Impact of Change in the United Kingdom Pediatric Donor Organ Allocation Policy for Intestinal Transplantation

• DOI: 10.1097/tp.0b013e3181a5e9f8
• Publication Date: 2009-05-28T07:19:18Z
• Authors: Mara Giovanelli; Girish L. Gupte; Patrick McKiernan; Phil Pocock; Susan V. Beath; Carla Lloyd; Khalid Sharif; David A. Mayer; Darius F. Mirza
• Keywords: Waiting list; Demographics; Prioritization; Intestinal Failure

Graft availability remains a problem in pediatric intestinal transplantation (IT), with most children waiting being less than 10 kg weight. In November 2004, wait-listed the United Kingdom were prioritized nationally to receive donor organs improve for IT. We aimed evaluate impact of this change on recipient population.Data regarding organ and allocation accessed from National Transplant database. Recipient demographics outcomes recorded Liver Unit Between 2001 2006, there 228 donors (nonheart-beating excluded), which 39 livers allocated emergency super-urgent liver candidates. A total six isolated intestine 21 liver-intestine transplants (15 reduced size, full grafts) performed same period.Since January 2001, has been progressive reduction overall donation. Increasing awareness about IT resulted significant increase number small bowel offered (71.8% vs. 19.5%), although associated an referrals transplantation. Despite (2.6 7.7 mean per year), list mortality still high smaller (<10 weight). No was observed larger candidates IT.The new prioritization national favoring increased procedures, without children.