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Szkodny D, Wróblewska-Czajka E, Stryja M, Gara F, Wylęgała E. A Web Application for Reporting Eye Donors: Idea, Development and Doctor's Opinion. Transplant Proc 2023; 55:2003-2008. [PMID: 37863668 DOI: 10.1016/j.transproceed.2023.07.025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2023] [Accepted: 07/04/2023] [Indexed: 10/22/2023]
Abstract
BACKGROUND Obtaining corneas in a country of 38 million, Poland, is extremely inefficient. In Poland, about 1000 corneas are transplanted annually, of which over 500 come from multi-organ donations. To our knowledge, such a low percentage of donations is in the absence of reporting of potential corneal donors. There is no computer system in our country for tissue donor reporting. The aim of the work is to present an innovative application developed for this purpose. MATERIAL AND METHODS It was a cross-sectional, observational study. The questionnaires were collected from doctors who had access to the app. RESULTS Almost all participants (47/52) answered that they would use this app if it was available in the hospital, 46 acknowledged that the application could encourage doctors to report tissue donors, and 48 confirmed it should be integrated with the IT system of hospitals and should be available in all of them. CONCLUSION Despite advances in medicine and technology and increased awareness of organ donation and transplantation, the gap between supply and demand is constantly growing. Due to the large number of patients awaiting corneal transplants in Poland, it is necessary to introduce changes aimed at improving this situation. The newly developed app may contribute to increasing donor reporting.
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Affiliation(s)
- Dominika Szkodny
- Clinical Department of Ophthalmology Faculty of Medical Sciences, Zabrze Medical University of Silesia in Katowice, Katowice, Poland; Department of Ophthalmology, District Railway Hospital in Katowice, Katowice, Poland.
| | - Ewa Wróblewska-Czajka
- Clinical Department of Ophthalmology Faculty of Medical Sciences, Zabrze Medical University of Silesia in Katowice, Katowice, Poland; Department of Ophthalmology, District Railway Hospital in Katowice, Katowice, Poland
| | | | - Filip Gara
- Artnovation sp. z o.o., 44-100 Gliwice, Poland
| | - Edward Wylęgała
- Clinical Department of Ophthalmology Faculty of Medical Sciences, Zabrze Medical University of Silesia in Katowice, Katowice, Poland; Department of Ophthalmology, District Railway Hospital in Katowice, Katowice, Poland
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Corsi CAC, Assunção-Luiz AV, Pitta NC, Cintra ÁS, Scarpelini KCG, Bento RL, Martins LGG, De Almeida EC. Educational Actions to Raise Student Awareness About the Donation and Transplantation of Human Organs and Tissues. Transplant Proc 2023; 55:1329-1336. [PMID: 37188609 DOI: 10.1016/j.transproceed.2023.04.024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2023] [Revised: 04/03/2023] [Accepted: 04/14/2023] [Indexed: 05/17/2023]
Abstract
BACKGROUND In Brazil, family refusal to donate organs and tissues is the main reason for not performing transplants, making it necessary to implement different educational strategies in diverse populations on this topic. Thus, this study aimed to raise awareness among school-aged adolescents about the method of organ and tissue donation and transplantation. METHODS This is a descriptive experience report with a quantitative and qualitative approach to educational actions in the school environment, mediated by the action research method, carried out with 936 students aged between 14 and 18 years from public schools in the interior of Sao Paulo, Brazil. These actions were developed according to the themes identified and worked on through the culture circle, using active methodologies. Two semistructured questionnaires were applied, pre- and postinterventions. For analysis, sample normality tests and Student's t test were used (P < .0001). RESULTS The topics identified were as follows: clarifications on the legislative history of donation and transplants; diagnosis of brain and circulatory death; bioethical aspects of transplants; reflections on mourning, death, and dying; maintenance and notification of the potential donor; types of viable organs and tissues for donation; and the process from collection to transplantation, among others. Comparative analysis showed statistical differences between pre- and postinterventions. CONCLUSIONS Educational interventions through active methodologies are presented as tools capable of making students aware of organ and tissue donation and transplantation.
