Evidence map›Paper›PMID 40881386›Full record

ReviewFrontiers in transplantation2025

The Hitchhiker's guide to isolated organ perfusion: a journey to 2040.

John Fallon, Alex Sagar, Mohamed Elzawahry, Hatem Sadik, Kazuyuki Gyoten, Syed Hussain Abbas, Richard Dumbill, Peter Friend

Abstract readReview
In one paragraph

Review in Frontiers in transplantation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. A standardised and reproducible method forAnnals of translational medicine · 2026
    Article
  2. Article
  3. Review
  4. The Top 12 Most Impactful Papers in Clinical Transplantation in 2025: TI Editors' Choice.Transplant international : official journal of the European Society for Organ Transplantation · 2026
    Article
  5. Review
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

8 authors.

John FallonThe Nuffield Department of Surgical Sciences, University of Oxford, Oxford, United Kingdom.
Alex SagarThe Nuffield Department of Surgical Sciences, University of Oxford, Oxford, United Kingdom.
Mohamed ElzawahryThe Nuffield Department of Surgical Sciences, University of Oxford, Oxford, United Kingdom.
Hatem SadikThe Nuffield Department of Surgical Sciences, University of Oxford, Oxford, United Kingdom.
Kazuyuki GyotenThe Nuffield Department of Surgical Sciences, University of Oxford, Oxford, United Kingdom.
Syed Hussain AbbasThe Nuffield Department of Surgical Sciences, University of Oxford, Oxford, United Kingdom.
Richard DumbillThe Nuffield Department of Surgical Sciences, University of Oxford, Oxford, United Kingdom.
Peter FriendThe Nuffield Department of Surgical Sciences, University of Oxford, Oxford, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Building on the established success of hypothermic machine perfusion (HMP) and emerging normothermic platforms, machine perfusion is poised to guide a journey toward 2040, transforming organ transplantation into an era of integrated preservation, viability assessment, and ex situ therapy. While renal HMP today reduces delayed graft function and improves graft survival, the next two decades will centre on adaptive platform trials in normothermic perfusion, predictive AI-driven biomarkers, and unified registries to validate robust surrogate endpoints. Centralised Assessment and Reconditioning Centres (ARCs) will streamline 24/7 workflows, combining advanced imaging, molecular assays, and gene or cell therapies to repair and optimise grafts ex-vivo. Health economics will shift toward dynamic, value-based reimbursement, addressing equity and cost-effectiveness across diverse systems. Regulatory frameworks will adapt through CONSORT-style reporting and direct device-to-registry data integration, ensuring transparency and reproducibility. By 2040, these convergent advances in HMP, normothermic machine perfusion (NMP), along with translational research will not only enhance graft utilisation and patient outcomes but will redefine transplantation paradigms through precision graft management, optimised logistics, and new indications such as extracorporeal organ support.

Indexed as

HMPHOPENMPOrgan PerfusionPreservation

Identifiers

PMID40881386
PMCPMC12381836

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.