Evidence map›Paper›PMID 40519675›Full record

ArticleTransplantation direct2025

Eligible DBD Donors Proceeding via the DCD Pathway: Incidence, Cause, and Outcomes in the United Kingdom.

Mark Burgess, Laura Silsby, Susanna Madden, Joana Da Silva Letra, Stephanie Thomson, Janine Tate, Sharon Mitchinson, Katherine Hurley, Rebecca Hurley, Marco Bon and 3 more

Abstract read
In one paragraph

Article in Transplantation direct, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. 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

13 authors.

Mark BurgessDepartment of Intensive Care and Anaesthetics, Faculty of Intensive Care Medicine, St. Richard's Hospital, Royal College of Anaesthetists, University Hospitals Sussex, Chichester, United Kingdom.
Laura SilsbyStatistics and Clinical Research, NHS Blood and Transplant, Bristol, United Kingdom.
Susanna MaddenStatistics and Clinical Research, NHS Blood and Transplant, Bristol, United Kingdom.
Joana Da Silva LetraOrgan and Tissue Donation and Transplantation NHS Blood and Transplant, Bristol, United Kingdom.
Stephanie ThomsonOrgan and Tissue Donation and Transplantation NHS Blood and Transplant, Bristol, United Kingdom.
Janine TateOrgan and Tissue Donation and Transplantation NHS Blood and Transplant, Bristol, United Kingdom.
Sharon MitchinsonOrgan and Tissue Donation and Transplantation NHS Blood and Transplant, Bristol, United Kingdom.
Katherine HurleyOrgan and Tissue Donation and Transplantation NHS Blood and Transplant, Bristol, United Kingdom.
Rebecca HurleyOrgan and Tissue Donation and Transplantation NHS Blood and Transplant, Bristol, United Kingdom.
Marco BonOrgan and Tissue Donation and Transplantation NHS Blood and Transplant, Bristol, United Kingdom.
Rachel PritchardOrgan and Tissue Donation and Transplantation NHS Blood and Transplant, Bristol, United Kingdom.
Sue DuncalfOrgan and Tissue Donation and Transplantation NHS Blood and Transplant, Bristol, United Kingdom.
Dale GardinerOrgan and Tissue Donation and Transplantation NHS Blood and Transplant, Bristol, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Eligible donation after brain death (DBD) donors may rarely proceed via the donation after circulatory death (DCD) pathway. The incidence, reasons for pathway divergence, and graft and recipient outcomes in the United Kingdom of this cohort are unknown. We aimed to establish the incidence of eligible DBD to DCD donors in the United Kingdom, the reasons for pathway divergence, organ donation and utilization rates, and the renal graft and recipient outcomes for this cohort. Methods: UK electronic and article records were reviewed for all eligible DBD donors proceeding via the DCD pathway from 2012 to 2022. Incidence and stated reasons for pathway divergence, including direct family quotations and time to mechanical asystole, were recorded. These data, in addition to organ donation and utilization rates and those pertaining to renal graft and recipient survival rates, were compared with "standard DCD" and "standard DBD" control groups. Results: One hundred twenty-three eligible DBD donors proceeded via the DCD pathway, overwhelmingly due to a familial desire to be present at mechanical asystole. Median time to asystole was comparable between the cohort and DCD control groups, but the range of times was considerably shorter in the cohort group. Donation and utilization rates were similar between all groups except for the notably lower rates in liver donation for DCD control. Graft and recipient survival rates were similar for all groups, but there was a nonsignificant reduction in delayed graft function (DGF) for the cohort versus DCD control and a significant reduction in DGF for the DBD versus DCD control groups. Conclusions: Eligible DBD donors proceeding via the DCD pathway is a rare event in the United Kingdom and overwhelmingly occurs due to a familial desire to witness asystole. This cohort proceeded to asystole more reliably within acceptable time periods for donation, have higher donation and utilization rates for liver grafts, and may show reduced rates of DGF for renal grafts versus "standard DCD" groups.

Identifiers

PMID40519675
PMCPMC12165657

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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.