Evidence map›Paper›PMID 30725134›Full record

ReviewIntensive care medicine2019

Organ donation after circulatory death: current status and future potential.

Martin Smith, B Dominguez-Gil, D M Greer, A R Manara, M J Souter

Registry-linked trialAbstract readReview
PubMed Publisher
In one paragraph

Review in Intensive care medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07421726 (Controlled Terminal Reperfusion With Cold Preservation Solution in the cDCD III Donor), which is not on this map. Cited by 68 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed, 4 pooled it
17.8field-weighted citation impact, top 1% 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.

NCT07421726 completednot on this mapstarted 2025, after this paper: background citation

Controlled Terminal Reperfusion With Cold Preservation Solution in the cDCD III Donor

Typeobservational_patient_registrySponsorIRCCS Azienda Ospedaliero-Universitaria di BolognaRan2025 to 2025Enrolled20ConditionsTransplant Patients, Organ Failure, Multiple, Organ Donor Registration
3 · Its place in the literature

Who cites it

68 citing papers in PubMed, 4 syntheses or guidelines pooled it, 164 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Guideline
  4. Brain-based arterial pulse pressure threshold for death determination: a systematic review.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2023
    Pooled it
  5. Review
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Potential for donation after circulatory death in Germany: a multicenter retrospective study at seven university hospitals.Transplant international : official journal of the European Society for Organ Transplantation · 2026
    Article
  15. Article
  16. Article
  17. Article
  18. New Frontiers in 3D Printing Using Biocompatible Polymers.International journal of molecular sciences · 2025
    Review
  19. Article
  20. Article

8 more citing papers are in PubMed but not listed here.

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

5 authors at 4 institutions in 3 countries.

Martin SmithNeurocritical Care Unit, The National Hospital for Neurology and Neurosurgery, University College London Hospitals, Queen Square, London, UK. martin.smith@ucl.ac.uk.ORCID http://orcid.org/0000-0002-2023-7027
B Dominguez-GilOrganización Nacional de Trasplantes, C/Sinesio Delgado 6, Pabellón 3, Madrid, Spain.
D M GreerDepartment of Neurology, Boston University School of Medicine, Boston, USA.
A R ManaraThe Intensive Care Unit, Southmead Hospital, North Bristol NHS Trust, Bristol, UK.
M J SouterDepartment of Anesthesiology and Pain Medicine, University of Washington, Seattle, WA, USA.
North Bristol NHS Trust · GBOrganización Nacional de Trasplantes · ESRoyal London Hospital · GBUniversity of Washington · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The continuing shortage of deceased donor organs for transplantation, and the limited number of potential donors after brain death, has led to a resurgence of interest in donation after circulatory death (DCD). The processes of warm and cold ischemia threaten the viability of DCD organs, but these can be minimized by well-organized DCD pathways and new techniques of in situ organ preservation and ex situ resuscitation and repair post-explantation. Transplantation survival after DCD is comparable to donation after brain death despite higher rates of primary non-function and delayed graft function. Countries with successfully implemented DCD programs have achieved this primarily through the establishment of national ethical, professional and legal frameworks to address both public and professional concerns with all aspects of the DCD pathway. It is unlikely that expanding standard DCD programs will, in isolation, be sufficient to address the worldwide shortage of donor organs for transplantation. It is therefore likely that reliance on extended criteria donors will increase, with the attendant imperative to minimize ischemic injury to candidate organs. Normothermic regional perfusion and ex situ perfusion techniques allow enhanced preservation, assessment, resuscitation and/or repair of damaged organs as a way of improving overall organ quality and preventing the unnecessary discarding of DCD organs. This review will outline exemplar controlled and uncontrolled DCD pathways, highlighting practical and logistical considerations that minimize warm and cold ischemia times while addressing potential ethical concerns. Future perspectives will also be discussed.

Indexed as

HumansMass ScreeningOrgan PreservationShockTissue and Organ ProcurementTissue DonorsDonation after circulatory deathEthicsOrgan donation

Identifiers

PMID30725134
OpenAlexW2911378659

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.