1
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Semenova Y, Beyembetova A, Shaisultanova S, Asanova A, Sailybayeva A, Altynova S, Pya Y. Evaluation of liver transplantation services in Kazakhstan from 2012 to 2023. Sci Rep 2024; 14:9304. [PMID: 38654041 DOI: 10.1038/s41598-024-60086-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2024] [Accepted: 04/18/2024] [Indexed: 04/25/2024] Open
Abstract
There is a scarcity of publications evaluating the performance of the national liver transplantation (LTx) program in Kazakhstan. Spanning from 2012 to 2023, it delves into historical trends in LTx surgeries, liver transplant centers, and the national cohort of patients awaiting LTx. Survival analysis for those awaiting LTx, using life tables and Kaplan-Meier, is complemented by time series analysis projecting developments until 2030. The overall per million population (pmp) LTx rate varied from 0.35 to 3.77, predominantly favoring living donor LTx. Liver transplant center rates ranged from 0.06 to 0.40. Of 474 LTx patients, 364 on the waiting list did not receive transplantation. The 30-day and 1-year survival rates on the waiting list were 87.0% and 68.0%, respectively. Viral hepatitis and cirrhosis prevalence steadily rose from 2015 to 2023, with projections indicating a persistent trend until 2030. Absent targeted interventions, stable pmp rates of LTx and liver transplant centers may exacerbate the backlog of unoperated patients. This study sheds light on critical aspects of the LTx landscape in Kazakhstan, emphasizing the urgency of strategic interventions to alleviate the burden on patients awaiting transplantation.
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Affiliation(s)
- Yuliya Semenova
- School of Medicine, Nazarbayev University, 010000, Astana, Kazakhstan
| | - Altynay Beyembetova
- RSE on PCV "Republican Center for Coordination of Transplantation and High-Tech Medical Services", Ministry of Health, 010000, Astana, Kazakhstan.
| | - Saule Shaisultanova
- RSE on PCV "Republican Center for Coordination of Transplantation and High-Tech Medical Services", Ministry of Health, 010000, Astana, Kazakhstan
| | - Aruzhan Asanova
- Corporate Fund "University Medical Center", 010000, Astana, Kazakhstan
| | - Aliya Sailybayeva
- Corporate Fund "University Medical Center", 010000, Astana, Kazakhstan
| | - Sholpan Altynova
- Corporate Fund "University Medical Center", 010000, Astana, Kazakhstan
| | - Yuriy Pya
- Corporate Fund "University Medical Center", 010000, Astana, Kazakhstan
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2
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Ruggieri S, Boca S, Ingoglia S. Willingness to Donate Organs After Death. EUROPEAN JOURNAL OF HEALTH PSYCHOLOGY 2022. [DOI: 10.1027/2512-8442/a000118] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
Abstract. Background: Despite the growing number of organ transplants, there is still a significant difference between the number of donated organs and the number of people waiting for them. Knowing the reason people decide to donate is the first step to increasing organ donation rates. Aims: The main aim of the present study was to develop and validate a new scale for organ donation. Method: In three studies, 3,585 participants ranging in age between 14 and 89 years were selected through systematic random sampling. In the first study, we created a scale following the organ donation model theoretical framework and submitted the scale to exploratory factor analysis. In the second study, we performed a confirmatory factor analysis to cross-validate the hypothesized factor structure. In the third study, the scale was related to some important variables involved in organ donation. Results: Exploratory factor analysis and confirmatory factor analysis with a good fit index and acceptable levels of validity and reliability guarantee the quality of the scale and stable factor solution. Limitations: The main limitations are connected to social desirability, the presence of systematic bias of the population that refused to take part in the study, and the use of the Caucasian population. Conclusion: The resulting scale consists of 21 items in a seven-factor model (bodily integrity, fear of death, familial beliefs, altruism, medical mistrust, trust in the health institution, and emotional support). We also observed the relationship between scale factors, religiosity, and knowledge of organ donation with the willingness to donate organs.
