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Electronic Tool for Distribution and Allocation of Heart on Donation and Transplantation in Mexico
S E Maqueda Tenorio1, L A Meixueiro Daza1, S Maqueda Estrada2
1Centro Nacional de Trasplantes, Distrito Federal, México.
Insights
Organ donation in Mexico is insufficient for transplant needs. A new electronic tool is proposed to improve the efficiency and fairness of organ allocation for patients awaiting transplants.
Area of Science:
- Medical Science
- Public Health
- Transplant Surgery
Background:
- Organ and tissue donation from deceased individuals is critically insufficient globally and in Mexico to meet transplant demands.
- In 2014, Mexico reported a low rate of 3.6 organ donors per million population, with heart transplantation rates at only 0.4 per million.
- The National Transplant Center coordinates donation and transplantation activities in Mexico, maintaining the National Transplant Registry System.
Purpose of the Study:
- To address the critical shortage of organs for transplantation in Mexico.
- To improve the efficiency and fairness of organ distribution and allocation processes for patients on the transplant waiting list.
- To propose the development of an electronic tool to aid the donation and transplantation coordination committee in decision-making.
Main Methods:
- Analysis of organ donor and transplant rates in Mexico.
- Review of the legal framework and coordination roles of the National Transplant Center.
- Examination of patient data from the National Transplant Registry System, specifically for heart transplant candidates.
- Proposal for an electronic decision-support tool.
Main Results:
- In July 2015, 45 patients were awaiting heart transplants, with a male recipient prevalence (65.39%) over female recipients (34.61%).
- The current organ donation and transplantation system faces significant challenges in meeting patient demand.
- The proposed electronic tool aims to streamline the allocation process.
Conclusions:
- There is a pressing need to enhance organ donation and transplantation efforts in Mexico.
- Fair and efficient allocation of available organs is crucial for improving patient outcomes.
- An electronic decision-support system can significantly contribute to optimizing the organ allocation process.
Abstract:
In Mexico and globally, organs and/or tissues donated from deceased people are insufficient to cover the demand for transplants. In 2014, a rate of 3.6 organ donors per million in habitants was recorded; this is reflected in the transplants performed, including heart transplantation, with a rate of 0.4 per million population. According to the legal framework of Mexico, the National Transplant Center is responsible for coordinating National Subsystem of donation and transplantation, and one of its functions is to integrate and backup information regarding donation and transplantation through the National Transplant Registry System. In July 2015, 45 people were registered in the database of patients waiting for a heart transplant, of which 34.61% were female recipients and 65.39% male. Distribution and allocation processes are a key element to provide a fair distribution for those patients waiting for that organ; thus the creation of an electronic tool is proposed, one that aims to support the decision of the donation and/or transplants coordination committee by providing the necessary elements to make this process more efficient.
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