{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,20]],"date-time":"2025-09-20T08:08:59Z","timestamp":1758355739042,"version":"3.44.0"},"reference-count":31,"publisher":"Associacao Brasileira de Transplantes de Orgaos","issue":"1","license":[{"start":{"date-parts":[[2025,9,19]],"date-time":"2025-09-19T00:00:00Z","timestamp":1758240000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BJT"],"abstract":"<jats:p>Objectives: To investigate how the attitudes and knowledge levels of transplant professionals affect the utilization of kidneys from expanded  criteria  donors  (ECD)  in  Brazil  and  to  identify  managerial  actions  that  could  improve  their  use  in  clinical  practice.  Methods: This qualitative study involved semi-structured interviews with 25 key professionals from Brazil\u2019s organ donation and transplantation system, including transplant coordinators, medical teams, and representatives of the National Transplant System (Sistema  Nacional  de  Transplantes).  Thematic  analysis  was  employed  to  extract  insights  into  professional  behaviors,  decision-making processes, and opportunities for operational improvement related to the use of ECD kidneys. Results: The underutilization of ECD kidneys is linked to limited access to accurate information, inconsistent clinical practices, and risk perceptions not supported by  empirical  evidence.  Participants  emphasized  the  lack  of  standardized  guidelines  and  variability  in  team  decisions.  Based  on  the findings, the study proposes actionable recommendations, including improving the transparency and accessibility of data on transplant outcomes, investing in professional training, standardizing evaluation protocols for ECD kidneys, and fostering better communication  and  alignment  among  transplant  teams.  Conclusion:  The  study  presents  practical  contributions  by  identifying  managerial actions to improve organ utilization and enhance transplant system efficiency in Brazil. It also contributes theoretically by applying a management perspective to a highly technical health system challenge. Addressing the identified barriers may increase the acceptance and use of ECD kidneys, expand the donor pool, reduce organ discard, and ultimately save more lives.<\/jats:p>","DOI":"10.53855\/bjt.v28i1.701_eng","type":"journal-article","created":{"date-parts":[[2025,9,19]],"date-time":"2025-09-19T11:11:24Z","timestamp":1758280284000},"source":"Crossref","is-referenced-by-count":0,"title":["Attitudes and Knowledge of Professionals Regarding the Utilization of Kidneys from Expanded Criteria Donors in Brazil: Perspectives and Recommendations"],"prefix":"10.53855","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7860-8388","authenticated-orcid":false,"given":"Joel de","family":"Andrade","sequence":"first","affiliation":[{"name":"Secretaria de Estado da Sa\u00fade de Santa Catarina"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0290-4807","authenticated-orcid":false,"given":"Claudia Affonso Silva","family":"Araujo","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio de Janeiro"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2749-8086","authenticated-orcid":false,"given":"Marina Martins","family":"Siqueira","sequence":"additional","affiliation":[{"name":"Hospital Israelita Albert Einstein"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6582-4030","authenticated-orcid":false,"given":"M\u00f4nica Ferreira da","family":"Silva","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio de Janeiro"}]}],"member":"32043","published-online":{"date-parts":[[2025,9,19]]},"reference":[{"key":"ref0","doi-asserted-by":"crossref","unstructured":"1. 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