Abdominal organ procurement in the Netherlands – an analysis of quality and clinical impact

Jacob D. de Boer, Wouter H. Kopp, Kirsten Ooms, Bernadette J. Haase-Kromwijk, Christina Krikke, Jeroen de Jonge, L. W.Ernst van Heurn, Andre G. Baranski, J. Adam van der Vliet, Andries E. Braat*

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

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.

Original languageEnglish
Pages (from-to)288-294
Number of pages7
JournalTransplant International
Volume30
Issue number3
DOIs
Publication statusPublished - 1 Mar 2017
Externally publishedYes

Cite this

de Boer, J. D., Kopp, W. H., Ooms, K., Haase-Kromwijk, B. J., Krikke, C., de Jonge, J., ... Braat, A. E. (2017). Abdominal organ procurement in the Netherlands – an analysis of quality and clinical impact. Transplant International, 30(3), 288-294. https://doi.org/10.1111/tri.12906