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Affiliation(s)
- Carlos Alexandre Curylofo Corsi
- Ribeirão Preto Medical School at University of São Paulo, Ribeirão Preto, São Paulo, Brazil; Human Tissue Bank of Hospital das Clínicas, Ribeirão Preto Medical School at University of São Paulo, Ribeirão Preto, São Paulo, Brazil.
| | | | - Natássia Condilo Pitta
- Ribeirão Preto School of Nursing at University of São Paulo, Ribeirão Preto, São Paulo, Brazil
| | - Álefe Saloum Cintra
- Estácio University Center of Ribeirão Preto, Ribeirão Preto, São Paulo, Brazil
| | - Katia Carmen Gabriel Scarpelini
- Human Tissue Bank of Hospital das Clínicas, Ribeirão Preto Medical School at University of São Paulo, Ribeirão Preto, São Paulo, Brazil
| | - Rodolfo Leandro Bento
- Human Tissue Bank of Hospital das Clínicas, Ribeirão Preto Medical School at University of São Paulo, Ribeirão Preto, São Paulo, Brazil
| | - Luís Gustavo Gazoni Martins
- Human Tissue Bank of Hospital das Clínicas, Ribeirão Preto Medical School at University of São Paulo, Ribeirão Preto, São Paulo, Brazil
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Cobos M, Lausada N, Tanús R, Raimondi JC. Undergraduate Education in Transplantation. Transplant Proc 2023; 55:1466-1468. [PMID: 37183067 DOI: 10.1016/j.transproceed.2023.03.078] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2022] [Revised: 03/16/2023] [Accepted: 03/31/2023] [Indexed: 05/16/2023]
Abstract
INTRODUCTION Training in the transplants of organs, tissues, and cells as a therapeutic modality of multiple pathologies is essential in undergraduate education. The medical aspects typical of the theme are associated with ethical, legal, religious, and philosophical concerns, giving a holistic view of the process. We present a teaching model of the donation-transplant process with 15 years of experience. METHODS The subject of Organ, Tissue, and Cell Transplants began its activities in 2008. It is an elective, annual subject included in the last year of the medical career. Since its inception, it has established a continuous teaching methodology with a global approach to the donation and transplantation process. RESULTS During the last 15 years and until the moment of the presentation, 1057 students have registered for the subject, 80.6% (852) completed the requirements of approval of the course, 79.9% of the students presented for the final evaluation (681), and 96.4% (654) of the students passed the final assessment. The average final grade calculated was equal to 6.53 ± 2.9 points out of 10; 205 students (19.4%) still need to comply with the final evaluative instance. CONCLUSION The available literature has different training modalities, but none resembles the model presented. It is concluded that, during these 15 years, the pedagogic expectations in the training of human resources have been exceeded.
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Affiliation(s)
- Marisa Cobos
- Cátedra de Transplantes, Facultad de Ciencias Médicas-UNLP, La Plata, Argentina.
| | - Natalia Lausada
- Cátedra de Transplantes, Facultad de Ciencias Médicas-UNLP, La Plata, Argentina
| | - Roberto Tanús
- Cátedra de Transplantes, Facultad de Ciencias Médicas-UNLP, La Plata, Argentina
| | - J Clemente Raimondi
- Cátedra de Transplantes, Facultad de Ciencias Médicas-UNLP, La Plata, Argentina
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Elcock-Straker B, Manyalich Vidal M, Gomez MP. Kidney Donation and Transplant Outcomes in Trinidad and Tobago: A 15-Year Experience of the National Organ Transplant Unit. EXP CLIN TRANSPLANT 2022; 20:649-656. [DOI: 10.6002/ect.2022.0163] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
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Affiliation(s)
- Antoine Stephan
- From the National Organization for Organ and Tissue Donation and Transplantation (NOD-Lb), Baabda, Lebanon
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Díaz-Cobacho G, Cruz-Piqueras M, Delgado J, Hortal-Carmona J, Martínez-López MV, Molina-Pérez A, Padilla-Pozo Á, Ranchal-Romero J, Rodríguez-Arias D. Public Perception of Organ Donation and Transplantation Policies in Southern Spain. Transplant Proc 2022; 54:567-574. [PMID: 35303996 DOI: 10.1016/j.transproceed.2022.02.007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2021] [Revised: 01/26/2022] [Accepted: 02/01/2022] [Indexed: 01/19/2023]
Abstract
BACKGROUND This research explores how public awareness and attitudes toward donation and transplantation policies may contribute to Spain's success in cadaveric organ donation. MATERIALS AND METHODS A representative sample of 813 people residing in Andalusia (Southern Spain) were surveyed by telephone or via Internet between October and December 2018. RESULTS Most participants trust Spain's donation and transplantation system (93%) and wish to donate their organs after death (76%). Among donors, a majority have expressed their consent (59%), and few nondonors have expressed their refusal (14%). Only a minority are aware of the presumed consent system in force (28%) and feel sufficiently informed regarding the requirements needed to be an organ donor (16%). Participants mainly consider that relatives should represent the deceased's preferences and be consulted when the deceased's wishes are unknown, as is the case in Spain. CONCLUSION Public trust in the transplant system may contribute to Spain's high performance in organ donation. High levels of societal support toward organ donation and transplantation do not correspond with similar levels of public awareness of donation and transplantation policies in Spain.
