Monitoring Organ Donors to Improve Transplantation Results (MOnIToR) trial methodology.

作者: John A. Kellum , Raghavan Murugan , Abdus S. Wahed , Daniel J. Lebovitz , Michael J. Souter

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摘要: Background: Despite efforts to increase organ donation, there remain critical shortages in donors and organs procured per donor. Our trial is a large-scale, multicentre, randomised controlled brain-dead donors, compare protocolised care (using minimally invasive haemodynamic monitoring) with usual care. We describe the study design discuss unique aspects of doing research this population. Methods: will randomise patients or The primary end point number transplanted Secondary points include transplantable donor, recipient 6-month hospital-free survival time, relationship between level interleukin-6 usability transplanted. analysis be an intention-to-treat analysis; secondary analyses modified as-treated analyses. also ratio observed expected by treatment arm, as point. Preplanned subgroup restriction extended criteria older younger than 65 years. Results conclusions: Several challenges for execution can seen our trial, it should generate results that inform influence fields donation transplantation.

参考文章(27)
E. E. Messersmith, C. Arrington, C. Alexander, J. P. Orlowski, R. Wolfe, Development of Donor Yield Models American Journal of Transplantation. ,vol. 11, pp. 2075- 2084 ,(2011) , 10.1111/J.1600-6143.2011.03639.X
Ana S. Iltis, Michael A. Rie, Anji Wall, Organ donation, patients' rights, and medical responsibilities at the end of life. Critical Care Medicine. ,vol. 37, pp. 310- 315 ,(2009) , 10.1097/CCM.0B013E3181928FF8
Kate Seers, Evaluating complex interventions. Worldviews on Evidence-based Nursing. ,vol. 4, pp. 67- 68 ,(2007) , 10.1111/J.1741-6787.2007.00083.X
A. K. Israni, D. A. Zaun, J. D. Rosendale, J. J. Snyder, B. L. Kasiske, OPTN/SRTR 2011 Annual Data Report: Deceased Organ Donation American Journal of Transplantation. ,vol. 13, pp. 179- 198 ,(2013) , 10.1111/AJT.12025
L. Bond, P. Craig, M. Egan, K. Skivington, H. Thomson, Health improvement programmes: really too complex to evaluate? BMJ. ,vol. 340, ,(2010) , 10.1136/BMJ.C1332
Ali Salim, George C. Velmahos, Carlos Brown, Howard Belzberg, Demetrios Demetriades, Aggressive organ donor management significantly increases the number of organs available for transplantation. Journal of Trauma-injury Infection and Critical Care. ,vol. 58, pp. 991- 994 ,(2005) , 10.1097/01.TA.0000168708.78049.32
Raghavan Murugan, Ramesh Venkataraman, Abdus S Wahed, Michele Elder, Georgene Hergenroeder, Melinda Carter, Nicholas J Madden, David Powner, John A Kellum, HIDonOR Study Investigators, Increased plasma interleukin-6 in donors is associated with lower recipient hospital-free survival after cadaveric organ transplantation. Critical Care Medicine. ,vol. 36, pp. 1810- 1816 ,(2008) , 10.1097/CCM.0B013E318174D89F
Peter Craig, Mark Petticrew, Developing and evaluating complex interventions: reflections on the 2008 MRC guidance. International Journal of Nursing Studies. ,vol. 50, pp. 585- 587 ,(2013) , 10.1016/J.IJNURSTU.2012.09.009
Raghavan Murugan, Ramesh Venkataraman, Abdus S Wahed, Michele Elder, Melinda Carter, Nicholas J Madden, John A Kellum, HIDonOR Study Investigators, Preload responsiveness is associated with increased interleukin-6 and lower organ yield from brain-dead donors. Critical Care Medicine. ,vol. 37, pp. 2387- 2393 ,(2009) , 10.1097/CCM.0B013E3181A960D6
Michael M. Rey, Lorraine B. Ware, Michael A. Matthay, Gordon R. Bernard, Amy L. McGuire, Arthur L. Caplan, Scott D. Halpern, Informed consent in research to improve the number and quality of deceased donor organs. Critical Care Medicine. ,vol. 39, pp. 280- 283 ,(2011) , 10.1097/CCM.0B013E3181FEEB04