Is There a Crisis in Heart Transplantation? Reflection over 10 Years

Karin Purshouse

Research output: Contribution to journalArticlepeer-review


Heart transplantation is without doubt a very effective treatment for patients’ whose lives and well- being are threatened
by their failing heart. We previously categorized our concerns into four areas or Ds: Donor availability, Disorganization,
Disillusionment (of clinicians) and Disaffection (of tomorrow’s clinicians). After a decade, this is a timely reflection on
this crisis of cardiac transplantation. It is also appropriate to set this in the context of a fifth D, the Demand for heart
transplantation. In this reflective analysis, we use the 5 Ds to explore the current climate in heart transplantation, with
particular reference to the situation in the UK.
Original languageEnglish
Pages (from-to)1-4
JournalOpen Journal of Organ Transplant Surgery
Issue number01
Publication statusPublished - 1 Jan 2012
Externally publishedYes


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