TY - JOUR
T1 - Living donor program crisis management plans
T2 - Current landscape and talking point recommendations
AU - Henderson, Macey L.
AU - Hays, Rebecca
AU - Van Pilsum Rasmussen, Sarah E.
AU - Mandelbrot, Didier A.
AU - Lentine, Krista L.
AU - Maluf, Daniel G.
AU - Waldram, Madeleine M.
AU - Cooper, Matthew
N1 - Funding Information:
The authors thank the AST LDCOP Executive Committee, the AST Education Committee, and the AST Board of Directors for support of the LDCOP workgroup and review and feedback of the manuscript. We also thank members of the AST LDCOP, Kidney‐Pancreas COP, Transplant Administration and Quality Management COP email lists, and colleagues for sharing program‐specfic disaster plans. Funding for this study was provided by the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) grant numbers K01DK114388‐01 (PI: Henderson). The analyses described here are the responsibility of the authors alone and do not necessarily reflect the views or policies of the US Department of Health and Human Services, nor does mention of trade names, commercial products, or organizations imply endorsement by the US Government.
Funding Information:
The authors thank the AST LDCOP Executive Committee, the AST Education Committee, and the AST Board of Directors for support of the LDCOP workgroup and review and feedback of the manuscript. We also thank members of the AST LDCOP, Kidney-Pancreas COP, Transplant Administration and Quality Management COP email lists, and colleagues for sharing program-specfic disaster plans. Funding for this study was provided by the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) grant numbers K01DK114388-01 (PI: Henderson). The analyses described here are the responsibility of the authors alone and do not necessarily reflect the views or policies of the US Department of Health and Human Services, nor does mention of trade names, commercial products, or organizations imply endorsement by the US Government.
Publisher Copyright:
© 2019 The American Society of Transplantation and the American Society of Transplant Surgeons
PY - 2020/2/1
Y1 - 2020/2/1
N2 - Although minimized by expert evaluation, operative technique, and postoperative care, the extremely low risk of perioperative mortality following living kidney or liver donation will never be eliminated. Furthermore, anticipation of poor donor outcome may simultaneously be a source of anxiety for physicians and programs and also be a circumstance for which they are unprepared. We conducted a national survey of US transplant surgeons to understand experiences with and systemic preparedness for the event of a living donor death. Respondents represented 87 unique transplant programs (71 kidney and 16 liver donor programs). Perioperative deaths were rare, as expected. Although most respondents (N = 57, 64% of total respondents; 88% of liver programs) reported being moderately to extremely concerned about a future living donor death at their institution, only 30 (33% of total program respondents) had a written plan available in the case of such an event; 63% of programs would find guidance and recommendations useful. To help address this gap, the American Society of Transplantation Live Donor Community of Practice (AST LDCOP) developed Living Donor Crisis Management Plan Talking Points suitable to guide crisis plan development at transplant programs.
AB - Although minimized by expert evaluation, operative technique, and postoperative care, the extremely low risk of perioperative mortality following living kidney or liver donation will never be eliminated. Furthermore, anticipation of poor donor outcome may simultaneously be a source of anxiety for physicians and programs and also be a circumstance for which they are unprepared. We conducted a national survey of US transplant surgeons to understand experiences with and systemic preparedness for the event of a living donor death. Respondents represented 87 unique transplant programs (71 kidney and 16 liver donor programs). Perioperative deaths were rare, as expected. Although most respondents (N = 57, 64% of total respondents; 88% of liver programs) reported being moderately to extremely concerned about a future living donor death at their institution, only 30 (33% of total program respondents) had a written plan available in the case of such an event; 63% of programs would find guidance and recommendations useful. To help address this gap, the American Society of Transplantation Live Donor Community of Practice (AST LDCOP) developed Living Donor Crisis Management Plan Talking Points suitable to guide crisis plan development at transplant programs.
KW - clinical research/practice
KW - donors and donation: living
KW - ethics and public policy
KW - kidney transplantation/nephrology
KW - liver transplantation/hepatology
KW - organ transplantation in general
KW - survey
UR - http://www.scopus.com/inward/record.url?scp=85075874333&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85075874333&partnerID=8YFLogxK
U2 - 10.1111/ajt.15618
DO - 10.1111/ajt.15618
M3 - Article
C2 - 31552699
AN - SCOPUS:85075874333
SN - 1600-6135
VL - 20
SP - 546
EP - 552
JO - American Journal of Transplantation
JF - American Journal of Transplantation
IS - 2
ER -