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Affiliation(s)
- Gonzalo Díaz-Cobacho
- Department of Philosophy 1, University of Granada, Granada, Spain; FiloLab-UGR Scientific Unit of Excellence, University of Granada, Spain
| | | | - Janet Delgado
- Department of Philosophy 1, University of Granada, Granada, Spain; ELPAT-ESOT Public Issues Working Group, European Society of Organ Transplantation, Padova, Italy; FiloLab-UGR Scientific Unit of Excellence, University of Granada, Spain
| | - Joaquín Hortal-Carmona
- Department of Philosophy 1, University of Granada, Granada, Spain; Centro de salud Albayzín, Servicio Andaluz de Salud, Granada, Spain
| | - M Victoria Martínez-López
- Department of Philosophy 1, University of Granada, Granada, Spain; ELPAT-ESOT Public Issues Working Group, European Society of Organ Transplantation, Padova, Italy; FiloLab-UGR Scientific Unit of Excellence, University of Granada, Spain
| | - Alberto Molina-Pérez
- Department of Philosophy 1, University of Granada, Granada, Spain; ELPAT-ESOT Public Issues Working Group, European Society of Organ Transplantation, Padova, Italy; FiloLab-UGR Scientific Unit of Excellence, University of Granada, Spain; Institute for Advanced Social Studies, Spanish National Research Council (IESA-CSIC), Córdoba, Spain
| | - Álvaro Padilla-Pozo
- Department of Political and Social Sciences, University Pompeu Fabra, Barcelona, Spain
| | - Julia Ranchal-Romero
- Institute for Advanced Social Studies, Spanish National Research Council (IESA-CSIC), Córdoba, Spain
| | - David Rodríguez-Arias
- Department of Philosophy 1, University of Granada, Granada, Spain; ELPAT-ESOT Public Issues Working Group, European Society of Organ Transplantation, Padova, Italy; FiloLab-UGR Scientific Unit of Excellence, University of Granada, Spain.
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Ballesté C, Valero R, Istrate M, Peralta P, Mosharafa AA, Morsy AA, Bakr MA, Kamal Abdelkader AI, Sheashaa H, Juvelekian GS, Khachab M, Ahdab R, Faour W, Tahiri Jouti N, Benghanem Gharbi M, Bayahia R, Dakka T, Desatnik P, Jambou P, Pisarski P, Samson-Himmelstjerna P, Lücking KM, Manyalich M. Design and implementation of the European-Mediterranean Postgraduate Programme on Organ Donation and Transplantation (EMPODaT) for Middle East/North Africa countries. Transpl Int 2021; 34:1553-1565. [PMID: 33993570 DOI: 10.1111/tri.13918] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2021] [Revised: 05/08/2021] [Accepted: 05/10/2021] [Indexed: 11/26/2022]
Abstract
This prospective study reports the design and results obtained after the EMPODaT project implementation. This project was funded by the Tempus programme of the European Commission with the objective to implement a common postgraduate programme on organ donation and transplantation (ODT) in six selected universities from Middle East/North Africa (MENA) countries (Egypt, Lebanon and Morocco). The consortium, coordinated by the University of Barcelona, included universities from Spain, Germany, Sweden and France. The first phase of the project was to perform an analysis of the current situation in the beneficiary countries, including existing training programmes on ODT, Internet connection, digital facilities and competences, training needs, and ODT activity and accreditation requirements. A total of 90 healthcare postgraduate students participated in the 1-year training programme (30 ECTS academic credits). The methodology was based on e-learning modules and face-to-face courses in English and French. Training activities were evaluated through pre- and post-tests, self-assessment activities and evaluation charts. Quality was assessed through questionnaires and semi-structured interviews. The project results on a reproducible and innovative international postgraduate programme, improvement of knowledge, satisfaction of the participants and confirms the need on professionalizing the activity as the cornerstone to ensure organ transplantation self-sufficiency in MENA countries.
