When is deceased organ donation suitable? A critical reflection on medical criteria

The overall trend of living organ donation, LOD is gradually shifting towards to deceased organ donation, DOD [Hoste et al 2016, Rodrigue et al 2016].1,2 DOD in China is currently reported to be 95% of the cases of transplantation treatment of organ failure. This contrasts with India and Pakistan where the main treatment of choice is through LOD [Chapman Jeremy, personal communication]. The percentage survival of renal graft at 1, 5 and 10 year in Australia has been reported to be 95, 85 and 75% respectively. USA figures are reported to be 90, 80 and 50% [O’Connell et al 2016].3 SIUT stands out remarkably well in the third world setting with one and 5-year graft survival of 92 and 85% of 3000 LOD transplants respectively [Rizvi et al. Am J Trans 2011].4 Why Pakistan is lagging behind in DOD? How the awareness could be awakened and improved for DOD