Donation after circulatory death – activity review in the Asian region

Káposztás, Zsolt

doi:10.1016/j.tpr.2022.100122

Cited by 6 publications

(3 citation statements)

References 28 publications

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“…6 Recently, the Human Organ Transplantation Act (HOTA) came into officially force in Bangladesh on April 13, 1999, allowing organ donations from both living and brain-dead donors; 2,7 after several discussions, some amendment were taken by the Parliament in 2018. 2,7 The Act places some legal requirements around the collection and preservation of human organs as well as to ensure their transplantation, and the expedience thereof, into a human body. Before 1999, religious leaders in Bangladesh issued a fatwa (religious approval) that recognized both living and brain death criteria and permitted both living and brain-dead donors to donate organs for transplantation.…”

Section: Discussionmentioning

confidence: 99%

First Ever Organ Transplantation from A Brain-Dead Person in Bangladesh: A Successful Outcome of The Human Organ Transplantation Act

Hakim,

Nurunnabi,

Hossain

et al. 2024

Comm. Based Med J

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On the 19th of January 2023, a historic event took place in the field of medical practice and country’s healthcare system. A 20-year-old girl named Sarah Islam was pronounced clinically dead on Wednesday (18 January, 2023) while being treated at Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh, with her terminal illness as she has been suffering from tuberous sclerosis since her childhood. Her final act was termed 'heroic' by her attending physicians as she became the first patient in the country to donate her organs while being brain-dead. The next day in the early morning (19 January, 2023) doctors conducted the country's first-ever cadaveric kidney transplantation as taken from her. The recipients were two females in their 30s who were reportedly recovering well after the surgery. Those two surgeries were performed separately at Bangabandhu Sheikh Mujib Medical University (BSMMU) Hospital and the National Kidney Foundation Hospital in Dhaka. The Human Organ Transplantation Act (HOTA) officially came into force in Bangladesh on April 13, 1999, allowing organ donations from both living and brain-dead donors; after long discussion, some amendments were ratified by the Parliament in 2018. The Act places some legal requirements around the collection and preservation of human organs as well as ensuring their transplantation into a human body. Few years back, religious leaders came forward to issue a fatwa (religious approval) that recognize both living and brain death criteria and permit both living and brain-dead donors to donate organs for transplantation. Based on that fatwa and a long medical discussion the country’s parliament passed this Act. Enacting the HOTA shows an immense influence in our society on cadaveric organ donation and transplantation especially from brain-dead individuals, and we hope that this historic donation will create more awareness and pave a new path for organ donation campaign in the country in near future. CBMJ 2024 January: vol. 13 no. 01 P: 102-106

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Section: Discussionmentioning

confidence: 99%

First Ever Organ Transplantation from A Brain-Dead Person in Bangladesh: A Successful Outcome of The Human Organ Transplantation Act

Hakim,

Nurunnabi,

Hossain

et al. 2024

Comm. Based Med J

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“…25 The reported DCD rates in China and Japan were 2.01 and 0.07 pmp respectively, which paled in comparison with Spain (13.1 pmp), USA (9.82 pmp) and UK (6.5 pmp). 26 The marked differences could be related to the lack of brain death laws in many countries, with many high income Asian countries only legislating brain deaths in the 1990s (twenty years later than most Western countries). Fig.…”

Section: Current State Of Ddkt In Asiamentioning

confidence: 99%

Deceased donor kidney transplant policies in Asia – implications on practice and recommendations for the future

Tan,

Mabood Khalil,

Kee

et al. 2023

The Lancet Regional Health - Southeast Asia

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“…In the UK, Messer et al [22] anticipated that even with strict guidelines for organ selection, national HT volume could increase by 56% with broader DCD implementation. In Asia, the lack of brain death legislation in many countries has led to a novel technique known as donation after brain death followed by circulatory death (DBCB), which has helped to assuage some ethical and religious concerns and could increase donor supply [23]. Therefore, considering recent findings of equivalent outcomes for DCD vs. DBD HT and estimates suggesting vast underutilization of DCD donor organs, transplant providers should strongly consider DCD organ offers to increase waitlist candidates' access to transplant without compromising outcomes.…”

Section: Donation After Circulatory Death (Dcd)mentioning

confidence: 99%

Expanding the Criteria for Heart Transplantation Donors: A Review of DCD, Increased Ischemic Times, HCV, HIV, and Extended Criteria Donors

T. Jenkins,

M. Shah,

L. Larson

et al. 2023

HSF

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With the demand for heart transplantation continuing to outpace the available donor organs, previously underutilized donors are now being reconsidered. We sought to describe the emerging techniques and outcomes of expanded criteria heart transplantation. A comprehensive review of the recent literature concerning expanded donor selection in heart transplantation was performed using the PubMed MEDLINE database. To characterize trends in transplant practice, the United Network for Organ Sharing (UNOS/OPTN) registry was queried for all adult isolated heart transplants since 2010, and data regarding transplant parameters was collected. Donation after cardiac death (DCD), DCD with normothermic regional perfusion, increased ischemic time, hepatitis C positive donor organs, HIV-positive donor organs, and extended criteria donors were identified as promising avenues currently being explored to expand the number of donor organs. The utilization of various expanded criteria for heart transplantation was summarized since 2010 and showed an increasing use of these donor organs, contributing to the overall increasing frequency of heart transplantation. Utilization of expanded criteria for donor selection in heart transplantation has the potential to increase the supply of donor organs with comparable outcomes in selected recipients.

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Donation after circulatory death – activity review in the Asian region

Cited by 6 publications

References 28 publications

First Ever Organ Transplantation from A Brain-Dead Person in Bangladesh: A Successful Outcome of The Human Organ Transplantation Act

First Ever Organ Transplantation from A Brain-Dead Person in Bangladesh: A Successful Outcome of The Human Organ Transplantation Act

Deceased donor kidney transplant policies in Asia – implications on practice and recommendations for the future

Expanding the Criteria for Heart Transplantation Donors: A Review of DCD, Increased Ischemic Times, HCV, HIV, and Extended Criteria Donors

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