Abstract
For the foreseeable future, more individuals will need a kidney than there are kidneys available for transplant. This is not a new issue, and it is one that will not likely be solved anytime soon. While recent initiatives have focused on efficiently allocating kidneys in order to maximize supply, a shortage will remain. Currently, organs are made available for transplant through three different processes: donation after brain death declaration (BD), donation after circulatory death (DCD), and living donation (one healthy individual donates to a person in need). The objective of this article is to discuss the possibility of a fourth option in imminent death single kidney donation (IDSKD) and its potential effects on the future of donation and transplantation. During our study, IDSKD had the potential to increase the number of kidneys transplanted in our service area by approximately 5%.
Highlights
Received 07/29/2016Review began 08/01/2016Review ended 09/20/2016Published 09/26/2016Barrois
The purpose of this study was to identify an alternative group of patients who were unable to become an organ donor after brain death declaration or donation after circulatory death
If the organ procurement organization (OPO) determines that donation after circulatory death (DCD) is not an option, the patient could be evaluated for Imminent death single kidney donation (IDSKD)
Summary
Received 07/29/2016Review began 08/01/2016Review ended 09/20/2016Published 09/26/2016Barrois. The purpose of this study was to identify an alternative group of patients who were unable to become an organ donor after brain death declaration or donation after circulatory death. The primary reason these patients were unable to donate is due to intact neurological responses, which typically would prevent the patient from cardiac arresting within a given timeframe. If the organ procurement organization (OPO) determines that DCD is not an option, the patient could be evaluated for IDSKD. This process allows a family to authorize the removal of a single kidney from the potential organ donor.
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