The right organ for the right recipient: the Ninth Annual American Society of Tr

[Clark]

http://onlinelibrary.wiley.com/doi/10.1111/j.1399-0012.2011.01513.x/abstract

The right organ for the right recipient: the Ninth Annual American Society of Transplant Surgeons’ State-of-the-Art Winter Symposium
Randall S. Sung1, Peter L. Abt2, Dev M. Desai3, Catherine A. Garvey4, Dorry L. Segev5, Dixon B. Kaufman6
DOI: 10.1111/j.1399-0012.2011.01513.x

Abstract:  With an increasing number of individuals with end-stage organ disease and the increasing success of organ transplantation, the demand for transplants has steadily increased. This growth has led to a greater need to utilize organs from as many donors as possible. As selection criteria have become less stringent to accommodate increasing demand, transplant outcomes are more strongly influenced by recipient and donor factors; thus, finding the right organ for the right recipient is more important than ever. The Ninth Annual American Society of Transplant Surgeons (ASTS) State-of-the-Art Winter Symposium, entitled “The Right Organ for the Right Recipient,” addressed the matching of donor organs to appropriate recipients. Representative dilemmas in the matching of donor organs with recipients were discussed. These included the following: matching by donor and recipient risk characteristics; use of organs with risk for disease transmission; biologic incompatibility; use of organs from donors after cardiac death; the justification for combined organ transplants like liver-kidney and kidney-pancreas; and the role of allocation in facilitating the matching of donors and recipients. Regardless of the particular issue, decisions about donor–recipient matching should be evidence-based, practical, and made with the goal of maximizing organ utilization while still protecting individual patient interests.