{"id":34896,"date":"2015-08-04T11:02:05","date_gmt":"2015-08-04T10:02:05","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=34896"},"modified":"2015-08-04T11:02:19","modified_gmt":"2015-08-04T10:02:19","slug":"the-bmj-today-organ-donation","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2015\/08\/04\/the-bmj-today-organ-donation\/","title":{"rendered":"The BMJ Today: Organ donation, sharps injuries, patient involvement, and declaring financial interests"},"content":{"rendered":"<p><a href=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/08\/kidney_donation.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft  wp-image-34898\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/08\/kidney_donation-150x150.jpg\" alt=\"kidney_donation\" width=\"140\" height=\"140\" \/><\/a><strong>\u2022\u00a0Organ donation<\/strong>\u2014Currently in the UK, 33% of the population are registered donors, <a href=\"https:\/\/nhsbtdbe.blob.core.windows.net\/umbraco-assets-dev\/1041\/united_kingdom.pdf\">and at the end of March 2015 there were 6904 people<\/a> on the waiting list for a suitable donor, with kidney transplants being the most commonly needed (5465, 79%). <a href=\"http:\/\/www.bmj.com\/content\/351\/bmj.h3557\">In our latest research article, Aubert et al study the long term outcomes of kidney transplantation<\/a> across four centres in France using expanded criteria donors (ECD, donors \u2265 60 years, or \u226550 years with a history of vascular comorbidities). From their results, the authors conclude that avoiding high circulating levels of donor specific anti-HLA (human leucocyte antigen) antibody at baseline, and minimising cold ischaemia time would be most influential to help support wider use of ECD. Transplants using ECD currently have a higher failure rate than those of standard criteria donors.<!--more--><\/p>\n<p><strong>\u2022\u00a0<\/strong>Jeremy Chapman <a href=\"http:\/\/www.bmj.com\/content\/351\/bmj.h3856\">writes the accompanying editorial and advocates that these findings<\/a> should now be tested in other settings and patients, and importantly with donors who have had a circulatory arrest prior to donation as in this study donations were all following brain stem death.<\/p>\n<p><a href=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/08\/sharps_infographic.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignright  wp-image-34899\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/08\/sharps_infographic-231x300.jpg\" alt=\"sharps_infographic_v33 (1)\" width=\"148\" height=\"192\" srcset=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/08\/sharps_infographic-231x300.jpg 231w, https:\/\/blogs.bmj.com\/bmj\/files\/2015\/08\/sharps_infographic-789x1024.jpg 789w\" sizes=\"auto, (max-width: 148px) 100vw, 148px\" \/><\/a><strong>\u2022\u00a0Management of sharps injuries<\/strong>\u2014Our <a href=\"http:\/\/www.bmj.com\/content\/351\/bmj.h3733\">lastest clinical review provides current evidence on<\/a> the management of sharps injuries,\u00a0with <a href=\"http:\/\/www.bmj.com\/content\/bmj\/suppl\/2015\/07\/29\/bmj.h3733.DC1\/sharps_infographic_web_sm3.pdf\">a lovely infographic giving an overview of<\/a> the basic first aid following injury, how to assess risk from the sharps injury, and which management is indicated.<\/p>\n<p><strong>\u2022\u00a0Patient involvement<\/strong>\u2014Neal W Dickert and Franklin G Miller <a href=\"http:\/\/www.bmj.com\/content\/351\/bmj.h3791\">discuss in their analysis article the challenges of consent in the emergency setting<\/a>, illustrating the different possible strategies to aid patient involvement in consent for STEMI trials. And in <a href=\"http:\/\/www.bmj.com\/content\/351\/bmj.h4023\">our latest endgames case review<\/a>, two GP authors explore the importance of respecting patient requests for &#8220;deprescribing.&#8221;<\/p>\n<p><a href=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/08\/money_referrals.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft  wp-image-34900\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/08\/money_referrals-150x150.jpg\" alt=\"money_referrals\" width=\"140\" height=\"140\" \/><\/a><strong>\u2022\u00a0Doctors should declare financial links<\/strong>\u2014From June 2016 the Association of the British Pharmaceutical Industry (ABPI) <a href=\"http:\/\/www.bmj.com\/content\/351\/bmj.h4197\">will publish payments to individual healthcare professionals on a public searchable database<\/a>, however, doctors will still be able to opt out of their data being included. The Academy of Medical Royal Colleges feels this disclosure should be made mandatory and the GMC already gives clear guidance on declaring competing interests. What is your view? <a href=\"http:\/\/www.bmj.com\/theBMJ#poll-widget\">Give your opinion in our poll<\/a>: Should doctors be forced to disclose payments and hospitality from drug companies?<a href=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/08\/endgames_rash2.gif\"><img loading=\"lazy\" decoding=\"async\" class=\"alignright  wp-image-34902\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/08\/endgames_rash2-300x145.gif\" alt=\"endgames_rash2\" width=\"275\" height=\"133\" \/><\/a><\/p>\n<p><strong>\u2022\u00a0Try our latest endgames Spot Diagnosis<\/strong>\u2014Can you recognise <a href=\"http:\/\/www.bmj.com\/content\/351\/bmj.h4131\">this rash in an 11 year old girl<\/a>?<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><em><strong>Emma Parish<\/strong>, editorial registrar, <\/em>The BMJ<em>.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u2022\u00a0Organ donation\u2014Currently in the UK, 33% of the population are registered donors, and at the end of March 2015 there were 6904 people on the waiting list for a suitable [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2015\/08\/04\/the-bmj-today-organ-donation\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5750],"tags":[],"class_list":["post-34896","post","type-post","status-publish","format-standard","hentry","category-the-bmj-today"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - 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