Criteria and terms for certified suitability of organ donors: assumptions and operational strategies in Italy.
Limited access to scarce resources, such as organs for transplantation, has increasingly prompted the use of elderly donors, with a consequent growth of possible risk factors linked to their particular features. Acceptable organ quality must therefore be guaranteed, without exposing recipients to unacceptable risks. For this reason, a set of guidelines for assessing donor suitability has been drawn up. This document standardizes the operative steps in the donor evaluation process and provides precise instructions for center staff. A pool of experts is available round the clock to offer advice on doubtful clinical cases. Such measures have allowed more effective use of available donors for transplantation.
Venettoni
Sante
S
Centro Nazionale Trapianti, Istituto Superiore di Sanità, Viale Regina Elena 299, Rome, Italy. sante.venettoni@iss.it
Grigioni
Walter
W
Grossi
Paolo
P
Gianelli Castiglione
Andrea
A
Nanni Costa
Alessandro
A
D000367:Age Factors; D002102:Cadaver; D016543:Central Nervous System Neoplasms / Q000453:epidemiology; D003657:Decision Making; D019983:Guideline Adherence / Q000706:statistics & numerical data*; D006509:Hepatitis B / Q000453:epidemiology; D006514:Hepatitis B Surface Antigens / Q000097:blood; D006801:Humans; D015994:Incidence; D007239:Infections / Q000453:epidemiology; D007558:Italy; D009369:Neoplasms / Q000453:epidemiology; D016377:Organ Transplantation / Q000706:statistics & numerical data*; D017410:Practice Guidelines as Topic; D012042:Registries / Q000706:statistics & numerical data; D018570:Risk Assessment; D012307:Risk Factors; D014019:Tissue Donors / Q000706:statistics & numerical data* / Q000600:supply & distribution; D009927:Tissue and Organ Procurement / Q000458:organization & administration / Q000592:standards* / Q000706:statistics & numerical data
D006514:Hepatitis B Surface Antigens