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Affiliation(s)
- Chloe Ballesté
- Surgery and Surgical Specializations Department, Faculty of Medicine, University of Barcelona, Barcelona, Spain
- Transplant Counseling Department, Hospital Clínic de Barcelona, Universitat de Barcelona, Barcelona, Spain
- Donation and Transplantation Institute (DTI), Barcelona, Spain
| | - Ricard Valero
- Surgery and Surgical Specializations Department, Faculty of Medicine, University of Barcelona, Barcelona, Spain
- Department of Anesthesiology, Hospital Clínic de Barcelona, Universitat de Barcelona, Barcelona, Spain
- Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain
- Centro de Investigación Biomédica en Red Salud Mental (CIBERSAM), Madrid, Spain
| | - Melania Istrate
- Surgery and Surgical Specializations Department, Faculty of Medicine, University of Barcelona, Barcelona, Spain
- Donation and Transplantation Institute (DTI), Barcelona, Spain
| | - Particia Peralta
- CETT-UB Department, SE-elearning, University of Barcelona, Barcelona, Spain
| | | | | | - Mohamed Adel Bakr
- Mansoura Urology and Nephrology Center, Mansoura University, Mansoura, Egypt
| | | | - Hussein Sheashaa
- Mansoura Urology and Nephrology Center, Mansoura University, Mansoura, Egypt
| | - Georges S Juvelekian
- Faculty of Medicine and Medical Sciences, University of Balamand, El-Koura, Lebanon
- Saint George Hospital UMC, Beirut, Lebanon
| | - Maha Khachab
- Faculty of Medicine and Medical Sciences, University of Balamand, El-Koura, Lebanon
| | - Reshdi Ahdab
- American University Medical Center Rizk Hospital, Beirut, Lebanon
- Gilbert and Rose-Marie Chagoury School of Medicine, Byblos, Lebanon
| | - Wissam Faour
- Gilbert and Rose-Marie Chagoury School of Medicine, Byblos, Lebanon
| | - Nadia Tahiri Jouti
- Faculty of Medicine and Pharmacy of Casablanca, Hassan II University of Casablanca, Casablanca, Morocco
| | - Mohammed Benghanem Gharbi
- Faculty of Medicine and Pharmacy of Casablanca, Hassan II University of Casablanca, Casablanca, Morocco
- Ibn Rochd Hospital, Casablanca, Morocco
| | - Rabia Bayahia
- Nephrology Department, University Hospital Ibn Sina, Rabat, Morocco
- Faculty of Medicine, Mohammed V University, Rabat, Morocco
| | - Taoufik Dakka
- Faculty of Medicine, Mohammed V University, Rabat, Morocco
| | | | - Patrick Jambou
- Faculty of Medicine, University Côte d'Azur, Nice, France
| | | | | | | | - Martí Manyalich
- Surgery and Surgical Specializations Department, Faculty of Medicine, University of Barcelona, Barcelona, Spain
- Transplant Counseling Department, Hospital Clínic de Barcelona, Universitat de Barcelona, Barcelona, Spain
- Donation and Transplantation Institute (DTI), Barcelona, Spain
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Marinho A, Araújo CAS. Using data envelopment analysis and the bootstrap method to evaluate organ transplantation efficiency in Brazil. Health Care Manag Sci 2021; 24:569-581. [PMID: 33730290 DOI: 10.1007/s10729-021-09552-6] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2019] [Accepted: 01/29/2021] [Indexed: 11/28/2022]
Abstract
Brazil has the most extensive public program for organ transplantation in the world, and the Brazilian National Health System (SUS) provides full coverage of all costs involved in organ donation, transplants, and post-transplant. Despite the relevance of the subject and the shortage of organs for transplants, transplantation process efficiency assessments are still uncommon in Brazil and abroad. This study aims to evaluate the efficiency of the Brazilian states and the Federal District in transforming potential organ donors into actual donations. We applied data envelopment analysis (DEA) in conjunction with the bootstrap technique, using organ transplantation data from 2018. The bootstrap methods applied (bootstrap technique, the bootstrap-biased scores of efficiency, and the bootstrap bias-corrected scores of efficiency) allow to obtain a confidence interval for DEA scores and provide greater robustness to studies based on DEA methodology. The bootstrap bias-corrected model indicates that there is significant room for improvement in terms of converting potential donors into actual donors. The mean corrected score is 0.55, signalizing that altogether the Brazilian states could maximize in 45% the number of transplanted organs without necessarily increasing the pool of potential donors. The study provides insights into the Brazilian processes of organ donation and transplantation, helping to identify locations in need of resource allocation improvements. Given the scarcity of studies with a joint application of DEA and bootstrap techniques in this crucial health activity, we also intend to methodologically contribute to this type of benchmark analysis, emphasizing the importance of considering measurement errors, randomness, and bias at DEA models.
