Guidelines for standardized nomenclature and reporting in uterus transplantation: An opinion from the United States Uterus Transplant Consortium. Issue 12 (22nd May 2020)

• Record Type: Journal Article
• Authors: Johannesson, Liza; Testa, Giuliano; Flyckt, Rebecca; Farrell, Ruth; Quintini, Cristiano; Wall, Anji; O'Neill, Kathleen; Tzakis, Andreas; Richards, Elliott G.; Gordon, Scott M.; Porrett, Paige M.
• Is Part Of: American journal of transplantation. Volume 20:Issue 12(2020)
• Page Start: 3319
• Page End: 3325
• Publication Date: 2020-05-22
• Subjects: clinical research/practice -- editorial/personal viewpoint -- guidelines -- obstetrics and gynecology -- patient safety -- patient survival -- pregnancy -- reproductive biology -- vascularized composite and reconstructive transplantation; Transplantation of organs, tissues, etc -- Periodicals; 617.95
• DOI: 10.1111/ajt.15973
• Languages: English
• ISSNs: 1600-6135

Abstract

Abstract : Uterus transplantation is a nascent but growing field. To support this growth, the United States Uterus Transplant Consortium proposes guidelines for nomenclature related to operative technique, vascular anatomy, and donor, recipient, and offspring outcomes. In terms of anatomy, the group recommends reporting donor arterial inflow and recipient anastomotic site delivering inflow to the graft and offers standardization of the names for the 4 veins originating from the uterus because of current inconsistency in this particular nomenclature. Seven progressive stages with milestones of success are defined for reporting on uterus transplantation outcomes: (1) technical, (2) menstruation, (3) embryo implantation, (4) pregnancy, (5) delivery, (6) graft removal, and (7) long‐term follow‐up. The 3 primary metrics for success are recipient survival (as reported for other organ transplant recipients), graft survival, and uterus transplant live birth rate (defined as live birth per transplanted recipient). A number of secondary outcomes should also be reported, most of which capture stage‐specific milestones, as well as data on graft failure. Outcome metrics for living donors include patient survival, survival free of operative intervention, and data on complications and hospitalizations. Finally, we make specific recommendations on follow‐up for offspring born from uterine grafts, which includes specialty surveillance as well as collection and reporting of routine pediatric outcomes. The goal of standardization in reporting is to create consistency and improve the quality of evidence available on the efficacy and value of the procedure. Abstract : To support the growing field of uterus transplantation with the goal of standardizing reporting to create consistency and improve data quality, the United States Uterus Transplant Consortium proposes nomenclature guidelines for operative technique, vascular anatomy, and outcomes related to donors, recipients, and offspring.