Open AccessModel for establishing a new liver transplantation center through mentorship from a university with transplantation expertise
Author(s) -
Rafael Soares Pinheiro,
Wellington Andraus,
Fernando Gomes Romeiro,
Rodrigo Martino,
Liliana Ducatti,
Rubens Macedo Arantes,
Leonardo Pelafsky,
Cláudia Nishida Hasimoto,
Fábio da Silva Yamashiro,
Lucas Souto Nacif,
Luciana Bertocco de Paiva Haddad,
Vinicius Rocha Santos,
Daniel Reis Waisberg,
Matheus Fachini Vane,
Joel Avancini RochaFilho,
Walmar Kerche de Oliveira,
Luiz Augusto Carneiro-D’Albuquerque
Publication year - 2022
Publication title -
plos one
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.99
H-Index - 332
ISSN - 1932-6203
DOI - 10.1371/journal.pone.0266361
Subject(s) - mentorship , economic shortage , general partnership , transplantation , liver transplantation , medicine , center (category theory) , live donor , medical education , general surgery , political science , government (linguistics) , linguistics , philosophy , chemistry , law , crystallography
Background Setting up new liver transplant (LT) centers is essential for countries with organ shortages. However, good outcomes require experience, because LT learning depends on a high number of surgeries. This study aims to describe how a new center was set up from a partnership between the new center and an experienced one. The step-by-step preparation process, the time needed and the results of the new center are depicted. Material and methods The mentoring process lasted 40 months, in which half of the 52 patients included on the transplant list received LT. After the mentorship, a 22-month period was also analyzed, in which 46 new patients were added to the waiting list and nine were operated on. Results The 30-day survival rates during (92.3%) and after (66.7%) the partnership were similar to the other LT centers in the same region, as well as the rates of longer periods. The waiting time on the LT list, the characteristics of the donors and the ischemia times did not differ during or after the mentorship. Conclusion The partnership between universities is a suitable way to set up LT centers, achieving good results for the institutions and the patients involved.