@article{
 title = {Systemic Solutions For Organ Donation in Moscow, Russia.},
 type = {article},
 year = {2014},
 pages = {848},
 volume = {98},
 websites = {http://journals.lww.com/00007890-201407151-02899},
 month = {7},
 id = {a2daf231-dfb9-300a-beb2-9cd67522e2f6},
 created = {2020-09-18T10:34:05.076Z},
 file_attached = {true},
 profile_id = {8f80f9b8-2860-34d1-8129-337101945313},
 last_modified = {2020-10-08T17:37:08.532Z},
 read = {false},
 starred = {true},
 authored = {true},
 confirmed = {false},
 hidden = {false},
 citation_key = {Plavunov2014},
 folder_uuids = {b8c538be-084d-4329-8559-a49b0c103f99},
 private_publication = {false},
 abstract = {Introduction: The shortage of organs for transplantation is a multifactorial problem requiring systemic approach. As soon as Moscow has the most recognizable experience in this field and developed transplantology infrastructure, the systemic solutions in organ donation became available. The population of Moscow is quite comparable with some countries and consist 11,9 millions people. Methods: Organizational solutions included the new regional order approval which provided the position of transplant coordinator in each donor hospital powered by requirements for hospital administration to pay for this work. In order to generate more organs for transplantation we started to use expanded criteria donors mostly for heart and kidneys. Thanks to introduction in our practice recent achievements in donor management we definitely increase the number of organs procured per donor. Moreover we established transparent rules for allocation of procured organs using well established international practices. We started organizational changes in September 2012 and proceeded through the 2013 year. Results: The total number of effective donors in 2013 consisted 125 (10,5 p.m.p.) from which 101 were donors with brain death diagnosis (80,8%). The mean number of organs procured from one donor with brain death consisted 3,5. In 2013 we transplanted 231 kidneys (19,4 p.m.p.), 87 hearts (7,3 p.m.p.), 52 livers (4,4 p.m.p.), 13 pancreas (1,1 p.m.p.), 10 lungs (1 p.m.p.) and 1 small intestine. The total number of organs transplanted is 394. Never before we had such transplantation activity in Moscow. Conclusion: The systemic solutions we had made in Moscow are proved to be effective. Taking into account the population and territory of Moscow the organizational changes implemented in this region could be quite useful for other parts of Russia. We strongly believe that our experience would be supportive for the process of national system creation.},
 bibtype = {article},
 author = {Minina, M and Plavunov, N and Gautier, S and Poptzov, V},
 doi = {10.1097/00007890-201407151-02899},
 journal = {Transplantation}
}

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As soon as Moscow has the most recognizable experience in this field and developed transplantology infrastructure, the systemic solutions in organ donation became available. The population of Moscow is quite comparable with some countries and consist 11,9 millions people. Methods: Organizational solutions included the new regional order approval which provided the position of transplant coordinator in each donor hospital powered by requirements for hospital administration to pay for this work. In order to generate more organs for transplantation we started to use expanded criteria donors mostly for heart and kidneys. Thanks to introduction in our practice recent achievements in donor management we definitely increase the number of organs procured per donor. Moreover we established transparent rules for allocation of procured organs using well established international practices. We started organizational changes in September 2012 and proceeded through the 2013 year. Results: The total number of effective donors in 2013 consisted 125 (10,5 p.m.p.) from which 101 were donors with brain death diagnosis (80,8%). The mean number of organs procured from one donor with brain death consisted 3,5. In 2013 we transplanted 231 kidneys (19,4 p.m.p.), 87 hearts (7,3 p.m.p.), 52 livers (4,4 p.m.p.), 13 pancreas (1,1 p.m.p.), 10 lungs (1 p.m.p.) and 1 small intestine. The total number of organs transplanted is 394. Never before we had such transplantation activity in Moscow. Conclusion: The systemic solutions we had made in Moscow are proved to be effective. Taking into account the population and territory of Moscow the organizational changes implemented in this region could be quite useful for other parts of Russia. We strongly believe that our experience would be supportive for the process of national system creation.","bibtype":"article","author":"Minina, M and Plavunov, N and Gautier, S and Poptzov, V","doi":"10.1097/00007890-201407151-02899","journal":"Transplantation","bibtex":"@article{\n title = {Systemic Solutions For Organ Donation in Moscow, Russia.},\n type = {article},\n year = {2014},\n pages = {848},\n volume = {98},\n websites = {http://journals.lww.com/00007890-201407151-02899},\n month = {7},\n id = {a2daf231-dfb9-300a-beb2-9cd67522e2f6},\n created = {2020-09-18T10:34:05.076Z},\n file_attached = {true},\n profile_id = {8f80f9b8-2860-34d1-8129-337101945313},\n last_modified = {2020-10-08T17:37:08.532Z},\n read = {false},\n starred = {true},\n authored = {true},\n confirmed = {false},\n hidden = {false},\n citation_key = {Plavunov2014},\n folder_uuids = {b8c538be-084d-4329-8559-a49b0c103f99},\n private_publication = {false},\n abstract = {Introduction: The shortage of organs for transplantation is a multifactorial problem requiring systemic approach. 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Results: The total number of effective donors in 2013 consisted 125 (10,5 p.m.p.) from which 101 were donors with brain death diagnosis (80,8%). The mean number of organs procured from one donor with brain death consisted 3,5. In 2013 we transplanted 231 kidneys (19,4 p.m.p.), 87 hearts (7,3 p.m.p.), 52 livers (4,4 p.m.p.), 13 pancreas (1,1 p.m.p.), 10 lungs (1 p.m.p.) and 1 small intestine. The total number of organs transplanted is 394. Never before we had such transplantation activity in Moscow. Conclusion: The systemic solutions we had made in Moscow are proved to be effective. Taking into account the population and territory of Moscow the organizational changes implemented in this region could be quite useful for other parts of Russia. 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