The Role of the Organ Procurement Organization (DSO) in Coordinating Organ Donation in Germany and the Organ Donation Initiative Plan (Sponsor: Novartis Pharma GmbH, Nürnberg)

2020 ◽  
Vol 08 (01) ◽  
pp. 20-23
Keyword(s):  
Organ Donation ◽  
Organ Procurement ◽  
European Countries ◽  
Organ Donors ◽  
Organ Procurement Organization ◽  
Deutsche Stiftung Organtransplantation ◽  
Key Factor

AbstractOrgan donation in Germany started to decline in 2010 and dropped to a 20-year low of 797 organ donors in 2017. The rate of 9.7 organ donors per million population is far below donor rates in other European countries. The Deutsche Stiftung Organtransplantation (DSO, German Organ Procurement Organization) has been concerned about this development for many years and, in cooperation with German donor hospitals, has conducted extensive analyses to identify possible causes. While the causes are multifarious, the DSO sees the improvement of the identification and referral of potential organ donors in hospitals as a key factor in enhancing organ donation rates.

scholarly journals LO66: Solid organ donation from the emergency department: A death review

CJEM ◽  
2019 ◽  
Vol 21 (S1) ◽  
pp. S31-S32
Author(s):  
J. McCallum ◽  
R. Yip ◽  
S. Dhanani ◽  
I. Stiell
Keyword(s):  
Emergency Department ◽  
Organ Donation ◽  
Primary Outcome ◽  
Organ Procurement ◽  
Care Center ◽  
Demographic Data ◽  
Tertiary Care ◽  
Solid Organ ◽  
Organ Donors ◽  
Organ Procurement Organization

Introduction: A significant gap exists between the number of people waiting for an organ and donors. There are currently 1,628 people awaiting organ donation in Ontario alone. In 2018 to date, 310 donors have donated 858 organs. The purpose of this study was to determine whether there were missed donors in the Emergency Department (ED) and by what percent those missed donors would increase organ donation overall. Methods: This was a health records and organ donation database review of all patients who died in the ED at a large academic tertiary care center with 2 campuses and 160,000 visits per year. Patients were included from November 1, 2014 – October 31, 2017. We collected data on demographics, cause of death, and suitability for organ donation. Data was cross-referenced between hospital records and the provincial organ procurement organization called Trillium Gift of Life Network (TGLN) to determine whether patients were appropriately referred for consideration of donation in a timely manner. Potential missed donors were manually screened for suitability according to TGLN criteria. We calculated simple descriptive statistics for demographic data and the primary outcome. The primary outcome was percentage of potential organ donors missed in the Emergency Department (ED). Results: There were 606 deaths in the ED from November 1, 2014 – October 31, 2017. Patients were an average of 71 years old, 353 (58%) were male, and 75 (12%) died of a traumatic cause. TGLN was not contacted in 12 (2%) of cases. During this period there were two donors from the ED and 92 from the ICU. There were ten missed potential donors. They were an average of 67 years, 7 (70%) were male, and 2 (20%) died of a traumatic cause. In all ten cases, patients had withdrawal of life sustaining measures for medical futility prior to TGLN being contacted for consideration of donation. There could have been an addition seven liver, six pancreatic islet, four small bowel, and seven kidney donors. The ten missed ED donors could have increased total donors by 11%. Conclusion: The ED is a significant source of missed organ donors. In all cases of missed organ donation, patients had withdrawal of life sustaining measures prior to TGLN being called. In the future, it is essential that all patients have an organ procurement organization such as TGLN called prior to withdrawal of life sustaining measures to ensure that no opportunity for consideration of organ donation is missed.

An In-House Coordinator Program to Increase Organ Donation in Public Trauma Hospitals

1998 ◽  
Vol 8 (2) ◽  
pp. 82-87 ◽  
Author(s):  
Teresa Shafer ◽  
R. Patrick Wood ◽  
Charles Van Buren ◽  
William Guerriero ◽  
Kimberly Davis ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Organ Donation ◽  
Organ Procurement ◽  
Consent Process ◽  
Organ Donors ◽  
Consent Rate ◽  
Donor Management ◽  
Organ Procurement Organization ◽  
Conversion Rates ◽  
Organ Recovery

