Publications by authors named "F Procaccio"

Article Synopsis
  • The Organización Nacional de Trasplantes hosted a Global Summit in Santander on November 9-10, 2023, focusing on the challenges in advancing global organ transplantation.
  • Working Group 2 identified two main challenges: establishing a unified definition of death based on brain function and addressing disparities in deceased organ donation.
  • To tackle these challenges, they recommended adopting consistent criteria for determining death and enhancing organ utilization through techniques like donation after circulatory determination of death (DCDD) and advanced perfusion technologies.
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Establishing transparency and oversight of organ transplantation by regulatory agencies is of paramount importance to assure ethical, legal, and clinically robust transplantation practices. Registries reporting activity and outcome data of the donor and recipient, including donor source (living or deceased), must be developed for each transplant and should be a mandatory requirement to achieve accreditation to perform transplant surgeries. Collected data for the living organ donor must include the nationality, the nature of their relationship with the recipient, and the complications encountered by living donors that result in prolonged morbidity or mortality.

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The primary aim of this study was to describe regulations and practices concerning the family approach to discuss donation, specifically after the neurological determination of death, one of the most challenging steps in the donation pathway. A secondary objective was to assess the impact of legislation on consent rates for organ donation. The Council of Europe surveyed 39 member states about national regulations, practices, and consent rates; 34 replied.

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Article Synopsis
  • A study was conducted in Italy to understand various factors that influence perceptions about post-mortem organ donation, including personal beliefs and misinformation.
  • It involved 38 focus groups with 353 participants from different backgrounds, highlighting themes like dilemmas, resistance, facilitators, and challenges in expressing wills about donation.
  • The findings emphasize the need for targeted interventions to raise awareness and encourage informed choices about organ donation within diverse populations.
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Donation after circulatory death (DCD) has become an accepted practice in many countries and remains a focus of intense interest in the transplant community. The present study is aimed at providing a description of the current situation of DCD in European countries. Specific questionnaires were developed to compile information on DCD practices, activities and post-transplant outcomes.

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