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Affiliation(s)
- Alexandre Marinho
- Economic Department, Rio de Janeiro State University, Rua São Francisco Xavier, 524 - Maracanã, Rio de Janeiro, RJ, 20550-900, Brazil.
| | - Claudia Affonso Silva Araújo
- COPPEAD Graduate School of Business, Federal University of Rio de Janeiro, Rua Pascoal Lemme, 355 - Cidade Universitária, Rio de Janeiro, RJ, 21941-918, Brazil.,Fundação Getulio Vargas's Sao Paulo School of Business Administration -FGV/EAESP, Av. 9 de julho, 2029 Edifício John F. Kennedy - Bela Vista, São Paulo, SP, 01313-902, Brazil
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Stadlbauer V, Zink C, Likar P, Zink M. Family discussions and demographic factors influence adolescent's knowledge and attitude towards organ donation after brain death: a questionnaire study. BMC Med Ethics 2020; 21:57. [PMID: 32646404 PMCID: PMC7346659 DOI: 10.1186/s12910-020-00499-x] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2020] [Accepted: 06/29/2020] [Indexed: 11/21/2022] Open
Abstract
Background Knowledge and attitude towards organ donation are critical factors influencing organ donation rate. We aimed to assess the knowledge and attitude towards organ donation in adolescents in Austria and Switzerland. Methods A paper-based survey was performed in two secondary schools (age range 11–20 years) in Austria and Switzerland. 354/400 surveys were sufficiently answered and analyzed. Results Our study found that knowledge on organ donation is scarce in adolescents. Less than 60% of those surveyed thinks that a person is dead when declared brain dead. 84.6% would authorize organ donation after brain death for themselves, but only 69% would authorize organ donation after brain death for a close relative. 93.7% would accept a donor organ if they needed one. Family discussions, rather than school discussions, influenced knowledge on organ donation, the percentage of respondents who have a firm opinion on organ donation and the rate of declaration of this opinion. Age, gender, nationality and religion also influenced knowledge and attitude towards organ donation. Nearly one third of adolescents are of the opinion that selling non-vital organs should be legalized. Conclusion Since having had family discussions, a potentially modifiable factor, was positively associated with knowledge and attitude towards organ donation, we postulate that educational programs stimulating family discussions on organ donation may be a promising strategy to increase knowledge.
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Affiliation(s)
- Vanessa Stadlbauer
- Department of Internal Medicine, Research Unit "Transplantation Research", Division of Gastroenterology and Hepatology, Medical University of Graz, Auenbruggerplatz 15, 8036, Graz, Austria.
| | - Christoph Zink
- Department of Anaesthesiology and Intensive Care Medicine, Hospital of the Brothers of St. John of God, St. Veit an der Glan, Austria and Hospital of the Elisabethinen Klagenfurt, Klagenfurt, Austria
| | - Paul Likar
- Department of Anaesthesiology and Intensive Care Medicine, Hospital of the Brothers of St. John of God, St. Veit an der Glan, Austria and Hospital of the Elisabethinen Klagenfurt, Klagenfurt, Austria
| | - Michael Zink
- Department of Anaesthesiology and Intensive Care Medicine, Hospital of the Brothers of St. John of God, St. Veit an der Glan, Austria and Hospital of the Elisabethinen Klagenfurt, Klagenfurt, Austria
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Chan HY. Remapping the organ donation ethical climate: a care ethics consideration. MEDICINE, HEALTH CARE, AND PHILOSOPHY 2020; 23:295-308. [PMID: 31811525 DOI: 10.1007/s11019-019-09934-2] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
Organ donation has gained much attention as the need for transplant exceeds the supply of organs. Various proposals have been put forward to address the organ shortage challenge, ranging from offering incentives to donors, addressing family refusals to donations and instituting presumed consent laws. Presumed consent as the favoured approach has not been universally effective in increasing actual transplants despite its appeal. Few considerations have been given to the broader ethical climate influencing the organ donation debate. This paper examines the ethical climate surrounding organ donation and identifies the challenges existing within such environments. It explores care ethics and its application to the donation system, demonstrating how it can influence the organ donation phases. The conclusion drawn from the analysis is that a caring ethical climate in the pre, during and post-transplant system respects donor autonomy, addresses family reluctance to agree to donation, facilitates the needs of the donee and creates an environment that promotes non-maleficence for all stakeholders.
