Evidence map›Paper›PMID 42377563›Full record

SynthesisJournal of artificial organs : the official journal of the Japanese Society for Artificial Organs2026

Outcomes of donation after circulatory death heart transplant using normothermic regional perfusion: a systematic review and meta-analysis.

Miao He, Xiaoqian Zhang, Huizhen Li, Yanchun Zhang, Qiming Zhao, Xiangyang Wu, Yongnan Li, Weina Pei

Abstract readSystematic ReviewMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in Journal of artificial organs : the official journal of the Japanese Society for Artificial Organs, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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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

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Miao HeLanzhou University, Lanzhou, China.
Xiaoqian ZhangLanzhou University, Lanzhou, China.
Huizhen LiLanzhou University, Lanzhou, China.
Yanchun ZhangLanzhou University, Lanzhou, China.
Qiming ZhaoLanzhou University, Lanzhou, China.
Xiangyang WuLanzhou University, Lanzhou, China.
Yongnan LiLanzhou University, Lanzhou, China. lyngyq2006@foxmail.com.ORCID http://orcid.org/0000-0003-0821-8875
Weina PeiLanzhou University, Lanzhou, China. 13919417537m@sina.cn.

Funding

Cuiying Scientific and Technological Innovation Program of Lanzhou University Second Hospital No. CY2022-MS-A03, No. CY2023-MS-A01, No. CY2024-MS-A05Industry Support Plan for Universities in Gansu Province No. 2023CYZC-04, 2025B-017Major Scientific Research Projects for Technological Innovation in the Health Industry of Gansu Province GSWSQNPY2024-13Natural Sciences Foundation of Fujian No. 2022J05105Natural Sciences Foundation of Gansu No. 23JRRA0972
6 · The paper itself

Abstract

This systematic review and meta-analysis aim to synthesize evidence comparing normothermic regional perfusion (NRP) and direct procurement and perfusion (DPP) in donation after circulatory death (DCD) heart transplantation, providing evidence-based guidance for optimizing donor heart procurement and transplantation protocols. A systematic literature review was conducted following PRISMA guidelines. PubMed, Embase, the Cochrane Library, and the International Clinical Trials Registry Platform were systematically searched. Two reviewers independently applied eligibility criteria, evaluated quality, and extracted data. The primary outcome was the 30-day survival rate. The 30-day survival rates for NRP and DPP patients were 96.58% and 94.79%, respectively (odds ratio [OR]: 1.52, 95% confidence interval [CI] 1.06-2.17, P = 0.02). Severe primary graft dysfunction (PGD) rates for NRP and DPP patients were 7.90% and 14.03%, respectively (P = 0.002), while the combined rate of none/mild PGD was 86.36% and 85.84% for each group. The cumulative postoperative extracorporeal membrane oxygenation rate for NRP patients was 6.54%, compared to 17.18% for DPP patients (P = 0.0001). The postoperative intra-aortic balloon pump rate for NRP patients was 9.09%, compared to 17.78% for DPP patients (P = 0.35). NRP patients had a higher likelihood of being discharged home than DPP patients (P = 0.36), while NRP patients had a lower likelihood of being discharged from the intensive care unit than DPP patients (P = 0.71). NRP was associated with higher 30-day survival, which is a promising clinical approach in the application of DCD donor hearts.

Indexed as

Heart TransplantationOrgan PreservationPerfusionTissue and Organ ProcurementHumansSurvival RateTissue DonorsTreatment OutcomeDCDDPPHeart transplantationNRP

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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.