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Affiliation(s)
- Stefano Ruggieri
- Faculty of Human and Social Sciences, Kore University of Enna, Italy
| | - Stefano Boca
- Department of Psychology, Educational Science and Human Movement, University of Palermo, Italy
| | - Sonia Ingoglia
- Department of Psychology, Educational Science and Human Movement, University of Palermo, Italy
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3
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Schildmann J, Nadolny S, Führer A, Frese T, Mau W, Meyer G, Richter M, Steckelberg A, Mikolajczyk R. [Reasons and Influencing Factors for the Willingness to Document Preferences Regarding Organ Donation: Results of an Online Survey]. Psychother Psychosom Med Psychol 2022; 72:354-361. [PMID: 35213903 DOI: 10.1055/a-1718-3896] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
OBJECTIVE Different options to regulate decisions about organ transplantation were subjected to discussions prior to parliamentary decision on 16.01.2020. The goal of this study was the description of citizens' attitudes towards organ donation and investigation of predictors of (documentation of) willingness to donate. METHODS Cross sectional online survey in Berlin and Saxony-Anhalt between 25.11.2019 till 16.01.2020. Descriptive, statistical analysis. We report absolute and relative frequencies. We conducted logistic regression analysis for the influence of age, income and gender on knowledge, willingness to donate and possession of an organ donor card. RESULTS Of 20 020 invited citizens, 676 (3.4%) participated in the online survey; 54.9% were in favour of an opt-out regulation, 49.4% supported an opt-in regulation, 63.3% of respondents were willing or rather willing to donate an organ and 43.2% possessed an organ donor card. Willingness to donate and possession of an organ donor card decreased with increasing age. A Higher educational level was associated with having an organ donor card. Gender, income, education and knowledge about organ donation were not associated with the willingness to donate an organ. Of those who were willing to donate but who had not a donor card, 45.7% had communicated their will to relatives. Reasons indicated for lack of documentation included practical reasons as also fears related to medical care in case of critical health state. DISCUSSION None of the discussed legislative regulations on organ donation has been supported by a clear majority of respondents. Distinct population-based surveys can serve as starting point for developing targeted initiatives to increase the documentation of citizens' will regarding organ donation following brain death.
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Affiliation(s)
- Jan Schildmann
- Institut für Geschichte und Ethik der Medizin, Profilzentrum Gesundheitswissenschaften, Martin-Luther-Universität Halle-Wittenberg, Halle, Germany
| | - Stephan Nadolny
- Institut für Geschichte und Ethik der Medizin, Profilzentrum Gesundheitswissenschaften, Martin-Luther-Universität Halle-Wittenberg, Halle, Germany.,Stabsstelle Pflegewissenschaft, Franziskus-Hospital Harderberg, Niels-Stensen-Klinken, Georgsmarienhütte, Germany
| | - Amand Führer
- Institut für Medizinische Epidemiologie, Biometrie und Informatik, Profilzentrum Gesundheitswissenschaften, Martin-Luther-Universität Halle-Wittenberg, Halle, Germany
| | - Thomas Frese
- Institut für Allgemeinmedizin, Profilzentrum Gesundheitswissenschaften, Martin-Luther-Universität Halle-Wittenberg, Halle, Germany
| | - Wilfried Mau
- Institut für Rehabilitationsmedizin, Profilzentrum Gesundheitswissenschaften, Martin-Luther-Universität Halle-Wittenberg, Halle, Germany
| | - Gabriele Meyer
- Institut für Gesundheits- und Pflegewissenschaft, Profilzentrum Gesundheitswissenschaften, Martin-Luther-Universität Halle-Wittenberg, Halle, Germany
| | - Matthias Richter
- Institut für Medizinische Soziologie, Profilzentrum Gesundheitswissenschaften, Martin-Luther-Universität Halle-Wittenberg, Halle, Germany
| | - Anke Steckelberg
- Institut für Gesundheits- und Pflegewissenschaft, Profilzentrum Gesundheitswissenschaften, Martin-Luther-Universität Halle-Wittenberg, Halle, Germany
| | - Rafael Mikolajczyk