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Gerbi A, Bekele M, Tesfaye S, Chane G, Markos Y. Knowledge, attitude, and willingness towards cadaveric organ donation among Jimma University medical centre health care professionals. TRANSLATIONAL RESEARCH IN ANATOMY 2020. [DOI: 10.1016/j.tria.2019.100056] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
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Measures influencing post-mortem organ donation rates in Germany, the Netherlands, Spain and the UK : A systematic review. Anaesthesist 2019; 68:377-383. [PMID: 31101922 DOI: 10.1007/s00101-019-0600-4] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2018] [Revised: 03/28/2019] [Accepted: 04/10/2019] [Indexed: 12/17/2022]
Abstract
BACKGROUND German post-mortem organ donation rates have been declining since 2010. Several transplantation scandals led to a negative portrayal of organ donation in the media. Spain, the UK and the Netherlands achieved a rise in organ donation rates while retaining organ donation legislation. METHODS A systematic review of publications focusing on (1) organ donation legislation, (2) data on post-mortem organ donation rates and (3) measures to increase post-mortem organ donation rates in Europe was conducted in November 2017 in PubMed, PsycINFO and Web of Science. Quality parameters of the World Bank and the World Health Organization (WHO) were studied to analyze national health services, frequent causes of death and life expectancy. RESULTS Quality parameters of national health services were similar in all countries. The Netherlands and Germany have an opt in system. An increase of 37.4% in post-mortem organ donation rates from 2008 to 2015 in the UK was accomplished through the establishment of a donation task force, adopting parts of the Spanish model, while maintaining an opt in system. Spain has the highest organ donation rate worldwide (39.7 per million persons in 2015). The implementation of transplantation coordinators and the change in legislation in Germany in 2012 has so far shown no effect. Public awareness of organ donation in the Netherlands increased following various information campaigns. CONCLUSION Donation after cardiac death (DCD), expanded donor criteria, increasing public awareness and introduction of an organ donor register should be discussed as measures to increase organ donation rates in Germany.
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Update on Causes of Family Refusal for Organ Donation and the Related Factors: Reporting the Changes Over 6 Years. Transplant Proc 2018; 50:10-13. [DOI: 10.1016/j.transproceed.2017.11.021] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2017] [Accepted: 11/12/2017] [Indexed: 11/21/2022]
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Abstract
Organ transplantation started in the Kingdom of Saudi Arabia (KSA) in 1979 with a kidney transplanted from a live donor. The Saudi Center for Organ Transplantation has been established in 1985 as a governmental agency that supervises all national transplant activities in the KSA. Organ transplantation in the KSA has made great strides since 1985. Saudi Center for Organ Transplantation is playing a central role in all aspects of transplantation including education on all levels, allocation, coordination and procurement. A new initiative has started an ambitious program in 2014 to improve the identification and reporting of organ donors aiming at an annual rate of 15 donors per million populations within 3 years in the KSA.
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Sarlo R, Pereira G, Surica M, Almeida D, Araújo C, Figueiredo O, Rocha E, Vargas E. Impact of Introducing Full-time In-house Coordinators on Referral and Organ Donation Rates in Rio de Janeiro Public Hospitals: A Health Care Innovation Practice. Transplant Proc 2017; 48:2396-2398. [PMID: 27742307 DOI: 10.1016/j.transproceed.2015.11.044] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2015] [Accepted: 11/11/2015] [Indexed: 11/24/2022]
Abstract
Establishing an organization to promote organ donation and a good organ procurement team assure quality and improve performance on organ donation rates. Brazil's organ procurement structure is based on 2 models disseminated worldwide: the "Spanish model," based on in-house coordinators, and the "American organ procurement organization (OPO) model," with extra-hospital coordinators. In 2006, Brazil's Federal Government had formally introduced the in-house coordination model for every hospital equipped with a mechanical ventilator bed. In January 2012, the Rio de Janeiro State OPO, Programa Estadual de Transplantes, introduced an innovation in the organization of the in-house coordination model in 4 selected public hospitals with high organ donation potential. It consisted in launching full-time in-house coordination teams, with ≥1 physician and 2 nurses per hospital fully dedicated to organ procurement. The objectives were to observe the impact of this innovation in referral and organ donor conversion rates and to analyze the importance of middle managers in health care innovation implementation. Comparing the year before implementation (2011) and the year of 2014 showed that this innovation led to an overall increase in referrals-from 131 to 305 per year (+132%) and conversion rates-from 20% to 42% per year-resulting in an increase in number of donors from 26 to 128 per year (+390%). Despite wide variations among hospitals in the outcomes, our results seem very encouraging and express a positive impact of this model, suggesting that dissemination to other hospitals may increase the number of donors and transplants in our region.
