title: Pancreas transplantation from donors after cardiac death: an update of the UNOS database.
abstract: OBJECTIVE
  There is reluctance to use donation after cardiac death (DCD) organs for fear of worse outcomes due to increased warm ischemia time. Extensive evidence to confirm the quality of DCD pancreas transplants is not manifest.
  
  
  METHODS
  A united network for organ sharing database review of pancreas transplants performed between 1996 and 2012 was conducted. We compared outcomes and all demographic variables between donors after cardiac death and donors after brain death in pancreas transplantation.
  
  
  RESULTS
  There were 320 DCD pancreas transplants and 20,448 donation after brain death pancreas transplants performed in the United States between 1996 and 2012. There was no statistically significant difference in graft survival or patient survival in pancreas transplantation in DCD versus donation after brain death donors measured at 1-year, 3-year, 5-year, 10-year, and 15-year intervals. There was no significant difference between donor and recipient age, race, sex, and body mass index (BMI) between the groups. There was no significant difference between the recipient ethnicity or time on wait list between the groups.
  
  
  CONCLUSIONS
  Pancreata procured by DCD have comparable outcomes to those procured after brain death. Donation after cardiac death pancreas transplant is a viable method of increasing the donor pool, decreasing wait list mortality, and improving the quality of life for type 1 diabetic patients.
authors.affiliation: From the Department of Transplantation, North Shore Long Island Jewish Health System, Hofstra University School of Medicine, Manhasset, NY; and Department of Transplantation, Albert Einstein Medical Center, Philadelphia, PA.
authors.forename: Eric
authors.initials: E
authors.lastname: Siskind
authors.forename: Meredith
authors.initials: M
authors.lastname: Akerman
authors.forename: Caroline
authors.initials: C
authors.lastname: Maloney
authors.forename: Kristin
authors.initials: K
authors.lastname: Huntoon
authors.forename: Asha
authors.initials: A
authors.lastname: Alex
authors.forename: Tamar
authors.initials: T
authors.lastname: Siskind
authors.forename: Madhu
authors.initials: M
authors.lastname: Bhaskeran
authors.forename: Nicole
authors.initials: N
authors.lastname: Ali
authors.forename: Amit
authors.initials: A
authors.lastname: Basu
authors.forename: Ernesto
authors.initials: E
authors.lastname: Molmenti
authors.forename: Jorge
authors.initials: J
authors.lastname: Ortiz
mesh_terms: D000293:Adolescent; D000328:Adult; D001926:Brain Death; D002423:Cause of Death; D016208:Databases, Factual; D003922:Diabetes Mellitus, Type 1 / Q000401:mortality / Q000601:surgery*; D005260:Female; D006331:Heart Diseases / Q000401:mortality*; D006801:Humans; D053208:Kaplan-Meier Estimate; D008297:Male; D008875:Middle Aged; D016035:Pancreas Transplantation / Q000009:adverse effects / Q000401:mortality; D012307:Risk Factors; D013997:Time Factors; D014019:Tissue Donors / Q000600:supply & distribution*; D009927:Tissue and Organ Procurement; D016896:Treatment Outcome; D014481:United States; D014850:Waiting Lists; D055815:Young Adult