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Challenges and Possible Solutions to Pediatric Organ Donation and Transplantation in Turkey and the Middle East:
Andrea Herrera-Gayol1, Marcelo Cantarovich, Mehmet Haberal
1Scientific consultant, Westmount, Quebec, Canada.
Insights
Pediatric organ transplantation is vital for end-stage organ failure but faces global disparities. Challenges in deceased organ donation necessitate increased living donor use, especially for children.
Area of Science:
- Pediatric medicine
- Transplantation surgery
- Organ donation and procurement
Background:
- Organ transplantation is the optimal treatment for pediatric end-stage organ failure.
- Global pediatric transplantation programs show significant disparities between high-income and low-to-middle-income countries.
- Low deceased organ donation rates contribute to organ shortages, increasing reliance on living donors for pediatric cases.
Purpose of the Study:
- To identify challenges in pediatric organ donation and transplantation worldwide.
- To explore reasons behind global program discrepancies.
- To propose solutions for improving pediatric organ transplantation access.
Main Methods:
- A brainstorming session was conducted during the International Symposium on Pediatric Organ Donation and Transplantation.
- Discussions focused on various aspects of pediatric organ donation and transplantation.
- Key topics and proposed solutions were documented.
Main Results:
- Identified significant global inequalities in pediatric transplantation infrastructure and organ availability.
- Highlighted the critical role of living donation in pediatric transplantation due to deceased donor shortages.
- Recognized the need for international collaboration and resource sharing.
Conclusions:
- Addressing disparities in pediatric organ transplantation requires focused strategies.
- Enhancing deceased organ donation and optimizing living donor programs are crucial.
- International cooperation is essential to ensure equitable access to life-saving transplants for children globally.
Abstract:
Organ transplantation is the best therapeutic option for children with end-stage organ failure. Pediatric transplantation centers and prioritization of organs for children are being established around the world. However, there is an important discrepancy observed when comparing high-income countries versus low-income and middle-income countries, as programs are active in some, but not in many others. Deceased organ donation is low in many places, which has led to an increase of organ shortage; consequently, there is a need to rely on the use of living donor organs. This is frequently the case for pediatric transplantation. To gather information about the possible reasons underlying these challenges and to propose possible solutions, a brainstorming session took place during the International Symposium on Pediatric Organ Donation and Transplantation in Ankara, Turkey. A description on different topics that were discussed is presented herein.
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