Open research questions in Organ Donation and Transplantation
273 gap statements mined from Organ Donation and Transplantation papers in our 7.9M-paper local library, which holds 2,230 papers on the topic — drawn mostly from each paper's own stated research gap, future-work, challenge and limitation notes, and its abstract. The ones listed below are a selection still marked open; each names the study that raised it, with a DOI link where the paper has one.
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What the literature leaves open
Misconceptions, fear, and religious concerns are major barriers to organ donation. Limited public awareness and understanding of the Human Tissue Transplant Act (2000) contribute to low donation rates. The study identifies the need to address sociocultural barriers and improve health literacy to increase organ donation rates.
Limited public understanding and low awareness of existing legislation contribute to low donation rates. There is a need to identify the demographic, psychosocial, and systemic factors that influence willingness to donate organs. The study aims to address the gap in knowledge about the factors associated with willingness to support organ donation in Trinidad and Tobago.
Thirty studies met inclusion criteria, with most focused on kidney and liver transplantation with limited evidence for thoracic transplantation.
Equity in U.S. Solid Organ Transplantation for People Living With HIV: An Integrative Review of Barriers, Policies, and Interventions · 2026 · DOIMost students considered that training on this subject was insufficient within the university curriculum and requested more formal, practical education on organ donation and transplantation.
Perception, Knowledge and Attitudes About Organ Donation in Nursing Students at the University of Málaga · 2026 · DOIThese findings suggest that organ donation education could strengthen nursing students' preparedness and may inform future educational interventions; however, effects on family refusal rates or transplant-system outcomes should be examined in subsequent studies rather than inferred directly from this exploratory qualitative work.
Perception, Knowledge and Attitudes About Organ Donation in Nursing Students at the University of Málaga · 2026 · DOISome kidney transplants come from donors with infections such as hepatitis C virus (HCV) infections, but little is known about the experiences of caregivers of patients considering these organs.
Perspectives of Caregivers of Kidney Transplant Recipients and Transplant Candidates About Kidneys From Donors With Hepatitis C Virus Infection · 2026 · DOIKidneys from deceased donors with active hepatitis C virus infection (HCV-RNA+) are commonly transplanted into HCV-negative recipients, yet little is known about the perspectives of their caregivers.
Perspectives of Caregivers of Kidney Transplant Recipients and Transplant Candidates About Kidneys From Donors With Hepatitis C Virus Infection · 2026 · DOILittle is known about the relative importance of dialysis facilities and transplant centers on variability in starting an evaluation among patients referred for kidney transplant.
Disentangling Dialysis Facility and Transplant Center Factors on Evaluation Start Following Referral for Kidney Transplantation: A Regional Study in the United States · 2025 · DOIAlthough well-validated indicators exist for measuring organ donation and transplantation performance at the facility level, consensus on indicators for assessing national programmes is lacking.
Performance indicators for organ donation and transplantation programmes in Europe: modified Delphi consensus study · 2025 · DOIHowever, there is a lack of consensus on enrolment criteria, transportation, and ethical considerations for uDCD.
Identifying organ donors attended by prehospital healthcare professionals – A scoping review · 2024 · DOIThe review identified a limited evidence-base regarding the role of prehospital healthcare professionals in organ donation.
Identifying organ donors attended by prehospital healthcare professionals – A scoping review · 2024 · DOIThe practices that are essential for a high functioning organ donation and transplant system remain uncertain.
High-Functioning Deceased Donor Kidney Transplant System Characteristics: The British Columbia Experience With an Opt-In System · 2024 · DOIThe factors associated with willingness to accept kidney transplantation remain unclear, and studies on kidney transplant willingness and associated factors among Taiwanese patients with ESRD are scarce.
Willingness of Patients With End-Stage Renal Disease to Accept a Kidney Transplant and Related Factors · 2024 · DOIHowever, there is a lack of data on these obstacles; therefore, this multicentre national audit aims to identify the factors that occur between the organs’ arrival at the implanting centre and transplantation.
1089 Factors That Influence Cold Ischaemia Time in Deceased Donor Simultaneous Pancreas and Kidney Transplants: Results of a National Transplant Access to Theatre (NTACT) Audit · 2024 · DOILack of technical knowledge and willingness to donate eyes. Cultural, religious, and informational obstacles to eye donation.
Knowledge and Attitude Practices Regarding Eye Donation among University Students of Lahore: A Cross-Sectional Institution-Based Study · 2026 · DOIFuture studies can investigate the impact of educational interventions on enhancing awareness and intentions to donate eyes. Future studies can explore the factors that influence willingness to donate eyes among different populations. Future studies can develop and test interventions to improve knowledge and promote eye donation.
