The Standardization of Pancreatic Donors for Islet Isolations
- 27 September 2005
- journal article
- research article
- Published by Ovid Technologies (Wolters Kluwer Health) in Transplantation
- Vol. 80 (6), 801-806
- https://doi.org/10.1097/01.tp.0000172216.47547.d5
Abstract
Islet transplantation has proven to be a successful treatment for type 1 diabetes mellitus. The aim of this study was to establish an algorithm by which the combination of the donor quality and pancreas quality was given a numerical score from 0 to 100 for use in determining the quality of a pancreas for islet isolation. We retrospectively analyzed 326 pancreases and the outcomes of their respective isolations. Specific donor variables and physical characteristics were identified and weighted according to their influence on the success of the isolation. For each variable, ranges and point weightings were established based on our laboratory experience and literature review. Analysis of the data showed a strong association of the donor point with isolation outcome. Pancreases with lower donor point scores had lower transplant success rates, whereas higher donor point scores in turn produced higher transplant rates. This scoring system has proven to be useful in guiding the decision process as to whether to accept a particular pancreas for a favorable isolation outcome.Keywords
This publication has 21 references indexed in Scilit:
- The current situation in human pancreatic islet transplantation: problems and prospectsJournal of Artificial Organs, 2004
- Improved human islet isolation outcome from marginal donors following addition of oxygenated perfluorocarbon to the cold-storage solutionTransplantation, 2003
- Human islet transplantation from pancreases with prolonged cold ischemia using additional preservation by the two-layer (UW solution/perfluorochemical) cold-storage methodTransplantation, 2002
- Islet Transplantation in Seven Patients with Type 1 Diabetes Mellitus Using a Glucocorticoid-Free Immunosuppressive RegimenNew England Journal of Medicine, 2000
- DIRECT EVIDENCE OF PANCREATIC TISSUE OXYGENATION DURING PRESERVATION BY THE TWO-LAYER METHODTransplantation, 1996
- VARIABLES IN ORGAN DONORS THAT AFFECT THE RECOVERY OF HUMAN ISLETS OF LANGERHANS1Transplantation, 1996
- HUMAN PANCREAS PRESERVATION PRIOR TO ISLET ISOLATIONTransplantation, 1995
- Body Mass Index of Pancreatic Donors: A Decisive Factor for Human Islet IsolationExperimental and Clinical Endocrinology & Diabetes, 1995
- HUMAN ISLET ISOLATION IN 104 CONSECUTIVE CASESTransplantation, 1994
- THE CORRELATION BETWEEN DONOR CHARACTERISTICS AND THE SUCCESS OF HUMAN ISLET ISOLATION1,2Transplantation, 1994