title: Contribution by Departments of Forensic Medicine to Tissue Donation for Transplant Purposes.
abstract: BACKGROUND
  A department of forensic medicine (DFM) can be a valuable source for tissue donation, but logistics can prove difficult to overcome as it pertains to obtaining tissues for donation. This article describes the potential of tissues that can be procured for transplantation.
  
  
  METHODS
  Sweden has 9.7 million inhabitants, with an annual mortality rate of 90 000 and 5500 medicolegal autopsies per year. Cooperation between tissue banking and 2 DFMs began in the mid-1980s. Recently, cooperation has expanded to include all six DFMs. All tissue establishments (TEs) were asked to complete a questionnaire concerning their cooperation with DFMs from 2011 through 2013.
  
  
  RESULTS
  A total of 298 actual donors were identified; 1090 tissues were procured including cardiovascular tissue, cornea, sclera, ear bones, and skin for transplantation. Of the tissues distributed, 553 were for transplantation and 72 for other medical purposes. Twenty-three percent of the tissues were discarded. Reasons for tissue rejection included deficient tissue quality (65%), positive serology tests (9%), positive bacteriology tests after decontamination procedures (7%), technical errors (<1%), and other reasons (18%).
  
  
  CONCLUSIONS
  Nineteen percent of all tissues distributed for transplantation came from donors in DFMs. The cooperation between DFMs and TEs was described as well functioning and excellent. Education and national courses in tissue procurement for employees in DFMs are contributing factors to such positive interactions. The support from the National Board of Forensic Medicine is an important factor for sustainable progress.
authors: 1 Pediatric Cardiac Surgery Unit and Tissue Bank Lund, University Hospital, Lund, Sweden.
authors: Torsten
authors: T
authors: Malm
authors: 2 Swedish Association of Local Authorities and Regions, Stockholm, Sweden.
authors: Åsa
authors: Å
authors: Sandgren Åkerman
authors: 3 Department of Forensic Medicine in Lund, The National Board of Forensic Medicine, Lund, Sweden.
authors: Jesper
authors: J
authors: Greby
authors: 4 Department of Forensic Medicine in Stockholm, The National Board of Forensic Medicine, Stockholm, Sweden.
authors: Björn
authors: B
authors: Odö
authors: 2 Swedish Association of Local Authorities and Regions, Stockholm, Sweden.
authors: Bengt-Åke
authors: BÅ
authors: Henriksson
mesh_terms: D005554:Forensic Medicine; D006801:Humans; D013548:Sweden; D014015:Tissue Banks; D014019:Tissue Donors; D009927:Tissue and Organ Procurement; D019737:Transplants
keywords: cornea; forensic medicine; heart valves; skin; tissue donation; tissue establishment