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| Name | Class |
|---|---|
| Ministry of Health, France | OTHER_GOV |
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In the complex process of organ transplant, two of the major steps are:
In the absence of the possibility of transmitting the images between the deceased donor sites and the transplant teams, the visualization of these examinations does not take part in the decision-making of the transplant team. This leads in the displacement of the transplant team in order to verify the grafts after acceptance of the graft proposal.
The "Cristal Image" project is a visualisation project for the transplant teams, in real time, at the time of the proposal of the graft so that they can give an opinion (acceptance, refusal) in less than 20 minutes (legal delay for a vital organ) after analyzing the medical records provided and the imaging data (scanner, ultrasound (s), coronary angiography, etc.).
The hypothesis of the project is that the implementation of a secure image transmission (complete anonymisation of the data of the donor) before the acceptance by the team, will allow an optimization of the use of the qualified organs by reducing risks, unnecessary displacement of transplant surgical teams, and securing the allocation of organs to recipient patients.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group without image transmission | "Before" Group | ||
| Group with image transmission | "After" Group |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| "After" Group | Device |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of successful organ transplantation among those sampled. | 3 months after transplantation for kidney, 1 year after transplantation for the other organs |
| Measure | Description | Time Frame |
|---|---|---|
| Number of assigned organs but not sampled | Immediately after the decision of the transplant team | |
| Number of useless graft transportation | Immediately after the decision of the transplant team | |
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Inclusion Criteria:
Exclusion Criteria:
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All health institutions authorized for organ transplantation in metropolitan France are concerned.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Isabelle Durand-Zaleski, MD, PhD | Contact | isabelle.durand-zaleski@aphp.fr |
| Name | Affiliation | Role |
|---|---|---|
| Isabelle Durand-Zaleski, MD, PhD | Assistance Publique - Hôpitaux de Paris - DRCD URC Eco | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Agence de la biomédecine | Recruiting | Saint-Denis | 93200 | France |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 18764835 | Background | Reddy MS, Bhati C, Neil D, Mirza DF, Manas DM. National Organ Retrieval Imaging System: results of the pilot study. Transpl Int. 2008 Nov;21(11):1036-44. doi: 10.1111/j.1432-2277.2008.00720.x. | |
| 25299785 | Background | Rosenkrantz AB, Campbell N, Wehrli N, Triolo MJ, Kim S. New OPTN/UNOS classification system for nodules in cirrhotic livers detected with MR imaging: effect on hepatocellular carcinoma detection and transplantation allocation. Radiology. 2015 Feb;274(2):426-33. doi: 10.1148/radiol.14140069. Epub 2014 Oct 7. |
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| Number of useless graft team transportation |
| Immediately after the decision of the transplant team |
| Mortality or function stop | 1 year after transplantation |
| Duration of the graft assignment | Immediately after graft assignment |
| Cost of sampling process | Immediately after the sampling process |
| Use of image transmission by the graft team | Immediately after decision of the transplant team to accept or not the graft |
| 22461345 | Background | Furlow B. Solid organ donation and transplantation. Radiol Technol. 2012 Mar-Apr;83(4):371-89. |
| 20212375 | Background | Fregeville A, De Bazelaire C, Zagdanski A, Albiter M, Desgrandchamps F, De Kerviler E. [Value of whole body CTA in the management of brain-dead patients]. J Radiol. 2010 Jan;91(1 Pt 1):37-44. doi: 10.1016/s0221-0363(10)70004-4. French. |
| 26857558 | Background | Charrier N, Zarca K, Durand-Zaleski I, Calinaud C; ARS Ile de France telemedicine group. Efficacy and cost effectiveness of telemedicine for improving access to care in the Paris region: study protocols for eight trials. BMC Health Serv Res. 2016 Feb 8;16:45. doi: 10.1186/s12913-016-1281-1. |
| 31533713 | Derived | Zarca K, Dupont JK, Jacoud L, Bulsei J, Huot O, Logerot H, Durand-Zaleski I. Effectiveness and efficiency of teleimaging in the transplantation process: a mixed method protocol. BMC Health Serv Res. 2019 Sep 18;19(1):672. doi: 10.1186/s12913-019-4488-0. |