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Previous Volume 336:422-431 February 6, 1997 Number 6 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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The success of solid-organ transplantation has increased the need for an expanded supply of organ donors.^1,2 In response to this need, the age limit for cadaveric donors has been increased, and donors over the age of 50 years are now routinely evaluated. The use of organs from living related donors, living unrelated donors, and asystolic donors (those declared dead on the basis of cardiopulmonary criteria) has also increased. Transplanted organs have even been reused.^3,4,5 Nevertheless, there has been a progressively widening gap between the number of patients waiting for transplants and the number of transplantations performed. The number of patients . . . [Full Text of this Article]

Sources of Organs

Cadaveric Donors with Intact Circulation

Living Related Donors

Living Unrelated Donors

Asystolic Cadaveric Donors

Trends in Characteristics of Cadaveric Donors

Evaluation of Cadaveric Organ Donors

Obtaining Consent

Allocation of Cadaveric Organs

Development of the Organ-Allocation System

Organ-Specific Allocation

Evaluation of the Procurement and Allocation System

Source Information

From the Cardiovascular Division, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston (P.J.H.), and the New England Organ Bank, Newton, Mass. (K.J.O.).

Address reprint requests to Dr. Hauptman at the Cardiovascular Division, Brigham and Women's Hospital, 75 Francis St., Boston, MA 02115.

References

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• Giles, S (2005). An antidote to the emerging two tier organ donation policy in Canada: the Public Cadaveric Organ Donation Program. J. Med. Ethics 31: 188-191 [Abstract] [Full Text]  
• Cohen, B., Smits, J. M., Haase, B., Persijn, G., Vanrenterghem, Y., Frei, U. (2005). Expanding the donor pool to increase renal transplantation. Nephrol Dial Transplant 20: 34-41 [Abstract] [Full Text]  
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• Abel, M., Bronheim, D. (1998). Management of the Organ Donor. SEMIN CARDIOTHORAC VASC ANESTH 2: 100-105 [Abstract]  
• Steinbrook, R. (1997). Allocating Livers -- Devising a Fair System. NEJM 336: 436-438 [Full Text]