Evidence map›Paper›PMID 30046656›Full record

ArticleTransplantation direct2018

First Scandinavian Protocol for Controlled Donation After Circulatory Death Using Normothermic Regional Perfusion.

Stein Foss, Espen Nordheim, Dag W Sørensen, Torgunn B Syversen, Karsten Midtvedt, Anders Åsberg, Thorleif Dahl, Per A Bakkan, Aksel E Foss, Odd R Geiran and 2 more

Open access · goldAbstract read
In one paragraph

Article in Transplantation direct, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
3.8field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 35 citations in OpenAlex.

  1. ECMO-Assisted In-Situ Normothermic Perfusion for Donation After Circulatory Determination of Death Kidney Transplantation: A Narrative Review.Medical science monitor : international medical journal of experimental and clinical research · 2026
    Review
  2. Article
  3. Article
  4. Review
  5. Article
  6. Review
  7. Observational
  8. Review
  9. Donation after circulatory death liver transplantation: consensus statements from the Spanish Liver Transplantation Society.Transplant international : official journal of the European Society for Organ Transplantation · 2020
    Article
  10. Article
  11. Review
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 3 institutions in 2 countries.

Stein FossDepartment of Transplantation Medicine, Oslo University Hospital, Rikshospitalet, Oslo, Norway.
Espen NordheimDepartment of Transplantation Medicine, Oslo University Hospital, Rikshospitalet, Oslo, Norway.
Dag W SørensenDivision of Emergencies and Critical Care, Oslo University Hospital, Oslo, Norway.
Torgunn B SyversenDivision of Emergencies and Critical Care, Oslo University Hospital, Oslo, Norway.
Karsten MidtvedtDepartment of Transplantation Medicine, Oslo University Hospital, Rikshospitalet, Oslo, Norway.
Anders ÅsbergDepartment of Transplantation Medicine, Oslo University Hospital, Rikshospitalet, Oslo, Norway.
Thorleif DahlDepartment of Cardiothoracic Surgery, Oslo University Hospital, Oslo, Norway.
Per A BakkanDepartment of Transplantation Medicine, Oslo University Hospital, Rikshospitalet, Oslo, Norway.
Aksel E FossDepartment of Transplantation Medicine, Oslo University Hospital, Rikshospitalet, Oslo, Norway.
Odd R GeiranInstitute of Clinical Medicine, University of Oslo, Oslo, Norway.
Arnt E FianeInstitute of Clinical Medicine, University of Oslo, Oslo, Norway.
Pål-Dag LineDepartment of Transplantation Medicine, Oslo University Hospital, Rikshospitalet, Oslo, Norway.
Oslo University Hospital · NOUniversity of Oslo · NOUppsala University Hospital · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDonation after circulatory death (DCD) can increase the pool of available organs for transplantation. This pilot study evaluates the implementation of a controlled DCD (cDCD) protocol using normothermic regional perfusion in Norway.

methodsPatients aged 16 to 60 years that are in coma with documented devastating brain injury in need of mechanical ventilation, who would most likely attain cardiac arrest within 60 minutes after extubation, were eligible. With the acceptance from the next of kin and their wish for organ donation, life support was withdrawn and cardiac arrest observed. After a 5-minute no-touch period, extracorporeal membrane oxygenation for post mortem regional normothermic regional perfusion was established. Cerebral and cardiac reperfusion was prevented by an aortic occlusion catheter. Measured glomerular filtration rates 1 year postengraftment were compared between cDCD grafts and age-matched grafts donated after brain death (DBD).

resultsEight cDCD were performed from 2014 to 2015. Circulation ceased median 12 (range, 6-24) minutes after withdrawal of life-sustaining treatment. Fourteen kidneys and 2 livers were retrieved and subsequently transplanted. Functional warm ischemic time was 26 (20-51) minutes. Regional perfusion was applied for 97 minutes (54-106 minutes). Measured glomerular filtration rate 1 year postengraftment was not significantly different between cDCD and donation after brain death organs, 75 (65-76) vs 60 (37-112) mL/min per 1.73 m

conclusionA protocol for cDCD is successfully established in Norway. Excellent transplant outcomes have encouraged us to continue this work addressing the shortage of organs for transplantation.

Identifiers

PMID30046656
PMCPMC6056274
OpenAlexW2807889415

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.