The donor and the recipient have a biologic relationship (e.g., siblings and parents). Although most studies of ECD kidney transplantation confirm lower allograft survival rates, recipients of ECD kidneys generally have improved survival compared with matched dialysis-treated patients (13–15). Outcomes of DCD-ECD kidneys, however, are generally poor. DCD Stands For: All acronyms (310) Airports & Locations Business & Finance (5) Common (3) Government & Military … The family is offered the option of donation & their decision is supported. There may be more than one meaning of DCD, so check it out all meanings of DCD. 'Data Carrier Detect' is one option -- get in to view more @ The Web's largest and most authoritative acronyms and abbreviations resource. Even though ECD kidney transplantation is superior to dialysis therapy, the inferior outcomes relative to SCD kidneys should be weighed when patients consider accepting ECD organs. Donation after cardiac death (DCD) is a small but rapidly growing fraction of donors. What is DCD? Number of DCD donors in the UK, 2000/01 – 2019/20. Because of the far-reaching implications inherent to the quality of a transplanted organ, the nephrologist and dialysis team members are best positioned (on the basis of their previous knowledge and their relationship with the potential recipients) to assist the transplant candidate in making organ acceptance decisions. Enter multiple addresses on separate lines or separate them with commas. The review may serve as a primer for nephrologists and dialysis team members who care for patients who have ESRD and are potential transplant candidates. In the rapid-fire tempo of activities surrounding the identification and matching of an organ to a recipient (computerized match run) and in the excitement of the moment (after seemingly interminable waiting on the kidney transplant waiting list), most potential recipients accept any organ under offer. Possible DCD meaning as an acronym, abbreviation, shorthand or slang term vary from category to category. It is commonly used to describe deceased organ donation following the confirmation of death using neurological criteria as set out in the Academy Code of Practice. Reprinted from Gagandeep et al. Donation between casual acquaintances is now included in this category (e.g., school mate, co-workers, religious congregants). There are two main types of deceased donors – Donors after Brain Death (DBD) and Donors after Cardiac Death (DCD). A potential organ donor may be labeled as increased risk for a variety of different exposures, and these exposures carry different risks of transmitting recent infection with HIV, HBV, or HCV. DCD. This concept of Donation or Donor after Circulatory Death (DCD), to define organ donors after circulatory arrest (CA), has now been adopted by the World Health Organization (WHO) 3. Optimal Outcomes The potential DCD donor is identified & a referral is made to the OPO. The meaning of the DCD is also explained earlier. Nonetheless, diminished allograft survival does not suggest lack of therapeutic benefits. Also using US national transplant data (SRTR), Miles et al. The option of accepting a DCD kidney is not recorded at the time of waiting list registration, and such kidneys are not reserved for any particular group of candidates. Print ISSN - 1555-9041 Online ISSN - 1555-905X. The familiar acronym for donation after brain stem death is DBD. The allocation rules or algorithm is not affected by the ECD option. For DCD we have found 310 definitions. Heart donation in DCD does not retroactively negate the donor's death determination because circulation has ceased permanently. A DBD could be an ECD or SCD depending on whether the ECD/SCD criteria are separately fulfilled. Commonly, the transplant team member who makes the organ offer does not have a long-standing relationship with the dialysis patient, and the patient-specific information that could be integrated into making a suitable match between patient and organ is not used. An ECD is one who, at the time of death, is aged ≥60 or aged 50 to 59 yr and has any two the following three criteria: (1) Cause of death is cerebrovascular accident; (2) preexisting history of systemic hypertension; and (3) terminal serum creatinine >1.5 mg/dl. Donation after Cardiac Death The donation after cardiac death (DCD) donor refers to the donor who does not meet the criteria for brain death but in whom cardiac standstill or cessation of cardiac function occurred before the organs were procured. This page is all about the acronym of DCD and its meanings as Donation After Cardiac Death. Transplantation with organs from deceased donors (DDs) account for >50% of kidney transplantation in the United States. Publication date available at www.cjasn.org. Earlier this year, the Organ Procurement Transplant