Donor Availability as the Primary Determinant of the Future of Heart Transplantation
Evans, Roger W.
Manninen, Diane L.
Garrison, Louis P.
Maier, Anthony M.
JAMA. 1986 Apr 11; 255(14): 1892-1898.
In the opinion of the authors, heart transplantation has achieved a therapeutic status equivalent to that of cadaveric kidney transplantation; and they estimate that as many as 15,000 patients per year could benefit from transplants. Based on their analysis of data on 1,955 recent organ donors, however, the authors warn that only 400 to 1,100 donor hearts may be available per year for transplantation. Donor supply is seen as the most critical factor in the development of heart transplantation, and the projected shortfall of organs will affect the number of transplants performed, the number of centers needed to perform them, the survival of recipients, the nature of legal and ethical issues involved, and the role of xenografts and mechanical circulatory support systems. (KIE abstract)
Adults; Alternatives; Animal Organs; Artificial Organs; Children; Costs and Benefits; Donors; Economics; Health; Health Insurance; Hearts; Hospitals; Heart Transplantation; Insurance; Kidney Transplantation; Nature; Organ Donors; Organ Transplantation; Patients; Public Policy; Scarcity; Survey; Tissue Donation; Tissue Transplantation; Transplantation; Xenografts;
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