title: Donor-related issues in hand transplantation.
abstract: The policies and procedures for solid-organ donation, under the auspices of the Organ Procurement and Transplantation Network, currently cannot be applied to hand donation, because a hand allograft is considered a tissue in the United States and is under the jurisdiction of the Food and Drug Administration. Hand transplant centers have developed their own protocols. This article discusses the unique elements of such protocols, including training and education, the consent process, the necessary recipient and donor data, donor management, and operating room procedures. Candidate listing, allocation, and oversight of hand donation in the future are also discussed.
authors: Department of Pediatrics and Surgery, David Geffen School of Medicine, University of California, 10833 Le Conte Ave, Los Angeles, CA 90097, USA. smcdiarmid@mednet.ucla.edu
authors: Sue V
authors: SV
authors: McDiarmid
authors: Kodi K
authors: KK
authors: Azari
mesh_terms: D002985:Clinical Protocols; D003219:Confidentiality; D000075202:Contraindications; D006225:Hand / Q000033:anatomy & histology; D063987:Hand Transplantation; D006801:Humans; D007258:Informed Consent / Q000592:standards; D019520:Living Donors; D016377:Organ Transplantation; D018579:Patient Selection; D014019:Tissue Donors; D009927:Tissue and Organ Procurement / Q000458:organization & administration*; D014184:Transplantation, Homologous