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Deceased-Donor Organ Transplantation in India: Current Status, Challenges, and Solutions.
Kute, Vivek; Ramesh, Vasanthi; Shroff, Sunil; Guleria, Sandeep; Prakash, Jai.
  • Kute V; From the Department of Nephrology and Transplantation Medicine, Smt. G. R. Doshi and Smt. K. M. Mehta Institute of Kidney Diseases and Research Centre and Dr. H. L. Trivedi Institute of Transplantation Sciences; the Indian Society of Organ Transplantation, Ahmedabad, India.
Exp Clin Transplant ; 18(Suppl 2): 31-42, 2020 07.
Article in English | MEDLINE | ID: covidwho-1405517
ABSTRACT
Tamil Nadu, Gujarat, Telangana, Maharashtra, Kerala, Chandigarh, Karnataka, National Capital Territory of Delhi, and Rajasthan are states and union territories having active deceased-donor organ transplant programs in India. Transplant data (2013-2018) have been collected by the National Organ and Tissue Transplant Organization from all states and union territories of India and submitted to the Global Observatory on Donation and Transplantation. From 2013 to 2018, 49155 transplants were reported in India, including 39000 living-donor organ recipients and 10 155 deceased-donor organ recipients. These transplants were for kidney (living donor = 32584, deceased donor = 5748), liver (living donor = 6416, deceased donor = 2967), heart (deceased donor = 895), lung (deceased donor = 459), pancreas (deceased donor = 78), and small bowel (deceased donor = 8). According to 2018 data, India was the second largest transplanting country in the world in terms of the absolute number of transplants. Here, we discuss the status, progress, challenges, and solutions for deceaseddonor organ transplantation. The plan to increase rates of organ donation in India include the following points teamwork and focus by intensive care unit doctors; public education on organ donation using social media; professional education and family donation conversation programs for brain death declaration and donor management; organ procurement organizations; international collaboration and regular meetings and updates for organizations working in the field of organ transplantation; grief counseling and reporting of potential donation for families of recently deceased people; nonfinancial incentivization to families of potential organ donors; expert committees and standard operating protocols for use of marginal donor organs, donation after circulatory death programs, and machine perfusion; maintenance of transparency and ethics in organ donation, allocation, and transplantation as directed by governmental, nongovernmental, and intergovernmental entities; and regular audit of progress and registry data.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Tissue Donors / Tissue and Organ Procurement / Brain Death / Organ Transplantation Type of study: Prognostic study Limits: Humans Country/Region as subject: Asia Language: English Journal: Exp Clin Transplant Journal subject: Transplantation Year: 2020 Document Type: Article Affiliation country: Ect.rlgnsymp2020.L6

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Tissue Donors / Tissue and Organ Procurement / Brain Death / Organ Transplantation Type of study: Prognostic study Limits: Humans Country/Region as subject: Asia Language: English Journal: Exp Clin Transplant Journal subject: Transplantation Year: 2020 Document Type: Article Affiliation country: Ect.rlgnsymp2020.L6