Identification of Patients Suitable for Solid Organ Transplantation

In general, pre-transplant assessment programmes aim to identify exclusion criteria for solid organ transplantation such as patients who have an occult primary or secondary cancer. Exceptions include patients who can be treated successfully with solid organ transplants, such as patients with liver cancer. Avoiding transplantation in cancer patients spares use of limited resources, as transplantation does not improve, and may actually reduce patients’ prognosis (Chapman et al., 2013).

In addition, both donors and recipients for solid organ transplantation must be screened for infectious diseases, to identify and potentially treat active pre-implantation infections in recipients and living donors (Fischer & Lu, 2013).