title: [Development of organ transplantation in Quebec from 1985 to January 1990].
abstract: In Québec, the first organ transplantations have been realized in 1958. Several kidney transplant programs started at that time. Cardiac, liver, pancreas and lungs programs followed and reached a full development in the eighties when Cyclosporin became available. Today, there are 4 university transplant programs in Québec (McGill, Montréal, Laval and Sherbrooke) with a total of 7 kidney, 4 liver, 4 heart, 2 pancreas and 2 lungs centers. More than 2,900 transplantations have been realized. Since 1970, organ procurement and distribution is organized by a central agency called Québec-Transplant (previously Métro-transplantation). Organ donation is done on a voluntary basis as every where in North America. More than 90% of the organs comes from cadaveric donors and more than 90% of the relatives accept organ donation. 50% of the donors have deceased from head trauma and 50% from cerebral hemorrhage. In 1989, multi-organ harvesting has been realized in 64% of the donors. Despite efforts and progresses, the number of patients awaiting an organ transplant is steadily growing and outlast the number of available organs. It is hoped that maximal utilisation of the donors and growing exchanges at a national and international level will help to solve this crucial problem.
authors.affiliation: Québec-Transplant, Montréal, Canada.
authors.forename: J
authors.initials: J
authors.lastname: Corman
authors.forename: M J
authors.initials: MJ
authors.lastname: Clermont
authors.forename: R
authors.initials: R
authors.lastname: Dandavino
authors.forename: P
authors.initials: P
authors.lastname: Daloze
authors.forename: J G
authors.initials: JG
authors.lastname: Lachance
authors.forename: R
authors.initials: R
authors.lastname: Mangel
authors.forename: J
authors.initials: J
authors.lastname: Corcos
authors.forename: C
authors.initials: C
authors.lastname: Chartrand
authors.forename: N
authors.initials: N
authors.lastname: Poirier
authors.forename: D
authors.initials: D
authors.lastname: Marleau
mesh_terms: D016027:Heart Transplantation / Q000266:history*; D016041:Heart-Lung Transplantation / Q000266:history; D049673:History, 20th Century; D006801:Humans; D016030:Kidney Transplantation / Q000266:history*; D016035:Pancreas Transplantation / Q000266:history*; D011792:Quebec; D014019:Tissue Donors; D009927:Tissue and Organ Procurement / Q000379:methods
vernacular_title: Evolution de la transplantation d'organes au Québec de 1985 à janvier 1990.