- Institut für Medizinische Epidemiologie, Biometrie und Informatik, Profilzentrum Gesundheitswissenschaften, Martin-Luther-Universität Halle-Wittenberg, Halle, Germany
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4
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Crawshaw J, Li AH, Garg AX, Chassé M, Grimshaw JM, Presseau J. Identifying behaviour change techniques within randomized trials of interventions promoting deceased organ donation registration. Br J Health Psychol 2021; 27:822-843. [PMID: 34889488 DOI: 10.1111/bjhp.12575] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2021] [Revised: 10/29/2021] [Indexed: 11/26/2022]
Abstract
OBJECTIVE Increasing deceased organ donation registration may increase the number of available organs for transplant to help save lives. This study aimed to identify which behaviour change techniques (BCTs; or 'active ingredients') are reported within randomized trials of interventions promoting deceased organ donation registration and of those, which are associated with a larger intervention effect. METHODS We conducted a secondary analysis of 45 trials included in a Cochrane systematic review of deceased organ donation registration interventions. Two researchers used the BCT Taxonomy v1 to independently code intervention content in all trial groups. Outcome data were pooled and we used meta-regression to explore associations between individual and combinations of recurring BCTs and effect on registration intention and/or registration behaviour. RESULTS A total of 27 different BCTs (mean = 3.7, range = 1-9) were identified in intervention groups across the 45 trials. The five most common BCTs were: 'Information about health consequences' (71%); 'Instruction on how to perform the behaviour' (47%); 'Salience of consequences' (40%); 'Adding objects to the environment' (28%); and 'Credible source' (27%). Comparator groups in 20/45 trials also included identifiable BCTs (n = 12, mean = 3.1, range = 1-7). Meta-regression revealed that a combination of the three most common BCTs was associated with a larger intervention effect size for registration behaviour (k = 8, β = .19, p = .02). CONCLUSIONS Trials of deceased organ donation registration interventions focus predominantly on providing information, instruction, and a means to register. While potentially effective, a much wider set of possible BCTs could be leveraged to address known barriers to registration.
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Affiliation(s)
- Jacob Crawshaw
- Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ontario, Canada.,School of Epidemiology & Public Health, University of Ottawa, Ontario, Canada
| | - Alvin H Li
- Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ontario, Canada
| | - Amit X Garg
- Lawson Health Research Institute, London, Ontario, Canada.,Institute for Clinical Evaluative Sciences (ICES), London, Ontario, Canada.,Department of Epidemiology and Biostatistics, Western University, London, Ontario, Canada.,Division of Nephrology, Western University, London, Ontario, Canada
| | - Michaël Chassé
- Department of Medicine (Critical Care), University of Montreal Hospital, Quebec, Canada
| | - Jeremy M Grimshaw
- Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ontario, Canada.,School of Epidemiology & Public Health, University of Ottawa, Ontario, Canada.,Department of Medicine, University of Ottawa, Ontario, Canada
| | - Justin Presseau
- Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ontario, Canada.,School of Epidemiology & Public Health, University of Ottawa, Ontario, Canada.,School of Psychology, University of Ottawa, Ontario, Canada
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5
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Khoshravesh S, Karimi‐Shahanjarini A, Poorolajal J, Barati M, Bashirian S, Hamidi M, Khalili S. Evaluation of a workplace organ donation intervention: A randomized controlled trial. JOURNAL OF COMMUNITY & APPLIED SOCIAL PSYCHOLOGY 2021. [DOI: 10.1002/casp.2590] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Affiliation(s)
- Sahar Khoshravesh
- Social Determinants of Health Research Center Hamadan University of Medical Sciences Hamadan Iran
| | - Akram Karimi‐Shahanjarini