A 4-year retrospective study was conducted regarding the donor potential, consent rates, and organ recovery at a large 500-bed public trauma hospital. An independent organ procurement organization hired two in-house coordinators, one white and one black, to work exclusively in the hospital. The duties of the in-house coordinators included the following: working with nurses, physicians, and residents to identify donors; closely managing and coordinating the consent process; and assisting organ procurement coordinators in donor management. Following the program's implementation and the use of race-specific requesters, a 64% increase in consent rate resulted along with an overall increase of 94% in the number of organ donors. The consent rate of blacks increased 115%, whereas the number of black organ donors increased 154%. The Hispanic consent rate increased 48% with a corresponding increase of 83% in the number of Hispanic organ donors. In addition, the white consent rate increased from 55% (the 3-year average from 1993 to 1995) to 75% in 1996, resulting in a 36% increase following the implementation of the program. The investment of dedicated race-sensitive personnel in large urban county trauma facilities can result in a significant increase in donor conversion rates.

Comparison of 1 vs 2 Brain Death Examinations on Time to Death Pronouncement and Organ Donation

Neurology ◽  
2021 ◽  
Vol 96 (10) ◽  
pp. e1453-e1461
Author(s):  
Panayiotis N. Varelas ◽  
Mohammed Rehman ◽  
Chandan Mehta ◽  
Lisa Louchart ◽  
Lonni Schultz ◽  
...  
Keyword(s):  
Brain Death ◽  
Organ Donation ◽  
Brain Function ◽  
Brain Injuries ◽  
Organ Procurement ◽  
Tertiary Hospital ◽  
Consent Rate ◽  
Organ Procurement Organization ◽  
Time To Death ◽  
Elapsed Time

ObjectiveTo fill the evidence gap on the value of a single brain death (SBD) or dual brain death (DBD) examination by providing data on irreversibility of brain function, organ donation consent, and transplantation.MethodsTwelve-year tertiary hospital and organ procurement organization data on brain death (BD) were combined and outcomes, including consent rate for organ donation and organs recovered and transplanted after SBD and DBD, were compared after multiple adjustments for covariates.ResultsA total of 266 patients were declared BD, 122 after SBD and 144 after DBD. Time from event to BD declaration was longer by an average of 20.9 hours after DBD (p = 0.003). Seventy-five (73%) families of patients with SBD and 86 (72%) with DBD consented for organ donation (p = 0.79). The number of BD examinations was not a predictor for consent. No patient regained brain function during the periods following BD. Patients with SBD were more likely to have at least 1 lung transplanted (p = 0.031). The number of organs transplanted was associated with the number of examinations (β coefficient [95% confidence interval] −0.5 [−0.97 to −0.02]; p = 0.044), along with age (for 5-year increase, −0.36 [−0.43 to −0.29]; p < 0.001) and PaO2 level (for 10 mm Hg increase, 0.026 [0.008–0.044]; p = 0.005) and decreased as the elapsed time to BD declaration increased (p = 0.019).ConclusionsA single neurologic examination to determine BD is sufficient in patients with nonanoxic catastrophic brain injuries. A second examination is without additional yield in this group and its delay reduces the number of organs transplanted.

Increasing Referrals and Donations Using the Transplant Center Development Model

1996 ◽  
Vol 6 (1) ◽  
pp. 32-36 ◽  
Author(s):  
Mark T Gravel ◽  
Penelope Szeman
Keyword(s):  
Organ Donation ◽  
Organ Procurement ◽  
Medical Center ◽  
Development Model ◽  
Tissue Donation ◽  
Staff Education ◽  
Organ Procurement Organization ◽  
Organ And Tissue Donation ◽  
Transplant Center ◽  
Donation Process

Although transplantation centers directly benefit from organ and tissue donation, they continue to yield low organ and tissue referral and donation rates. Our medical center and organ procurement organization developed a model to increase referral and donation rates. This model, called the Transplant Center Development Model, facilitates the donation process, specializes staff education, and promotes administrative involvement. After it was was implemented at our medical center in 1991, the referral and donation rates from 1988 to 1990 were compared with those from 1991 to 1993. The results showed that after implementation of the model, the organ referral mean increased 47%; the organ donation mean, 50%; and the tissue donation mean, 117%. These findings suggest that this model may be a valuable tool in transplant center development.

Organ Donation by Suicides: Sex and Ethnicity

2014 ◽  
Vol 115 (3) ◽  
pp. 948-950
Author(s):  
David Lester ◽  
Dominique Hathaway
Keyword(s):  
Organ Donation ◽  
Sex Difference ◽  
General Public ◽  
Causes Of Death ◽  
Ethnic Difference ◽  
Future Research ◽  
Organ Donors ◽  
Men And Women ◽  
Organ Donations

An analysis of 2,034 actual organ donations by suicides for the years 2008–2010 indicated that women were more likely to be donors than were men and Blacks more likely to donate than were Whites. The sex difference was consistent with the responses of men and women to surveys of the general public about their willingness to become organ donors, but the ethnic difference was the reverse of the responses to surveys of the general public about their willingness to be organ donors. Future research should explore the role of the responses, positive vs negative toward organ donation, of the significant others of those dying from different causes of death, and the extent to which people have signed donor cards.

