Thirty years of cornea cultivation: long-term experience in a single eye bank.
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Thirty years of cornea cultivation: long-term experience in a single eye bank. / Linke, Stephan J; Eddy, Mau-Thek; Bednarz, Jürgen; Fricke, Otto H; Wulff, Birgit; Schröder, Ann Sophie; Hassenstein, Andrea; Klemm, Maren; Püschel, Klaus; Richard, Gisbert; Hellwinkel, Olaf J C.
in: ACTA OPHTHALMOL, Jahrgang 91, Nr. 6, 6, 2013, S. 571-578.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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T1 - Thirty years of cornea cultivation: long-term experience in a single eye bank.
AU - Linke, Stephan J
AU - Eddy, Mau-Thek
AU - Bednarz, Jürgen
AU - Fricke, Otto H
AU - Wulff, Birgit
AU - Schröder, Ann Sophie
AU - Hassenstein, Andrea
AU - Klemm, Maren
AU - Püschel, Klaus
AU - Richard, Gisbert
AU - Hellwinkel, Olaf J C
N1 - © 2012 The Authors. Acta Ophthalmologica © 2012 Acta Ophthalmologica Scandinavica Foundation.
PY - 2013
Y1 - 2013
N2 - PURPOSE: To evaluate donor demographics, trends in donor tissue procurement and tissue storage over a long period.METHODS: A retrospective, longitudinal, descriptive analysis was undertaken of data from the Hamburg Eye Bank Data Base (HEB-DB) that had been collected between 1981 and 2010. Data on 54 parameters of cornea donors [including clinical history, age, death cause, gender and death-to-explantation interval (DEI)] and of cultivated corneas (endothelial quality and development in culture, cultivation period, microbiological contamination) were retrieved. These data were analysed statistically, focusing on the historical development of the eye bank.RESULTS: At the time of retrieval (June 2010), the HEB-DB contained data on 10 943 corneas (5503 donors). Most donors were men (65%) and had died from cardiopulmonary (n = 801)/cerebral (n = 261) failure or as the result of a polytraumatic accident/suicide (n = 602). Within these years, donor age, DEI and storage time increased. The percentage of stored corneas suitable for transplantation displayed a variable but increasing trend; in 2007, almost 75% of the stored corneas were transplanted. Between 1995 and June 2010, the median microbiological contamination rate was 5.3%. A change in the procurement procedure from enucleation to corneoscleral explantation in 2008 led to a briefly increased contamination rate.CONCLUSION: Donor demographic data run parallel to the general demographic development. Our analysis indicates a dynamic development of the eye bank over the last 30 years and emphasizes the need for an active quality management in coping with the challenges of modern eye banking.
AB - PURPOSE: To evaluate donor demographics, trends in donor tissue procurement and tissue storage over a long period.METHODS: A retrospective, longitudinal, descriptive analysis was undertaken of data from the Hamburg Eye Bank Data Base (HEB-DB) that had been collected between 1981 and 2010. Data on 54 parameters of cornea donors [including clinical history, age, death cause, gender and death-to-explantation interval (DEI)] and of cultivated corneas (endothelial quality and development in culture, cultivation period, microbiological contamination) were retrieved. These data were analysed statistically, focusing on the historical development of the eye bank.RESULTS: At the time of retrieval (June 2010), the HEB-DB contained data on 10 943 corneas (5503 donors). Most donors were men (65%) and had died from cardiopulmonary (n = 801)/cerebral (n = 261) failure or as the result of a polytraumatic accident/suicide (n = 602). Within these years, donor age, DEI and storage time increased. The percentage of stored corneas suitable for transplantation displayed a variable but increasing trend; in 2007, almost 75% of the stored corneas were transplanted. Between 1995 and June 2010, the median microbiological contamination rate was 5.3%. A change in the procurement procedure from enucleation to corneoscleral explantation in 2008 led to a briefly increased contamination rate.CONCLUSION: Donor demographic data run parallel to the general demographic development. Our analysis indicates a dynamic development of the eye bank over the last 30 years and emphasizes the need for an active quality management in coping with the challenges of modern eye banking.
KW - Adult
KW - Age Distribution
KW - Aged
KW - Aged, 80 and over
KW - Cause of Death
KW - Cell Count
KW - Cornea
KW - Corneal Transplantation
KW - Databases, Factual
KW - Eye Banks
KW - Female
KW - Follow-Up Studies
KW - Germany
KW - Humans
KW - Male
KW - Middle Aged
KW - Organ Culture Techniques
KW - Organ Preservation
KW - Retrospective Studies
KW - Tissue Donors
KW - Tissue and Organ Procurement
KW - Young Adult
U2 - 10.1111/j.1755-3768.2012.02471.x
DO - 10.1111/j.1755-3768.2012.02471.x
M3 - SCORING: Journal article
C2 - 22863151
VL - 91
SP - 571
EP - 578
JO - ACTA OPHTHALMOL
JF - ACTA OPHTHALMOL
SN - 1755-375X
IS - 6
M1 - 6
ER -