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Literature overview highlights lack of paediatric donation protocols but identifies common themes that could guide
A Vileito1, M J Siebelink2, Aae Verhagen1
1Department of Pediatrics, Beatrix Children's Hospital, University Medical Centre Groningen, University of Groningen, Groningen, the Netherlands.
Insights
Paediatric organ and tissue donation protocols are scarce, with no comprehensive guidelines available. Recurring themes like donor identification and parental approach can inform future standardized paediatric donation policies.
Area of Science:
- Medical Ethics
- Transplantation Medicine
- Pediatric Critical Care
Background:
- Paediatric donation is a sensitive process requiring specialized knowledge.
- Existing organ and tissue donation protocols primarily focus on adults, not children.
- Donation processes in children significantly differ from those in adults.
Purpose of the Study:
- To identify existing protocols for paediatric organ and tissue donation.
- To provide an overview of the literature on paediatric donation practices.
- To inform the development of standardized paediatric donation policies.
Main Methods:
- A literature review was conducted.
- Searches included PubMed, Web of Science, EMBASE, and the internet up to March 2016.
- Screening involved titles, abstracts, and full texts of relevant English-language sources.
Main Results:
- Twelve papers and two electronic sources were included, predominantly from North America and Europe.
- Most literature focused on donation after cardiac death.
- Key themes identified: potential donor identification, parental approach, palliative care, and organ procurement organization collaboration.
Conclusions:
- Scientific publications on paediatric donation protocols are notably scarce.
- No comprehensive paediatric donation protocol was identified in the literature.
- Recurring themes offer a foundation for developing standardized paediatric donation protocols.
Aim:
Paediatric donation is a unique and extremely sensitive process that requires specific knowledge and competencies. Most countries use protocols for organ and tissue donation to ensure optimal care for the donor and family, but these mainly focus on adults. However, the donation process for children differs from adults in many ways. An overview of the literature was performed to identify protocols for the paediatric population.
Methods:
PubMed, Web of Science, EMBASE and the Internet were searched up to March 2016 for papers or other sources in English related to specific organ and tissue donation protocols for children and neonates. This comprised title, abstract and then full-text screening of relevant data.
Results:
We included 12 papers and two electronic sources that were mainly from North America and Europe. Most discussed donations after cardiac death. The recurring themes included identifying potential donors, approaching parents, palliative care and collaboration with organ procurement organisations. Most papers called for paediatric donation policies to be standardised.
Conclusion:
Scientific publications in English on paediatric donation protocols are very scarce. No comprehensive paediatric donation protocol was found. We identified several recurring themes in the literature that could be used to develop such protocols.
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