- Social Determinants of Health Research Center Hamadan University of Medical Sciences Hamadan Iran
- Department of Public Health Hamadan University of Medical Sciences Hamadan Iran
| | - Jalal Poorolajal
- Department of Epidemiology, School of Public Health Hamadan University of Medical Sciences Hamadan Iran
- Modeling of Noncommunicable Diseases Research Center, School of Public Health Hamadan University of Medical
| | - Majid Barati
- Social Determinants of Health Research Center Hamadan University of Medical Sciences Hamadan Iran
| | - Saeed Bashirian
- Social Determinants of Health Research Center Hamadan University of Medical Sciences Hamadan Iran
| | - Majid Hamidi
- Managing Director of Organ Donation Association Hamadan University of Medical Sciences Hamadan Iran
| | - Sanaz Khalili
- Department of Biostatistics and Epidemiology, School of Public Health Hamadan University of Medical Sciences Hamadan Iran
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6
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Reinhart AM, Lilly AE. Reactions to organ donation appeals in public service announcements aimed at African Americans. J Natl Med Assoc 2021; 113:645-653. [PMID: 34274146 DOI: 10.1016/j.jnma.2021.06.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2021] [Revised: 05/28/2021] [Accepted: 06/11/2021] [Indexed: 11/19/2022]
Abstract
This study examines different types of organ donation public service announcement appeal messages (narrative, counter argument, and statistical) in relation to their effectiveness on the African American community. Previous studies on public service announcements aimed at African Americans and how effective the different message appeals are examined along with issues effecting the likelihood of African Americans consenting to be organ donors. African American participants were recruited using the Qualtrics survey company. Analysis of survey data suggest that narrative appeals are more effective than statistical and counter argument appeals but statistical and counter argument did not differ from each other. Implications of this finding along with directions for future research is included.
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Affiliation(s)
- Amber M Reinhart
- Communication and Media Department, University of Missouri - St. Louis, St. Louis, MO, United States.
| | - Amanda E Lilly
- Brian Lamb School of Communication, Purdue University, West Lafayette, IN, United States.
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7
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Li AH, Lo M, Crawshaw JE, Dunnett AJ, Naylor KL, Garg AX, Presseau J. Interventions for increasing solid organ donor registration. Cochrane Database Syst Rev 2021; 4:CD10829. [PMID: 35608942 PMCID: PMC8164549 DOI: 10.1002/14651858.cd010829.pub2] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Abstract
BACKGROUND A solution for increasing the number of available organs for transplantation is to encourage more individuals to register a commitment for deceased organ donation. However, the percentage of the population registered for organ donation remains low in many countries. OBJECTIVES To evaluate the benefits and harms of various interventions used to increase deceased organ donor registration. SEARCH METHODS We searched the Cochrane Kidney and Transplant Register of Studies up to 11 August 2020 through contact with an Information Specialist using search terms relevant to this review. Studies in the Register are identified through searches of CENTRAL, MEDLINE, and EMBASE, conference proceedings, the International Clinical Trials Register Search Portal and ClinicalTrials.gov. SELECTION CRITERIA We included all randomised controlled trials (RCTs), cluster RCTs and quasi-RCTs of interventions to promote deceased organ donor registration. We included studies if they measured self-reported or verified donor registration, intention to donate, intention to register a decision or number of individuals signing donor cards as outcomes. DATA COLLECTION AND ANALYSIS Two authors independently assessed retrieved studies and extracted data from included studies. We assessed studies for risk of bias. We obtained summary estimates of effect using a random-effects model and expressed results as risk ratios (RR) (95% confidence intervals; CI) for dichotomous outcomes and mean difference (MD; 95% CI) or standardised mean difference (SMD; 95% CI) for continuous outcomes. In multi-arm trials, data were pooled to create single pair-wise comparisons. Analyses were stratified by specific intervention setting where available. MAIN RESULTS Our search strategy identified 46 studies (47 primary articles, including one abstract) comprising 24 parallel RCTs, 19 cluster RCTs and 3 quasi-RCTs. Sample sizes ranged from 138 to 1,085,292 (median = 514). A total of 16 studies measured registration behaviour, 27 measured intention to register/donate and three studies measured both registration behaviour and intention to register. Interventions were delivered in a variety of different settings: schools (14 studies), driver's motor vehicle (DMV) centres (5), mail-outs (4), primary care centres (3), workplaces (1), community settings (7) and general public (12). Interventions were highly varied in terms of their content and included strategies such as educational sessions and videos, leveraging peer leaders, staff training, message framing, and priming. Most studies were rated as having high or unclear risk of bias for random sequence generation and allocation concealment and low risk for the remainder of the domains. Data from 34/46 studies (74%) were available for meta-analysis. Low certainty evidence showed organ donation registration interventions had a small overall effect on improving registration behaviour (16 studies, 1,294,065 participants: RR 1.30, 95% CI 1.19 to 1.43, I2 = 84%), intention to register/donate (dichotomous) (10 studies, 10,838 participants: RR 1.21, 95% CI 1.03 to 1.42, I2 = 91%) and intention to register/donate (continuous) (9 studies, 3572 participants: SMD 0.23, 95% CI 0.11 to 0.36, I2 = 67%). Classroom-based interventions delivered in a lecture format by individuals from the transplant community may be effective at increasing intention to register/donate (3 studies, 675 participants: RR 1.33, 95% CI 1.15 to 1.55, I² = 0%). Community interventions targeting specific ethnic groups were generally effective at increasing registration rates (k = 5, n = 4186; RR 2.14, 95% CI 1.35 to 3.40, I² = 85%), although heterogeneity was high. In particular, interventions delivered in the community by trained peer-leaders appear to be effective (3 studies, 3819 participant: RR 2.09, 95% CI 1.08 to 4.06, I² = 87%), although again, the data lacked robustness. There was some evidence that framing messages (e.g. anticipated regret) and priming individuals (e.g. reciprocity) in a certain way may increase intention to register/donate, however, few studies measured this effect on actual registration. Overall, the studies varied significantly in terms of design, setting, content and delivery. Selection bias was evident and a quarter of the studies could not be included in the meta-analysis due to incomplete outcome data reporting. No adverse events were reported. AUTHORS' CONCLUSIONS In our review, we identified a variety of approaches used to increase organ donor registration including school-based educational sessions and videos, leveraging peer leaders in the community, DMV staff training, targeted messaging and priming. The variability in outcome measures used and incompleteness in reporting meant that most data could not be combined for analysis. When data were combined, overall effect sizes were small in favour of intervention groups over controls, however, there was significant variability in the data. There was some evidence that leveraging peer-leaders in the community to deliver organ donation education may improve registration rates and classroom-based education from credible individuals (i.e. members of the transplant community) may improve intention to register/donate, however, there is no clear evidence favouring any particular approach. There was mixed evidence for simple, low-intensity interventions utilising message framing and priming. However, it is likely that interest in these strategies will persist due to their reach and scalability. Further research is therefore required to adequately address the question of the most effective interventions for increasing deceased organ donor registration.
