Tissue and Eye Services, NHS Blood and Transplant, Liverpool, United Kingdom.
Tissue Establishment and Cryobiology unit, A Coruña University Hospital, Coruña, Spain.
Transpl Int. 2023 Jul 21;36:11394. doi: 10.3389/ti.2023.11394. eCollection 2023.
Physical examination (PE) of donors is essential to identify potential risks to the safety and efficacy of donated organs and tissues and is mandatory in the EU. However, no detailed guidance is available as to how PE should be performed. Health authorities (HA) and health professionals (HP) in member states of the European Committee on Organ Transplantation of the Council of Europe (CD-P-TO) and observer countries completed surveys relating to the regulatory requirements for PE and the professional practice of PE in their countries for organ and tissue donors. The HA survey addressed regulatory aspects, and the HP survey addressed professional practices, training, and respondents' opinions on the value of PE. These surveys revealed significant inter-country variation in the regulatory approach to PE and the performance of PE by professionals. Most respondents opined that PE was important and yielded valuable information in identifying contraindications to donation. There is no consensus at a regulatory or professional level as to how PE should be performed on organ and tissue donors. There is a requirement for agreed best practice guidelines in this area.
对供体进行体格检查（PE）对于识别捐献器官和组织的安全性和有效性的潜在风险至关重要，在欧盟是强制性的。然而，对于如何进行 PE 并没有详细的指导。欧洲委员会移植委员会（CD-P-TO）成员国和观察员国的卫生当局（HA）和卫生专业人员（HP）完成了与供体器官和组织的 PE 监管要求以及在其国家进行 PE 的专业实践相关的调查。HA 调查涉及监管方面，HP 调查涉及专业实践、培训以及受访者对 PE 价值的看法。这些调查显示，在 PE 的监管方法和专业人员进行 PE 的方式方面，各国之间存在显著差异。大多数受访者认为，PE 很重要，在识别捐献的禁忌症方面提供了有价值的信息。在监管或专业层面，对于如何对器官和组织供体进行 PE 没有达成共识。在这方面需要有商定的最佳实践指南。
