INCREASING THE SUPPLY OF CADAVERIC KIDNEYS FOR TRANSPLANTATION

Abstract
The number of cadaveric kidneys currently available for transplantation is insufficient. The Center for Disease Control (CDC) undertook a collaborative project with the 2 transplant programs in Georgia to increase the retrieval of cadaveric kidneys. Retrospective analysis was used to select productive hospitals, along with hospital-specific surveillance systems to identify potential donors, and procurement and retrieval evaluation to identify preventable deficiencies. During 900 hospital months of prospective surveillance, 555 potential donors were identified by death record review, giving a potential donor rate of 2.3 donors/100 deaths (110 kidneys/million population/yr). An increase in the number of referrals, consent obtained from next of kin, and kidneys retrieved were observed. This period of intensive activity demonstrated that additional kidneys can be retrieved by using systematic methods.

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