ArticleCanadian Urological Association journal = Journal de l'Association des urologues du Canada2022
Kidney transplant outcomes after medical assistance in dying.
Article in Canadian Urological Association journal = Journal de l'Association des urologues du Canada, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Evaluating Islet Cell Isolation and Transplantation From Donors Following Medical Assistance in Dying.Transplantation direct · 2024Article
- Organ donation following medical assistance in dying, Part I: a scoping review of legal and ethical aspects.JBI evidence synthesis · 2024Article
- Organ donation after medical assistance in dying: a descriptive study from 2018 to 2022 in Quebec.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2024Article
- Promising Results of Kidney Transplantation From Donors Following Euthanasia During 10-Year Follow-Up: A Nationwide Cohort Study.Transplant international : official journal of the European Society for Organ Transplantation · 2024Article
Corrections and comments
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Authors and funding
8 authors.
Funding
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Abstract
introductionAfter nearly four years of Canadian experience with medical assistance in dying (MAID), the clinical volume of organ transplantation following MAID remains low. This is the first Canadian report evaluating recipient outcomes from kidney transplantation following MAID.
methodsThis was a retrospective review of the first nine cases of kidney transplants following MAID at a Canadian transplant center.
resultsNine patients underwent MAID followed by kidney retrieval during the study period. Their diagnoses were largely neuromuscular diseases. The mean warm ischemic time was 20 minutes (standard deviation [SD] 7). The nine recipients had a mean age of 60 (SD 19.7). The mean cold ischemic time was 525 minutes (SD 126). Delayed graft function occurred in only one patient out of nine. The mean 30-day creatinine was 124 umol/L (SD 52). The mean three-month creatinine was 115 umol/L (SD 29).
conclusionsWe report nine cases of kidney transplantation following MAID. The process minimized warm ischemia, resulting in low delayed graft function rates, and acceptable post-transplant outcomes. Further large-scale research is necessary to optimize processes and outcomes in this novel clinical pathway.
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