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Contribution by Departments of Forensic Medicine to Tissue Donation for Transplant Purposes

Malm, Torsten LU ; Sandgren Åkerman, Åsa; Greby, Jesper; Odö, Björn and Henriksson, Bengt-Åke (2016) In Progress in Transplantation 26(4). p.378-380
Abstract

BACKGROUND: A department of forensic medicine (DFM) can be a valuable source for tissue donation, but logistics can prove difficult to overcome as it pertains to obtaining tissues for donation. This article describes the potential of tissues that can be procured for transplantation.

MATERIALS AND METHODS: Sweden has 9.7 million inhabitants, with an annual mortality rate of 90 000 and 5500 medicolegal autopsies per year. Cooperation between tissue banking and 2 DFMs began in the mid-1980s. Recently, cooperation has expanded to include all six DFMs. All tissue establishments (TEs) were asked to complete a questionnaire concerning their cooperation with DFMs from 2011 through 2013.

RESULTS: A total of 298 actual donors were... (More)

BACKGROUND: A department of forensic medicine (DFM) can be a valuable source for tissue donation, but logistics can prove difficult to overcome as it pertains to obtaining tissues for donation. This article describes the potential of tissues that can be procured for transplantation.

MATERIALS AND METHODS: Sweden has 9.7 million inhabitants, with an annual mortality rate of 90 000 and 5500 medicolegal autopsies per year. Cooperation between tissue banking and 2 DFMs began in the mid-1980s. Recently, cooperation has expanded to include all six DFMs. All tissue establishments (TEs) were asked to complete a questionnaire concerning their cooperation with DFMs from 2011 through 2013.

RESULTS: A total of 298 actual donors were identified; 1090 tissues were procured including cardiovascular tissue, cornea, sclera, ear bones, and skin for transplantation. Of the tissues distributed, 553 were for transplantation and 72 for other medical purposes. Twenty-three percent of the tissues were discarded. Reasons for tissue rejection included deficient tissue quality (65%), positive serology tests (9%), positive bacteriology tests after decontamination procedures (7%), technical errors (<1%), and other reasons (18%).

CONCLUSION: Nineteen percent of all tissues distributed for transplantation came from donors in DFMs. The cooperation between DFMs and TEs was described as well functioning and excellent. Education and national courses in tissue procurement for employees in DFMs are contributing factors to such positive interactions. The support from the National Board of Forensic Medicine is an important factor for sustainable progress.

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author
publishing date
type
Contribution to journal
publication status
published
subject
in
Progress in Transplantation
volume
26
issue
4
pages
3 pages
publisher
SAGE Publications Inc.
external identifiers
  • scopus:85014406177
ISSN
1526-9248
DOI
10.1177/1526924816664085
language
English
LU publication?
no
id
efb7fe1d-5145-41c6-a00f-4497ac26ebb1
date added to LUP
2017-09-11 13:31:12
date last changed
2017-09-17 09:53:16
@article{efb7fe1d-5145-41c6-a00f-4497ac26ebb1,
  abstract     = {<p>BACKGROUND: A department of forensic medicine (DFM) can be a valuable source for tissue donation, but logistics can prove difficult to overcome as it pertains to obtaining tissues for donation. This article describes the potential of tissues that can be procured for transplantation.</p><p>MATERIALS AND METHODS: Sweden has 9.7 million inhabitants, with an annual mortality rate of 90 000 and 5500 medicolegal autopsies per year. Cooperation between tissue banking and 2 DFMs began in the mid-1980s. Recently, cooperation has expanded to include all six DFMs. All tissue establishments (TEs) were asked to complete a questionnaire concerning their cooperation with DFMs from 2011 through 2013.</p><p>RESULTS: A total of 298 actual donors were identified; 1090 tissues were procured including cardiovascular tissue, cornea, sclera, ear bones, and skin for transplantation. Of the tissues distributed, 553 were for transplantation and 72 for other medical purposes. Twenty-three percent of the tissues were discarded. Reasons for tissue rejection included deficient tissue quality (65%), positive serology tests (9%), positive bacteriology tests after decontamination procedures (7%), technical errors (&lt;1%), and other reasons (18%).</p><p>CONCLUSION: Nineteen percent of all tissues distributed for transplantation came from donors in DFMs. The cooperation between DFMs and TEs was described as well functioning and excellent. Education and national courses in tissue procurement for employees in DFMs are contributing factors to such positive interactions. The support from the National Board of Forensic Medicine is an important factor for sustainable progress.</p>},
  author       = {Malm, Torsten and Sandgren Åkerman, Åsa and Greby, Jesper and Odö, Björn and Henriksson, Bengt-Åke},
  issn         = {1526-9248},
  language     = {eng},
  number       = {4},
  pages        = {378--380},
  publisher    = {SAGE Publications Inc.},
  series       = {Progress in Transplantation},
  title        = {Contribution by Departments of Forensic Medicine to Tissue Donation for Transplant Purposes},
  url          = {http://dx.doi.org/10.1177/1526924816664085},
  volume       = {26},
  year         = {2016},
}