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S. Large, “Is There a Crisis in Cardiac Transplantation,” The Lancet, Vol. 359, No. 9308, 2002, pp. 803-804. doi:10.1016/S0140-6736(02)07870-4

has been cited by the following article:

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

  AUTHORS: Karin Purshouse, Stephen Large, Henry Dargie, John Dunning, James Neuberger

  KEYWORDS: Heart Transplantation; Heart Failure

  JOURNAL NAME: Open Journal of Organ Transplant Surgery, Vol.2 No.1, February 29, 2012

  ABSTRACT: 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.