A Novel Organ Donor Facility: A Decade of Experience With Liver Donors
A Novel Organ Donor Facility: A Decade of Experience With Liver Donors
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DOI：
10.1111/ajt.12607
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发表时间：
2014-03-01
影响因子：
8.8
通讯作者：
Chapman, W. C.
中科院分区：
文献类型：
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作者：
Doyle, M. B. M.;Vachharajani, N.;Chapman, W. C.
移植外科医生历来都要到供体医院去，与不熟悉的人员进行复杂的、时间敏感的手术。这通常涉及空中旅行，严重延误，经常发生在一夜之间。2001年，我们建立了全国第一个器官康复中心。目标是提高效率，降低成本，减少外科医生的出差。分析了2001年4月1日至2011年12月31日期间的肝脏供体和受体、供体费用、外科医生工作时间和旅行时间。本中心进行的915例肝移植手术按获取地点进行分析（排除活体供者和心脏死亡后供者）。在第一年，36%（9/25）的供体采购发生在器官采购组织（OPO）设施，在最后一年的分析中上升到93%（56/60）。行车时间由8小时缩短至2.7小时
Transplant surgeons have historically traveled to donor hospitals, performing complex, time-sensitive procedures with unfamiliar personnel. This often involves air travel, significant delays, and frequently occurs overnight. In 2001, we established the nation's first organ recovery center. The goal was to increase efficiency, reduce costs and reduce surgeon travel. Liver donors and recipients, donor costs, surgeon hours and travel time, from April 1, 2001 through December 31, 2011 were analyzed. Nine hundred and fifteen liver transplants performed at our center were analyzed based on procurement location (living donors and donation after cardiac death donors were excluded). In year 1, 36% (9/25) of donor procurements occurred at the organ procurement organization (OPO) facility, rising to 93% (56/60) in the last year of analysis. Travel time was reduced from 8 to 2.7h (p