Network (a division of HRSA) instituted some changes to policy language with regards to the organ donation process known as “DCD.” Of greatest significance is that in the past, DCD was the acronym for Donation After Cardiac Death. Familiarity with the comprehensive allocation rules governing different categories of deceased-donor kidneys by the nephrologists and dialysis team providers is essential to maximizing patient autonomy and to improve the outcomes of kidney transplantation. Potential kidney transplant recipients and their providers need to be well informed about the choices of available DDs and living donors. What is DCD?. (19) showed that both the allograft and the recipient survival are similar between DCD and DBD (Table 1, Figure 3), but the risk for delayed graft function was 42 to 51% in DCD compared with 24% in DBD kidney transplant recipients. A donor who learns of someone in need of a kidney transplant through the web, television, or other forum and then volunteers to donate a kidney would be considered as an anonymous donor who is directing the donation to a particular person. one by one.. DCD definition / DCD means?. The live kidney donor is not biologically related to the donor, although an enduring emotional relationship exists between the donor and the recipient. 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Optimal organ function is maintained, withdrawal of support plan is established, and personnel prepared for The criteria for the definition of ECD was based on the presence of variables that increased the risk for graft failure by 70% (relative hazard ratio 1.70) compared with an SCD kidney. (16) found that that long-term mortality among ECD kidney transplant recipients was 17% lower compared with recipients who did not accept an ECD kidney offer. Under this scheme, DD kidneys were classified into two groups: Standard-criteria donor (SCD) and expanded-criteria donor (ECD). Unadjusted 1-, 3-, and 5-yr kidney graft survival, by donor type: 2000–2005. Meanings of DCD in English As mentioned above, DCD is used as an acronym in text messages to represent Donation After Cardiac Death. On the basis of data from the US Scientific Registry of Transplant Recipients (SRTR), Merion et al. The OPTN defines uncontrolled DCD (uDCD) as “a candidate who expires in the emergency room or elsewhere in the hospital before consent for organ donation is obtained and catheters are placed in the femoral vessels and peritoneum to cool organs until consent can be obtained. The survival benefit was apparent only at 3.5 yr after transplantation and was further confined to recipients who were older than 40 yr, were non-Hispanic, did not have diabetes, and were awaiting kidney transplantation in an Organ Procurement Organization service area in which the average waiting time for a kidney was >1350 d (>45 calendar months). The meaning of the DCD is also explained earlier. The improved recipient survival (relative to the dialysis-treated patient) is not uniform for all patient groups. Also, an uncontrolled Donation after Cardiac Death donor is a candidate who is consented for organ donation but suffers a cardiac arrest requiring CPR during procurement of the organs.”. This classification was meant to reflect the quality of the organ, and the definition was driven empirically by the risk for graft loss. The quality of the donor kidney has a direct effect on important clinical outcomes such as acute rejection, delayed graft function, and patient and allograft survival. This is a familiar acronym for ‘donation after brain stem death’. A pair of donor–recipient candidates (from the related or unrelated categories) enters into a scheme in which the donor is exchanged with another donor–recipient candidate pair so as to achieve donor–recipient biologic compatibility of the ABO blood group system and/or negative cross-match reactivity. Categories within the deceased kidney donor pool: SCD, ECD, and DCD. The nephrologists and dialysis team members should be integrated into the process of organ offer and acceptance to buttress patient autonomy and to ensure that the matching of transplant candidates to transplantable organ is optimized. An undirected anonymous donor is a live donor who offers to donate a kidney to the waiting list. Clinical outcomes of kidney transplantation performed with the different categories of DD organ (13,19,23,24). First, opting to receive an ECD kidney does not put the transplant candidate on a separate waiting list, as is commonly misconstrued. DCD means 'Dennis Test of Child Development'. Disease Control Division (various organizations) DCD. Initial DCD Donors • Philosophical debate continued over the use of these DCD donors • In Japan, 1968, cardiac surgeon Dr. Wada was indicted for murder for procuring organs from a brain dead drowning