for 3-month, 1-year, and 3-year were 99, 94, and 94% for DCD kidney transplants; 86, 76 and 76% for DCD liver transplants. The 3-month and three-year kidney graft survival (censored for death) reached 95% and 94%, respectively; while liver graft survival (censored for death) reached 95% and 89%, respectively. Conclusions: Transplantations from DCD donors showed satisfactory graft and recipient survivals in both kidney and liver transplants. Both kidney and liver transplantation from potential DCD donors should be advocated for its comparable outcomes to organs from brain-dead deceased donors.http://www.sciencedirect.com/science/article/pii/S245195962200021X |
| spellingShingle | Yueh-Ping Liu Chi-Shin Tseng Yang-Jen Chiang Jeff S. Chueh Jui-Yuan Hsueh The development and outcomes of organ transplantation from donation after circulatory death in Taiwan Transplantation Reports |
| title | The development and outcomes of organ transplantation from donation after circulatory death in Taiwan |
| title_full | The development and outcomes of organ transplantation from donation after circulatory death in Taiwan |
| title_fullStr | The development and outcomes of organ transplantation from donation after circulatory death in Taiwan |
| title_full_unstemmed | The development and outcomes of organ transplantation from donation after circulatory death in Taiwan |
| title_short | The development and outcomes of organ transplantation from donation after circulatory death in Taiwan |
| title_sort | development and outcomes of organ transplantation from donation after circulatory death in taiwan |
| url | http://www.sciencedirect.com/science/article/pii/S245195962200021X |
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