• Verran D, Robertson A, Chapman J, Chadban S. Non-heart--beating donors. Westmead NSW (Australia): CARI - Caring for Australasians with Renal Impairment; 2005 Jul. 10 p. [13 references]



• Verran D, Robertson A, Chapman J, Chadban S. Non-heart-beating donors. Nephrology 2005 Oct;10(S4):S116-9.

This is the current release of the guideline.

Definitions for the levels of evidence (I–IV) can be found at the end of the "Major Recommendations" field.

Guidelines

No recommendations possible based on Level I or II evidence

Suggestions for Clinical Care

(Suggestions are based on Level III and IV sources)

• Non-Heart Beating (NHB) donors should be considered as an extra source of deceased donor kidneys for transplantation, with acceptable patient and graft survival, in spite of an increased incidence of delayed graft function.
• Results using kidneys from NHB donors may be improved by using 'controlled' donors younger than 60 years of age and by minimising warm and cold ischaemic times (use kidneys locally).
• Transplant Centres are encouraged to develop protocols which satisfy local and regional ethical and legal requirements.
• All NHB donation procedures occur as an emergency and require a team including transplant coordinators and surgeons available urgently 24 hours a day.

Definitions:

Levels of Evidence

Level I: Evidence obtained from a systematic review of all relevant randomized controlled trials (RCTs)

Level II: Evidence obtained from at least one properly designed RCT

Level III: Evidence obtained from well-designed pseudo-randomized controlled trials (alternate allocation or some other method); comparative studies with concurrent controls and allocation not randomized, cohort studies, case-control studies, interrupted time series with a control group; comparative studies with historical control, two or more single arm studies, interrupted time series without a parallel control group

Level IV: Evidence obtained from case series, either post-test or pretest/post-test

None provided

The type of supporting evidence is identified and graded for each recommendation (see "Major Recommendations").

• Verran D, Robertson A, Chapman J, Chadban S. Non-heart--beating donors. Westmead NSW (Australia): CARI - Caring for Australasians with Renal Impairment; 2005 Jul. 10 p. [13 references]



• Verran D, Robertson A, Chapman J, Chadban S. Non-heart-beating donors. Nephrology 2005 Oct;10(S4):S116-9.

Not applicable: The guideline was not adapted from another source.

2005 Oct

Caring for Australasians with Renal Impairment - Disease Specific Society

Industry-sponsored funding administered through Kidney Health Australia

Not stated

Authors: David Harris, Convenor (Westmead, New South Wales); Merlin Thomas (Prahran, Victoria); David Johnson (Woolloongabba, Queensland); Kathy Nicholls (Parkville, Victoria); Adrian Gillin (Camperdown, New South Wales)

All guideline writers are required to fill out a declaration of conflict of interest.

This is the current release of the guideline.

None available

This NGC summary was completed by ECRI Institute on April 22, 2008.

This NGC summary is based on the original guideline, which is subject to the guideline developer's copyright restrictions.