victim, highlighting the difficulty in acceptance of “brain death” with cessation of heart beat and death by traditional diagnosis The cessation of cardiac function could have occurred spontaneously or been initiated deliberately. Third, an ECD kidney is awarded only on the basis of the numbers of points accrued as a result of the time that the candidate has spent on the waiting list or since initiation of dialysis when applicable. The Medical Acronym /Abbreviation/Slang DCD means Donation After Cardiac Death. Looking for abbreviations of DCD? There is no separate waiting list for ECD kidneys. Am J Transplant 6: 1682–1688, 2006 (reference 19), with permission. There may be more than one meaning of DCD, so check it out all meanings of DCD one by one. What is the meaning of DCD?. Through this patient–provider relationship, the nephrologist gains a comprehensive picture of the patient's medical condition and is knowledgeable about the evolution of comorbidities, health-related quality of life, functional status, beliefs, and value systems. What does Medical DCD stand for? DCD donors are able to donate kidney, liver, pancreas, lung, and multiple tissues, and research in the UK is exploring the options for cardiac DCD following the … Although most efforts focus on increasing the number of donors is the objective - the role of the intensive care clinician in organ donation does not end in donor identification and referral or even collaboration in the family approach. DBD DCD Donors 637 373 Kidney 1091 567 Pancreas 30 11 Heart 134 0 Lung 147 22 Liver 580 100 Total organs transplanted 1982 700 Transplanted organs per donor 3.1 1.9 Organs transplanted from DBD and DCD deceased donors in UK, April 2010 to March 2011. Looking for the definition of DCD? There is significant variability in the quality of deceased-donor kidneys that are used for transplantation. DCD. Please note that Donation After Cardiac Death is not the only meaning of DCD. Till now you might have got some idea about the acronym, abbreviation or meaning of DCD Inherent to the definition of an ECD kidney is a 70% increased risk for graft failure compared with an SCD kidney (8). DCD: donor after cardiac death. The ECD option is open to all waiting list registrants. DCD: Donation After Cardiac Death: Rate it: DCD: Developmental coordination disorder: Rate it: DCD: Donor after Cardiac Death: Rate it: DCDA: Dichorionic Diamniotic (twin pregnancy) Rate it: DCDT: Donor after Cardiac Death Transplants (eg. The medical abbreviation DCD stands for? More than 90% of patients who had ESRD and underwent DD kidney transplantation would have experienced prolonged duration (average of 3 to 5 yr) of maintenance dialysis therapy before receiving a kidney transplant (1). Analysis of clinical outcomes from the US national data by Gagandeep et al. DCD This is a familiar acronym for ‘donation after circulatory death’. Abt P, Kashyap R, Orloff M, et al Transplantation. DCD donation results in fewer donated organs per donor than DBD donation (2.6 organs compared to 4). It is Donation After Cardiac Death. Multiple paired exchanges involving paired exchange registries in different states has been recently described (22). Both allograft and recipient survivals are shortened when ECD kidneys are used for transplantation. This review describes the terminology used to describe donor kidneys and the kidney transplant clinical outcomes that are associated with the various categories of donor organs. In recent years, the term Donation after Circulatory Determination … Donation after circulatory death (DCD) The familiar acronym for donation after circulatory death is DCD. ECD kidney transplantation is associated with a significantly increased risk for delayed graft function (need for dialysis treatment during the first week after transplantation) (17,19,20). Figure 2. ; What does DCD mean? For the DCD kidney, the appropriate comparison is not with ECD but with DBD (see Figure 1). Rather, it must also include a commitment to provide the highest number of donor organs in the best possible condition through optimisation of donor physiology. The live kidney donor has no previous relationship with the recipient. Similarly, Doshi and Hunsicker (13) found no significant difference in the 5-yr patient (DCD versus DBD 81.3 versus 81.8%; P = 0.70) and allograft survival (DCD versus DBD 66.9 versus 66.5%; P = 0.52) when comparing DCD with DBD kidney transplantation, but there was a significantly higher risk for delayed graft function with DCD kidney transplantation (DCD versus DBD 41 versus 24%; P < 0.001). During this pretransplantation dialysis spell, patients develop a strong relationship with their providing nephrologist and dialysis team members. Thank you for your help in sharing the high-quality science in CJASN. There are now several categories