An analysis of the lack of donor pancreas utilization from younger adult organ donors.
Donor pancreas utilization rates for whole organ transplant have remained low and have decreased over time. To identify the reasons for nonuse of pancreas from donors who meet common baseline acceptance criteria, we examined Organ Procurement and Transplantation Network data from 2005 to 2007 and identified a subgroup of 1763 "potential pancreas donors" defined by age (19-40 years), body mass index (<30 kg/m), successful liver donation, and negative viral serology testing, which were not used. We characterize this cohort of potential donors including reasons for refusal, factors that may contribute to pancreas acceptance and function, and potential explanations for the lack of growth in pancreas organ utilization.
Wiseman
Alexander C
AC
Wainright
Jennifer L
JL
Sleeman
Elizabeth
E
McBride
Maureen A
MA
Baker
Tim
T
Samana
Ciara
C
Stock
Peter
P
D000328:Adult; D015992:Body Mass Index; D002102:Cadaver; D006801:Humans; D016030:Kidney Transplantation / Q000706:statistics & numerical data; D016031:Liver Transplantation / Q000706:statistics & numerical data; D016035:Pancreas Transplantation / Q000706:statistics & numerical data*; D016079:Refusal to Treat / Q000706:statistics & numerical data; D012042:Registries; D012307:Risk Factors; D014019:Tissue Donors; D009927:Tissue and Organ Procurement / Q000706:statistics & numerical data; D016312:Treatment Refusal / Q000706:statistics & numerical data; D055815:Young Adult