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Affiliation(s)
- Alvin H Li
- Department of Epidemiology and Biostatistics, Western University, London, Canada
| | - Marcus Lo
- London Health Sciences Centre, London, Canada
| | - Jacob E Crawshaw
- Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Canada
| | - Alexie J Dunnett
- Department of Medicine - Nephrology, London Health Sciences Centre, London, Canada
| | | | - Amit X Garg
- Department of Medicine, Epidemiology and Biostatistics, Western University, London, Canada
| | - Justin Presseau
- Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Canada
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8
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Wadhwani SI, Brokamp C, Rasnick E, Bucuvalas JC, Lai JC, Beck AF. Neighborhood socioeconomic deprivation, racial segregation, and organ donation across 5 states. Am J Transplant 2021; 21:1206-1214. [PMID: 32654392 PMCID: PMC8191504 DOI: 10.1111/ajt.16186] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2020] [Revised: 06/10/2020] [Accepted: 06/26/2020] [Indexed: 01/25/2023]
Abstract
One in 10 people die awaiting transplantation from donor shortage. Only half of Americans register as organ donors. In this cross-sectional study, we evaluated population-level associations of neighborhood socioeconomic deprivation and racial segregation on organ donor registration rates. We analyzed state identification card demographic and organ donor registration data from 5 states to estimate the association between a neighborhood socioeconomic deprivation index (range [0, 1]; higher values indicate more deprivation) and a racial index of concentration at the extreme (ICE) (range [-1, 1]; lower values indicate predominantly black neighborhoods, higher values indicate predominantly white neighborhoods) on organ donor registration rates within a specified geography (census tract or ZIP code tabulation area [ZCTA]). Among 26 720 738 registrants, 32% of the sample were registered organ donors. At the census tract level, with each 0.1 decrease in the deprivation index, the organ donor registration rate increased by 6.8% (95% confidence interval [CI]: 6.6%, 7.0%). With each 0.1 increase in the racial ICE, the rate increased by 1.5% (95% CI: 1.5%, 1.6%). These associations held true at the ZCTA level. Areas with less socioeconomic deprivation and a higher concentration of white residents have higher organ donor registration rates. Public health initiatives should consider neighborhood context and novel data sources in designing optimal intervention strategies.
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Affiliation(s)
- Sharad I. Wadhwani
- University of California, San Francisco; San Francisco, CA,Cincinnati Children’s Hospital Medical Center; Cincinnati, OH
| | - Cole Brokamp
- Cincinnati Children’s Hospital Medical Center; Cincinnati, OH,University of Cincinnati College of Medicine; Cincinnati, OH
| | - Erika Rasnick
- Cincinnati Children’s Hospital Medical Center; Cincinnati, OH
| | - John C. Bucuvalas
- Icahn School of Medicine at Mount Sinai; New York, NY,Kravis Children’s Hospital at Mount Sinai; New York, NY
| | | | - Andrew F. Beck
- Cincinnati Children’s Hospital Medical Center; Cincinnati, OH,University of Cincinnati College of Medicine; Cincinnati, OH
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9
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Sakallı GD, Sucu Dağ G. Organ Transplantation and Donation From the Point of View of College Students. Transplant Proc 2020; 52:26-31. [PMID: 31901318 DOI: 10.1016/j.transproceed.2019.11.008] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2019] [Accepted: 11/02/2019] [Indexed: 10/25/2022]
Abstract
BACKGROUND The organ transplantation saves the life of individuals whose life is in danger due to organ/tissue failure. The presence of negative and positive attitudes toward tissue and organ donation is a determinant factor in the donation of tissue and organ donation. PURPOSE This study has aimed to explore the opinion of senior students studying at the undergraduate level toward organ transplantation and donation. BASIC PROCEDURE The study employed a descriptive and cross-sectional research design using a reliable questionnaire, which was distributed among 317 undergraduate students at the Faculty of Health Sciences (Physiotherapy and Rehabilitation, Nutrition, Nursing, Sports Sciences, Health Management Department) during the fall semester of the 2016-2017 academic year. A total of 240 responses were analyzed using χ2 test with SPSS software. MAIN FINDINGS The results of the study showed that 57.4% of the students were willing to donate their organs after their death, 62.7% of the students' relatives wanted to donate their organs, 57.3% were willing to donate it to their deceased relatives, whereas 96.7% did not have any relative waiting for a transplantation. Families' negative opinions on tissue and organ transplantation and donation, status of getting information about tissue and organ transplantation and donation, and presence of a person waiting for tissue and organ transplantation in the family or in the environment were not effective in students' opinions about tissue and organ transplantation and donation (P > .05). PRINCIPAL CONCLUSIONS The results of this study contribute to determination of multicultural features of health sciences students that are likely to affect organ donation.
