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Invited Commentary
September 2014

Donor Management Does Make a Difference

Author Affiliations
  • 1Department of Surgery, Brigham and Women’s Hospital, Boston, Massachusetts
JAMA Surg. 2014;149(9):976. doi:10.1001/jamasurg.2014.970

Despite the growing success of organ transplantation as the primary treatment for end-stage organ failure, the gap between demand and supply for organs continues to widen. As a result, nearly 20 people die each day waiting for an organ transplant.1 Innovative methods to narrow this discrepancy are needed, and one such method has been the increased use of expanded criteria donors. Because these donors are older and have more comorbidities, they result in fewer organs being transplanted per donor compared with more healthy standard criteria donors. Patel and colleagues2 have demonstrated that the use of preset critical care end points, termed donor management goals (DMGs), allows for improved critical care management of this unique patient population and results in a significant increase in organ yield.

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