TY - JOUR
T1 - Improving consent rates for organ donation
T2 - The effect of an inhouse coordinator program
AU - Salim, Ali
AU - Brown, Carlos
AU - Inaba, Kenji
AU - Mascarenhas, Angela
AU - Hadjizacharia, Pantelis
AU - Rhee, Peter
AU - Belzberg, Howard
AU - Demetriades, Demetrios
PY - 2007/6
Y1 - 2007/6
N2 - BACKGROUND: The inability to obtain consent remains one of the major obstacles to organ donation. The presence of in-house coordinators (IHCs) from organ procurement organizations (OPOs) might substantially improve donation rates. OBJECTIVE: To review the preliminary results of the effect of the presence of an IHC on organ donation rates at our center. METHODS: This is a retrospective analysis of patients referred to the regional OPO for possible organ donation. An IHC program was started at our hospital in late 2001. Data regarding organ donation demographics and family consent rates were compared before (Pre-IHC, 1998-2001) and after (Post-IHC, 2002-2005) the institution of an IHC program. The conversion rate was calculated as the number of actual donors divided by the number of potential donors and is represented as a percentage. The function of the IHC was to assist in donor surveillance, ensure timely referral, provide hospital staff education, assist with family consent and donor management, and provide family support. RESULTS: There were a total of 495 potential donors and 195 actual donors during the 8-year time period. Post-IHC was associated with a significantly higher consent rate (52% vs. 35%, p < 0.01), a significantly higher conversion rate (50% vs. 34%, p < 0.01), and a 17% increase in organs donated compared with Pre-IHC. CONCLUSION: The presence of an IHC program significantly improves consent and conversion rates for organ donation. An IHC program should be considered as a viable option to bridge the gap between organ supply and organ demand.
AB - BACKGROUND: The inability to obtain consent remains one of the major obstacles to organ donation. The presence of in-house coordinators (IHCs) from organ procurement organizations (OPOs) might substantially improve donation rates. OBJECTIVE: To review the preliminary results of the effect of the presence of an IHC on organ donation rates at our center. METHODS: This is a retrospective analysis of patients referred to the regional OPO for possible organ donation. An IHC program was started at our hospital in late 2001. Data regarding organ donation demographics and family consent rates were compared before (Pre-IHC, 1998-2001) and after (Post-IHC, 2002-2005) the institution of an IHC program. The conversion rate was calculated as the number of actual donors divided by the number of potential donors and is represented as a percentage. The function of the IHC was to assist in donor surveillance, ensure timely referral, provide hospital staff education, assist with family consent and donor management, and provide family support. RESULTS: There were a total of 495 potential donors and 195 actual donors during the 8-year time period. Post-IHC was associated with a significantly higher consent rate (52% vs. 35%, p < 0.01), a significantly higher conversion rate (50% vs. 34%, p < 0.01), and a 17% increase in organs donated compared with Pre-IHC. CONCLUSION: The presence of an IHC program significantly improves consent and conversion rates for organ donation. An IHC program should be considered as a viable option to bridge the gap between organ supply and organ demand.
KW - Donor management
KW - In-house coordinator
KW - Organ donor
KW - Transplantation
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U2 - 10.1097/TA.0b013e3180479876
DO - 10.1097/TA.0b013e3180479876
M3 - Article
C2 - 17563657
AN - SCOPUS:34250309967
SN - 0022-5282
VL - 62
SP - 1411
EP - 1414
JO - Journal of Trauma - Injury, Infection and Critical Care
JF - Journal of Trauma - Injury, Infection and Critical Care
IS - 6
ER -