학술논문

A Multicenter Study: North American Islet Donor Score in Donor Pancreas Selection for Human Islet Isolation for Transplantation
Document Type
article
Source
Cell Transplantation. 25(8)
Subject
Transplantation
Diabetes
Clinical Research
Adolescent
Adult
Aged
Child
Child
Preschool
Female
Humans
Islets of Langerhans Transplantation
Male
Middle Aged
Pancreas
Retrospective Studies
Tissue Donors
Young Adult
Islet isolation
Islet transplantation
Organ donor
Pancreas
Biological Sciences
Technology
Medical and Health Sciences
Neurology & Neurosurgery
Language
Abstract
Selection of an optimal donor pancreas is the first key task for successful islet isolation. We conducted a retrospective multicenter study in 11 centers in North America to develop an islet donor scoring system using donor variables. The data set consisting of 1,056 deceased donors was used for development of a scoring system to predict islet isolation success (defined as postpurification islet yield >400,000 islet equivalents). With the aid of univariate logistic regression analyses, we developed the North American Islet Donor Score (NAIDS) ranging from 0 to 100 points. The c index in the development cohort was 0.73 (95% confidence interval 0.70-0.76). The success rate increased proportionally as the NAIDS increased, from 6.8% success in the NAIDS