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Affiliation(s)
- Gülcan Dürüst Sakallı
- Nursing Department, Faculty of Health Sciences, Eastern Mediterranean University, Famagusta, North Cyprus, Turkey
| | - Gülten Sucu Dağ
- Nursing Department, Faculty of Health Sciences, Eastern Mediterranean University, Famagusta, North Cyprus, Turkey.
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10
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Rodrigue JR, Boger M, DuBay D, Fleishman A. Increasing Organ Donor Designation Rates in Adolescents: A Cluster Randomized Trial. Am J Public Health 2019; 109:1273-1279. [PMID: 31318603 DOI: 10.2105/ajph.2019.305178] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Objectives. To evaluate the effectiveness of video messaging on adolescent organ donor designation rates.Methods. We randomized adolescent driver education classes in Massachusetts, between July 2015 and February 2018, to receive 1 of 3 organ donation video messaging interventions (informational, testimonial, or blended). Adolescents completed questionnaires before and after the intervention and at 1-week follow-up; we compared their registration status at time of obtaining driver's license with that of a regionally matched historical comparison group.Results. Donor designation rates were higher for those exposed to video messaging than for the historical comparison group (60% vs 50%; P < .001). Testimonial (64%) and blended messaging (65%) yielded higher donor designation rates than informational messaging (51%; P = .013). There was a statistically significant messaging × time interaction effect for donation knowledge (P = .03), with blended and informational messaging showing more gains in knowledge from before to after the intervention (P < .001; d = 0.69 and P < .001; d = 0.45, respectively), compared with testimonial messaging (d = 0.09; P = .22).Conclusions. Testimonial messaging is most effective in producing a verifiable and demonstrable impact on donor designation rates among adolescents, and driver education classes are an efficient venue for disseminating organ donation messaging to youths.Trial Registration. ClinicalTrials.gov; identifier: NCT03013816.
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Affiliation(s)
- James R Rodrigue
- James R. Rodrigue is with the Department of Surgery, Beth Israel Deaconess Medical Center, and the Departments of Surgery and Psychiatry, Harvard Medical School, Boston, MA. Matthew Boger is with New England Donor Services, Waltham, MA. Derek DuBay is with the Transplant Integrated Center of Clinical Excellence and the Department of Surgery, Medical University of South Carolina, Charleston. Aaron Fleishman is with the FIRST Program, Department of Surgery, Beth Israel Deaconess Medical Center, Boston
| | - Matthew Boger
- James R. Rodrigue is with the Department of Surgery, Beth Israel Deaconess Medical Center, and the Departments of Surgery and Psychiatry, Harvard Medical School, Boston, MA. Matthew Boger is with New England Donor Services, Waltham, MA. Derek DuBay is with the Transplant Integrated Center of Clinical Excellence and the Department of Surgery, Medical University of South Carolina, Charleston. Aaron Fleishman is with the FIRST Program, Department of Surgery, Beth Israel Deaconess Medical Center, Boston
| | - Derek DuBay
- James R. Rodrigue is with the Department of Surgery, Beth Israel Deaconess Medical Center, and the Departments of Surgery and Psychiatry, Harvard Medical School, Boston, MA. Matthew Boger is with New England Donor Services, Waltham, MA. Derek DuBay is with the Transplant Integrated Center of Clinical Excellence and the Department of Surgery, Medical University of South Carolina, Charleston. Aaron Fleishman is with the FIRST Program, Department of Surgery, Beth Israel Deaconess Medical Center, Boston
| | - Aaron Fleishman
- James R. Rodrigue is with the Department of Surgery, Beth Israel Deaconess Medical Center, and the Departments of Surgery and Psychiatry, Harvard Medical School, Boston, MA. Matthew Boger is with New England Donor Services, Waltham, MA. Derek DuBay is with the Transplant Integrated Center of Clinical Excellence and the Department of Surgery, Medical University of South Carolina, Charleston. Aaron Fleishman is with the FIRST Program, Department of Surgery, Beth Israel Deaconess Medical Center, Boston