of donors with varied and wide-ranging implications for the clinical outcomes of kidney transplantation. Till now you might have got some idea about the acronym, abbreviation or meaning of DCD A useful statistic that can be given to transplant candidates is that the projected average added-life-years after an SCD kidney transplantation is 10 yr compared with 5.1 yr for an ECD kidney transplantation (17,18). (14) found that repeat kidney transplant candidates who received an SCD kidney had better survival than comparable dialysis-treated patients but had no advantage in survival had they received an ECD kidney for the retransplantation. Acronym Definition; DCD: Division of Community Development (various organizations) DCD: Developmental Coordination Disorder: DCD: ... Dead Can Dance (band) DCD: Drug Control Department (United Arab Emirates) DCD: Providers generally discuss the DCD status with the transplant candidates at the time the offer is made. Whether a patient opts for an ECD does not affect his or her status or probability of receiving an SCD kidney. Figure 4 shows the graft survival rates for different types of kidney transplantation. The evolution in the DD pool has resulted in a veritable alphabet soup that is used to characterize donors either to reflect the quality of the donor organ or to describe the mechanism of death, both of which could presumably have implications for the short- and long-term vitality of the transplanted organs (5–7). by AcronymAndSlang.com The cessation of cardiac function could have occurred spontaneously or been initiated deliberately. What is the meaning of DCD? DBD are patients who have had a massive injury to their brain (usually due to a … Donation after cardiac death (DCD) is a small but rapidly growing fraction of donors. DCD stands for Donation After Cardiac Death (organ donation and transplantation) Suggest new definition This definition appears very frequently and is found in the following Acronym Finder categories: Second, a patient on the waiting list may change his or her desire to be considered for an ECD kidney at any time and may choose not to accept one particular ECD kidney when offered without jeopardizing his or her status on the waiting list or the chances of being offered another ECD kidney. The classic SCD is a 35-yr-old man who has no history of hypertension or diabetes and for whom the cause of death is a motor vehicle accident. The different categories of live kidney donors that are commonly recognized today are described next. This relationship is crucial to making major therapeutic decisions, including the acceptance of a DD organ for transplantation; however, the providing nephrologist is typically absent from the organ allocation and offer acceptance process, and the patient with ESRD is provided circumscribed information laden with medical jargon about the quality of the DD organ under offer. The Alphabet Soup of Kidney Transplantation: SCD, DCD, ECD—Fundamentals for the Practicing Nephrologist, Failure of the New Kidney Allocation System in a Specific Ethnic Group, Protocol of a randomised controlled, open-label trial of ex vivo normothermic perfusion versus static cold storage in donation after circulatory death renal transplantation, Weekend versus weekday transplant surgery and outcomes after kidney transplantation in the USA: a retrospective national database analysis, New Solutions to Reduce Discard of Kidneys Donated for Transplantation, Survival and Hospitalization for Intensive Home Hemodialysis Compared with Kidney Transplantation, Nephrology Quiz and Questionnaire: Transplantation, Predicting potential survival benefit of renal transplantation in patients with chronic kidney disease, DOI: https://doi.org/10.2215/CJN.02270409, US Organ Procurement and Transplantation Network/Scientific Registry of Transplant Recipients, 2007 Annual Report of the US Organ Procurement and Transplantation Network and the Scientific Registry of Transplant Recipients: Transplant Data 1997–2006, Department of Health and Human Services, Health Resources and Services Administration, Healthcare Systems Bureau, Division of Transplantation, Cadaver kidney donors with hypertensive histories, The use of marginal donors for organ transplantation: The older and younger donors, Expanding the donor pool: Use of marginal donors for solid organ transplantation, Expanded criteria donors and dual kidney transplantation, The kidneys that nobody wanted: Support for the utilization of expanded criteria donors, Expanded criteria donors for kidney transplantation, Impact of the expanded criteria donor allocation system on the use of expanded criteria donor kidneys, Report of a National Conference on Donation after cardiac death, Organ Procurement and Transplantation Network. 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