Open AccessAbdominal organ procurement in the Netherlands – an analysis of quality and clinical impact
Author(s) -
Boer Jacob D.,
Kopp Wouter H.,
Ooms Kirsten,
HaaseKromwijk Bernadette J.,
Krikke Christina,
Jonge Jeroen,
Heurn L.W. Ernst,
Baranski Andre G.,
Vliet J. Adam,
Braat Andries E.
Publication year - 2017
Publication title -
transplant international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.998
H-Index - 82
eISSN - 1432-2277
pISSN - 0934-0874
DOI - 10.1111/tri.12906
Subject(s) - medicine , organ procurement , organ donation , procurement , risk factor , organ dysfunction , surgery , transplantation , sepsis , marketing , business
Summary Between March 2012 and August 2013, 591 quality forms were filled out for abdominal organs in the Netherlands. In 133 cases (23%), there was a discrepancy between the evaluation from the procuring and transplanting surgeons. Injuries were seen in 148 (25%) organs of which 12 (2%) led to discarding of the organ: one of 133 (0.8%) livers, five of 38 (13%) pancreata and six of 420 (1.4%) kidneys ( P < 0.001). Higher donor BMI was a risk factor for procurement‐related injury in all organs ( OR : 1.06, P = 0.011) and donor after cardiac death ( DCD ) donation in liver procurement ( OR : 2.31, P = 0.034). DCD donation is also associated with more pancreata being discarded due to injury ( OR : 10.333, P = 0.046). A higher procurement volume in a centre was associated with less injury in pancreata ( OR = −0.95, P = 0.013) and kidneys ( OR = −0.91, P = 0.012). The quality form system efficiently monitors the quality of organ procurement. Although there is a relatively high rate of organ injury, the discard rate is low and it does not significantly affect 1‐year graft survival for any organ. We identified higher BMI as a risk factor for injury in abdominal organs and DCD as a risk factor in livers. A higher procurement volume is associated with fewer injuries.