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11
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Ferguson E, Murray C, O’Carroll RE. Blood and organ donation: health impact, prevalence, correlates, and interventions. Psychol Health 2019; 34:1073-1104. [DOI: 10.1080/08870446.2019.1603385] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Affiliation(s)
- Eamonn Ferguson
- School of Psychology, University of Nottingham, Nottingham, United Kingdom of Great Britain and Northern Ireland
| | - Catherine Murray
- Division of Psychology, University of Stirling, Stirling, Scotland
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12
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Oczkowski SJW, Durepos P, Centofanti J, Arsenau E, Dhanani S, Cook DJ, Meade MO. A Multidisciplinary Survey to Assess Facilitators and Barriers to Successful Organ Donation in the Intensive Care Unit. Prog Transplant 2019; 29:179-184. [PMID: 30895847 DOI: 10.1177/1526924819835826] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Abstract
INTRODUCTION Rates of successful organ donation vary between otherwise comparable intensive care units (ICUs). The ICU staff have a unique perspective into the facilitators and barriers underlying this variation in successful deceased organ donation. RESEARCH QUESTION What do ICU staff perceive to be the most meaningful facilitators and barriers to deceased organ donation? DESIGN We designed and conducted a survey of all disciplines working in the ICU to ascertain the perceived facilitators and barriers to donation in an academic tertiary care hospital. Survey reliability was assessed using Cronbach α. Factor analysis was used to assess construct validity and identify potentially redundant survey items. RESULTS We had responses from 108 ICU staff, including nurses (n = 75), respiratory therapists (n = 14), physicians (n = 12), chaplains (n = 2), as well as social work, pharmacy, physiotherapy, and occupational therapy (n = 1 each). Perceived facilitators included availability of organ donation organization coordinators, explicit institutional support for donation, ICU staff culture toward donation, standardized order sets for donation, presence of ICU staff with donation experience, and bedside nurse presence at discussions about donation. Perceived barriers included ICU staff ruling out potentially suitable donors before consulting a donor coordinator, physician communication skills, low priority for organ donation among operating room staff, limited family understanding of patient prognosis and organ donation, and limited emotional readiness of families to discuss donation. DISCUSSION Several staff-perceived facilitators and barriers to deceased organ donation were identified in the ICU. Future research could identify strategies to promote these facilitators and overcome barriers.
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Affiliation(s)
- Simon J W Oczkowski
- 1 Division of Critical Care, McMaster University, Hamilton, Ontario, Canada
- 2 Hamilton Health Sciences, Hamilton, Ontario, Canada
| | - Pamela Durepos
- 2 Hamilton Health Sciences, Hamilton, Ontario, Canada
- 3 Department of Nursing, McMaster University, Hamilton, Ontario, Canada
| | - John Centofanti
- 1 Division of Critical Care, McMaster University, Hamilton, Ontario, Canada
- 2 Hamilton Health Sciences, Hamilton, Ontario, Canada
| | - Erika Arsenau
- 4 Department of Health Research Methods, Evidence, and Impact McMaster University, Hamilton, Ontario, Canada
| | - Sonny Dhanani
- 5 Division of Critical Care, Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada
| | - Deborah J Cook
- 1 Division of Critical Care, McMaster University, Hamilton, Ontario, Canada
- 4 Department of Health Research Methods, Evidence, and Impact McMaster University, Hamilton, Ontario, Canada
- 6 St Joseph's Healthcare Hamilton, Hamilton, Ontario, Canada
| | - Maureen O Meade
- 1 Division of Critical Care, McMaster University, Hamilton, Ontario, Canada
- 2 Hamilton Health Sciences, Hamilton, Ontario, Canada
- 4 Department of Health Research Methods, Evidence, and Impact McMaster University, Hamilton, Ontario, Canada
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