Knowledge and Attitude Practices Regarding Eye Donation among University Students of Lahore: A Cross-Sectional Institution-Based Study · 2026 · DOIThere is a lack of awareness of rare anatomical variations during organ retrieval. The literature on supernumerary arteries and their impact on organ transplantation is limited.
There is a lack of understanding of the factors associated with attitudes towards organ donation in specific cultural contexts. Prior studies have identified factors associated with attitudes towards organ donation, but there is a need for further research in this area.
Further studies should investigate the costs of kidney transplant in other countries. Further studies should compare the costs of different types of kidney transplant.
Características clínicas y análisis integral de costos directos médicos y no médicos previos al trasplante renal en Colombia · 2026 · DOIThe lack of a structured ethical and clinical decision framework for rescue liver transplantation in patients with extrahepatic metastases. The need for a multidisciplinary team approach to guide the decision-making process.
Rescue liver transplantation for liver failure with extrahepatic metastases: An ethical and clinical framework informed by two cases · 2026 · DOIThe decision to become a living organ donor is complex and influenced by various factors. The study's findings highlight the importance of considering the physical and emotional well-being of living donors. There is a need for further research on the decision-making, regret, and quality of life in living organ donors.
Decision-making, regret, and quality of life in living organ donors: a cross-sectional study · 2026 · DOIHormone replacement therapy (HRT) can mitigate this damage when given in the critical care setting, but no standardized protocol for use at trauma centers exists.
Hormone replacement before brain death increases organ donation rate after catastrophic brain injury: An EAST multicenter trial · 2026 · DOIEarly transplant access data was limited to 20 of 48 transplant centers across these 4 regions.
Disentangling Dialysis Facility and Transplant Center Factors on Evaluation Start Following Referral for Kidney Transplantation: A Regional Study in the United States · 2025 · DOIDespite most living donors being members of a patient's social network, how these networks impact donation is poorly understood.
A Cross-Sectional Social Network Analysis of Decision-Making About Recruiting a Living Donor for Kidney Transplantation · 2025 · DOIThere are no standard guidelines for the management of traumatic CBI prior to brain death, and not all trauma centers have institutional CBI guidelines.
Impact of catastrophic brain injury guidelines on organ donation rates: Results of an EAST multicenter trial · 2024 · DOI
Most-cited papers in Organ Donation and Transplantation
- Risk of End-Stage Renal Disease Following Live Kidney Donation · JAMA · 2014 · 857 citations
- Kidney Exchange · The Quarterly Journal of Economics · 2004 · 642 citations
- Determination of Brain Death/Death by Neurologic Criteria · JAMA · 2020 · 598 citations
- OPTN/SRTR 2018 Annual Data Report: Kidney · American Journal of Transplantation · 2020 · 369 citations
- OPTN/SRTR 2020 Annual Data Report: Kidney · American Journal of Transplantation · 2022 · 327 citations
- The state of the international organ trade: a provisional picture based on integration of available information · Bulletin of the World Health Organization · 2007 · 249 citations
- Distinctiveness and Influence of Subjective Norms, Personal Descriptive and Injunctive Norms, and Societal Descriptive and Injunctive Norms on Behavioral Intent: A Case of Two Behaviors Critical to Organ Donation · Human Communication Research · 2007 · 240 citations
- The Dead Donor Rule · The Hastings Center Report · 1999 · 231 citations
- Introducing Incentives in the Market for Live and Cadaveric Organ Donations · The Journal of Economic Perspectives · 2007 · 219 citations
- How can we achieve global equity in provision of renal replacement therapy? · Bulletin of the World Health Organization · 2008 · 207 citations
Most recent work
- Organ Donation and Transplantation Worldwide: The Global Observatory on Donation and Transplantation 2024 Report · Transplantation · 2026
- Humanizing Donor Terminology in Anatomical and Clinical Research: Best Ethical Practice in Anatomy ( BEPA ) Consensus Statement From the Universal Anatomical Organization ( UAO ) · Clinical Anatomy · 2026
- Genetic testing in kidney transplantation and living kidney donor risk assessment · Kidney International · 2026
- OPTN/SRTR 2024 Annual Data Report: Deceased Organ Donation · American Journal of Transplantation · 2026
- Global inequities in organ transplantation, 2008–2023: trends, unmet need, and policy implications · EClinicalMedicine · 2026
- OPTN/SRTR 2024 Annual Data Report: Overview of US Solid Organ Transplantation · American Journal of Transplantation · 2026
- Consciousness and Controlled Donation After Circulatory Determination of Death · JAMA · 2026
- Establishing standards for controlled donation after circulatory determination of death in adults: the Bucharest international European Society for Organ Transplantation consensus · Transplant International · 2026
- OPTN/SRTR 2024 Annual Data Report: Kidney · American Journal of Transplantation · 2026
- Advancing Ethical Standards in Anatomical Donation: Regional Insights From South America · Clinical Anatomy · 2026
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