Evidence map›Paper›PMID 35721469›Full record

ArticleTransplant international : official journal of the European Society for Organ Transplantation2022

From Haphazard to a Sustainable Normothermic Regional Perfusion Service: A Blueprint for the Introduction of Novel Perfusion Technologies.

Fiona Hunt, Chris J C Johnston, Lesley Coutts, Ahmed E Sherif, Lynsey Farwell, Ben M Stutchfield, Avi Sewpaul, Andrew Sutherland, Benoy I Babu, Ian S Currie and 1 more

Open access · goldAbstract read
In one paragraph

Article in Transplant international : official journal of the European Society for Organ Transplantation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
3.5field-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

6 citing papers in PubMed, 16 citations in OpenAlex.

  1. Review
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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

11 authors at 1 institution in 1 country.

Fiona HuntEdinburgh Transplant Centre, Royal Infirmary of Edinburgh, Edinburgh, United Kingdom.
Chris J C JohnstonEdinburgh Transplant Centre, Royal Infirmary of Edinburgh, Edinburgh, United Kingdom.
Lesley CouttsEdinburgh Transplant Centre, Royal Infirmary of Edinburgh, Edinburgh, United Kingdom.
Ahmed E SherifEdinburgh Transplant Centre, Royal Infirmary of Edinburgh, Edinburgh, United Kingdom.
Lynsey FarwellEdinburgh Transplant Centre, Royal Infirmary of Edinburgh, Edinburgh, United Kingdom.
Ben M StutchfieldEdinburgh Transplant Centre, Royal Infirmary of Edinburgh, Edinburgh, United Kingdom.
Avi SewpaulEdinburgh Transplant Centre, Royal Infirmary of Edinburgh, Edinburgh, United Kingdom.
Andrew SutherlandEdinburgh Transplant Centre, Royal Infirmary of Edinburgh, Edinburgh, United Kingdom.
Benoy I BabuEdinburgh Transplant Centre, Royal Infirmary of Edinburgh, Edinburgh, United Kingdom.
Ian S CurrieEdinburgh Transplant Centre, Royal Infirmary of Edinburgh, Edinburgh, United Kingdom.
Gabriel C OniscuEdinburgh Transplant Centre, Royal Infirmary of Edinburgh, Edinburgh, United Kingdom.
Edinburgh Royal Infirmary · GB

Funding

Medical Research Council MR/V03779X/1Medical Research Council MR/V038087/1
6 · The paper itself

Abstract

Normothermic Regional Perfusion (NRP) has shown encouraging clinical results. However, translation from an experimental to routine procedure poses several challenges. Herein we describe a model that led to the implementation of NRP into standard clinical practice in our centre following an iterative process of refinement incorporating training, staffing and operative techniques. Using this approach we achieved a four-fold increase in trained surgical staff and a 6-fold increase in competent senior organ preservation practitioners in 12 months, covering 93% of the retrieval calls. We now routinely provide NRP throughout the UK and attended 186 NRP retrievals from which 225 kidneys, 26 pancreases and 61 livers have been transplanted, including 5 that were initially declined by all UK transplant centres. The 61 DCD(NRP) liver transplants undertaken exhibited no primary non-function or ischaemic cholangiopathy with up to 8 years of follow-up. This approach also enabled successful implementation of ex situ normothermic liver perfusion which together with NRP contributed 37.5% of liver transplant activity in 2021. Perfusion technologies (

Indexed as

Liver TransplantationTissue and Organ ProcurementTransplantsDeathHumansOrgan PreservationPerfusionTissue Donorsdonation after circulatory deatheducationnormothermic machine perfusionnormothermic regional perfusionsimulationtrainingtraining model

Identifiers

PMID35721469
PMCPMC9203686
OpenAlexW4281787593

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.