Evidence map›Paper›PMID 32789584›Full record

ArticleJournal of medical toxicology : official journal of the American College of Medical Toxicology2021

Short-Term Graft Failure of Organs Procured from Drug-Related Deaths Compared with Other Causes of Death.

Theresa Kim, Neeraj Chhabra, Danielle Mae Weech, Jerrold B Leikin

Open access · greenAbstract readComparative Study
In one paragraph

Article in Journal of medical toxicology : official journal of the American College of Medical Toxicology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 41% 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

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. Impact of deceased organ donor injection drug use on donor culture positivity and recipient outcomes.Transplant infectious disease : an official journal of the Transplantation Society · 2022
    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

4 authors at 3 institutions in 1 country.

Theresa KimDivision of Emergency Medicine, NorthShore University Health System, Evanston, IL, USA.
Neeraj ChhabraDepartment of Emergency Medicine, Division of Medical Toxicology, Cook County Health, 1950 W Polk Street, Chicago, IL, 60612, USA. nchhabra@cookcountyhhs.org.ORCID 0000-0002-0945-1233
Danielle Mae WeechGift of Hope Organ & Tissue Donor Network, Itasca, IL, USA.
Jerrold B LeikinDivision of Emergency Medicine, NorthShore University Health System, Evanston, IL, USA.
NorthShore University HealthSystem · USCook County Health and Hospitals System · USGift of Hope Organ and Tissue Donor Network · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA gap exists between the number of patients on the national organ transplant waiting list and the number of transplants performed. Victims of drug and overdose-related death are increasingly utilized as organ donors. We sought to evaluate the suitability of organs from drug and overdose-related death for organ transplantation. This study compares the proportion of short-term allograft failure of organs procured from patients with drug-related deaths with those without drug-related deaths.

methodsOrgan donations after drug-related deaths (DDD) were compared with organ donations from non-drug-related donations after brain deaths (DBD) and donations after circulatory deaths (DCD) utilizing the Gift of Hope Organ & Tissue Donor Network for a total of 15 months.

resultsEighty-one donors were identified from each of the DDD, DBD, and DCD groups with 264, 234, and 181 organs transplanted, respectively. The proportions of short-term graft failures were 1.15% in the DDD group compared with 2.14% in the DBD group (p = NS) and 5.52% in the DCD group (p = 0.01). The US Public Health Service increased-risk features for transmission of infectious diseases were present in 70.3% of the DDD cases. Donors from the DDD group were younger on average than those in other groups (33 to 42 years).

conclusionsThe proportion of graft failures in the drug-related deaths (DDD) group was equal to or less than those from other causes of death on short-term follow-up. Drug-related death does not appear to be a contraindication for organ procurement despite increased risk features for infectious disease transmission.

Indexed as

Donor SelectionAdultCause of DeathDrug OverdoseFemaleGraft SurvivalHumansMaleOpioid-Related DisordersOrgan TransplantationRegistriesRetrospective StudiesRisk AssessmentRisk FactorsTime FactorsTissue DonorsGraft failureOpioidOrgan donationOverdoseTransplant

Identifiers

PMID32789584
PMCPMC7785622
OpenAlexW3049579230

What OpenQuestion holds

Textmetadata
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.