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Affiliation(s)
- R Sarlo
- Programa Estadual de Transplantes, Rio de Janeiro, Brazil; COPPEAD Business School, Universidade Federal do Rio de Janeiro, Brazil.
| | - G Pereira
- Programa Estadual de Transplantes, Rio de Janeiro, Brazil
| | - M Surica
- Programa Estadual de Transplantes, Rio de Janeiro, Brazil
| | - D Almeida
- Programa Estadual de Transplantes, Rio de Janeiro, Brazil
| | - C Araújo
- COPPEAD Business School, Universidade Federal do Rio de Janeiro, Brazil
| | - O Figueiredo
- COPPEAD Business School, Universidade Federal do Rio de Janeiro, Brazil
| | - E Rocha
- Hospital Universitário Clementino Fraga Filho, Universidade Federal do Rio de Janeiro, Brazil
| | - E Vargas
- COPPEAD Business School, Universidade Federal do Rio de Janeiro, Brazil
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Shaheen FAM, Souqiyyeh MZ, Attar B, Ibrahim A, Alsayyari A. Organ Donation From Deceased Donors: A Proactive Detection Program in Saudi Arabia. EXP CLIN TRANSPLANT 2015; 13 Suppl 3:1-3. [PMID: 26640899 DOI: 10.6002/ect.tdtd2015.l3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Several challenging obstacles remain to increasing the number of organ donations from deceased patients in a hospital setting. These include medical, administrative, and ethical issues. Possible medical obstacles include the failure of early recognition of possible donors and inadequate care of potential and actual donors. To maximize the use of donated organs, proper care of the donors and expedited donor consent cannot be overemphasized. The care rendered to patients should ensure appropriate perfusion and nutrition of the organs, with meticulous follow-up until organ recovery. For example, patients involved in accidents are presumed to be healthy, but many have no available medical history on file. At the time of organ recovery, unexpected infections or malignancies can be minimized by raising the index of suspicion of the presence of serious conditions in donors, especially in donors with unknown medical history. A careful physical examination and an appropriate and aggressive laboratory investigation may disclose the cause of suspected clinical conditions in these potential donors. Individuals who work in intensive care units are the main group of health care providers directly involved in the process of organ donation. Appointing a donor coordinator in each intensive care unit could improve all aspects of organ donation. Such coordination could harmonize efforts toward the goals mentioned above and surmount the obstacles encountered during deceased-donor organ donation. Here, we describe the preliminary results of the Proactive Detection Program, a collaboration between the Saudi Center for Organ Transplantation (the national organ donation and transplant supervising center) and intensive care units of donating hospitals. With its success in Saudi Arabia, it is hoped that it will be widely adopted in other regions.
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Affiliation(s)
- Faissal A M Shaheen
- From the Saudi Center for Organ Transplantation, P.O. Box 27049, Riyadh, 11417, Saudi Arabia
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de Freitas R, Dell'Agnolo C, Alves E, Benguella E, Pelloso S, Carvalho M. Organ and Tissue Donation for Transplantation From Fatal Trauma Victims. Transplant Proc 2015; 47:874-8. [DOI: 10.1016/j.transproceed.2015.03.026] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Lenzi J, Sarlo R, Assis A, Ponte M, Paura P, Araújo C, Rocha E. Family Informed Consent to Organ Donation—Who Performs Better: Organ Procurement Organizations, In-Hospital Coordinators, or Intensive Care Unit Professionals? Transplant Proc 2014; 46:1672-3. [DOI: 10.1016/j.transproceed.2014.05.036] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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