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Happy Holidays from ITNS. The office will be closed on Monday, Dec. 24 and Tuesday, Dec. 25. We wish you a prosperous 2019. The office will also be closed on Tuesday, Jan. 1.
 On my recent trip to Europe, I discovered an old Norse proverb: “Heimskur er heimarkaer”. This translates to “the one who stays at home lacks wisdom” – wise indeed is the one who explores new places and cultures, and who learns something about themselves in the process.
Currently two ITNS initiatives, “Transplant Country of the Month: From Our World to Yours” and the Special Interest Group Listservs (SIGs), provide members the opportunity to learn about, learn with, and learn from transplant nursing colleagues as they seek out a variety of diverse problem-solving viewpoints and care delivery strategies. It also promotes avenues to explore and better understand and listen openly to cultures other than our own.
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Johns Hopkins Medicine via ScienceDaily
Results of a medical records study of more than 7,000 patients awaiting a lung transplant in the United States affirm the basis of a court filing in 2017 that called the organ allocation system geographically "rigged" in some regions of the nation.
In a report, published online Nov. 15 in the American Journal of Transplantation, the Johns Hopkins Medicine researchers who conducted the study say the findings hold lessons for further improving the current lung allocation system, as well as the process for assigning other organs for transplant.
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Johns Hopkins University School of Medicine via Medical Xpress
In a review of registry data for more than 5,300 liver transplants performed in children nationwide, Johns Hopkins Medicine researchers identify the type of patient who is most likely to survive a split liver transplant—receiving only part of a donor's liver—with no additional long-term health risks, which could allow for an increase in the availability of organs. A report on the new study is published in the December issue of the journal Liver Transplantation.
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Liver Transplantation
The number of simultaneous liver kidney transplant and the concomitant use of induction therapy have increased over the last decade. However, there is little data comparing outcomes amongst induction agents in the context of maintenance immunosuppression regimen consisting of tacrolimus and mycophenolic acid.
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WVXU-FM
Dr. Joe Scalea has been getting increasingly frustrated with the difficulty of transporting organs for transplant. "In a time when cars can drive themselves it just seems so crazy that I can't get a lifesaving organ to my patient in the appropriate amount of time. I just don't accept that."
Even though more than 35,000 organs were transplanted in 2017, countless others were lost before they could be donated. Part of the problem is transportation. Nurses act as glorified travel agents. Using helicopters and planes can be expensive, and Dr. Scalea explains the method is "information poor."
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American Journal of Transplantation
Functional impairment is associated with mortality in adult liver transplant candidates. This has not been studied in pediatric liver transplant candidates. UNOS STAR files were used to investigate functional status, waitlist mortality, and post‐transplant outcomes in children<18, listed 2006‐16 for primary liver transplant.
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Liver Transplantation
Acute‐on‐chronic liver failure is a syndrome characterized by acute decompensation of previously diagnosed or undiagnosed liver disease with organ failure(s) with high short‐term mortality. This study was conducted to report the outcomes of LDLT in ACLF and assess the survival benefit of liver transplantation in these patients.
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Transplantation
Life participation is a critically important outcome for kidney transplant recipients, but it is inconsistently and infrequently measured in trials. We convened a consensus workshop on establishing a core outcome measure for life participation for use in all trials in kidney transplantation.
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The New York Times
Sohini Chattopadhyay writes, "In the spring I found myself in the position of being my father’s potential liver donor. Although he had steadfastly refused a transplant, he had slipped into a sickness so severe that my mother and I feared we might lose him.
I am his only child and our blood groups are compatible. Between taking him to endless medical appointments, I began undergoing my own transplant work-up — the long and expensive series of tests to ascertain my fitness to be a donor.
One morning when I walked in with my test reports, the transplant surgeon at the New Delhi hospital waved them aside and asked, 'Has anybody put pressure on you to donate?'"
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