Lives and choices, give and take: Altruism and organ procurement

2017 ◽  
Vol 26 (2) ◽  
pp. 587-597 ◽  
Author(s):  
Vicky Thornton
Keyword(s):  
Organ Donation ◽  
Positive Impact ◽  
Organ Procurement ◽  
Statistical Evidence ◽  
Opting Out ◽  
Procurement Policy ◽  
Opt Out ◽  
Utilitarian Approach ◽  
Cadaveric Organ

In 2015, Wales introduced a deemed consent: soft opt-out system for organ procurement in order to address the chronic shortage of organs for transplant. Early statistical evidence suggests that this has had a positive impact on cadaveric organ donation. Such a system for procurement has previously been dismissed by the Organ Donation Taskforce, who suggested that opting out could potentially undermine the concept of donated organs as gifts and this could then negatively impact the number of organs offered for transplant. Considerable weight was placed upon the need to retain the altruistic gift element associated with an opt-in system. This article will consider the role of altruism in an organ procurement policy. A broad utilitarian approach will be taken when putting forward the arguments in favour of adopting a weak altruism position in a soft opt-out system for procurement with a combined registry.

scholarly journals 539: ORGAN DONATION ON ECMO: A DESCRIPTIVE ANALYSIS OF AN ORGAN PROCUREMENT ORGANIZATION DATABASE

2021 ◽  
Vol 50 (1) ◽  
pp. 261-261
Author(s):  
Nina Fainberg ◽  
Wynne Morrison ◽  
Sharon West ◽  
Richard Hasz ◽  
Matthew Kirschen
Keyword(s):  
Organ Donation ◽  
Organ Procurement ◽  
Descriptive Analysis ◽  
Organ Procurement Organization

Chaplain “DOs and DON’Ts” on Organ Donation

2018 ◽  
Vol 43 (7) ◽  
pp. 1-2
Author(s):  
Jozef Zalot ◽  
Keyword(s):  
Organ Donation ◽  
Organ Procurement ◽  
Family Members ◽  
Organ Donor ◽  
Organ Donors ◽  
Vital Organ ◽  
Course Of Action ◽  
Donation Process ◽  
Organ Procurement Organizations ◽  
The Relationship

This guide was developed in collaboration with LifeCenter Organ Donor Network (Cincinnati, OH) to offer chaplains a framework for the best possible course of action when they provide spiritual care to family members of patients who are potential vital organ donors. Some organ procurement organizations (OPOs) may want to control the donation process. They are thus hesitant to invite in—let alone collaborate with—any “outsiders” who they believe might undermine the likelihood of procuring vital organs. So how should a chaplain respond when ministering to potential vital organ donors and their families? Should they speak with family members about donation? What should they say? Do OPOs want chaplains to speak with family members? Should there be limits to these conversations? This can be a touchy area, because vital organ donation necessarily entails the death of the patient. This makes the relationship between chaplains and OPOs sometimes strained.

The Reward is Worth the Wait: A Prospective Analysis of 100 Consecutive Organ Donors

2012 ◽  
Vol 78 (3) ◽  
pp. 296-299 ◽  
Author(s):  
A. Britton Christmas ◽  
Tyson A. Bogart ◽  
Kristina E. Etson ◽  
Brett A. Fair ◽  
Harold R. Howe ◽  
...  
Keyword(s):  
Patient Management ◽  
Organ Procurement ◽  
Prospective Analysis ◽  
Organ Donors ◽  
Donor Management ◽  
Organ Procurement Organization ◽  
Patient Demographics ◽  
Included Patient ◽  
Initial Hypothesis

Aggressive donor management protocols have evolved to maximize the number of procured organs. Our study assessed donor management time and the number and types of organs procured with the hypothesis that shorter management time yields increased organ procurement and transplant rates. We prospectively analyzed 100 donors managed by a regional organ procurement organization (OPO) during 2007 to 2008. Data included patient demographics, number and types of organs procured and transplanted, patient management time by the OPO, and achievement of donor pre-procurement goals. One hundred consecutive organ donors were managed with a mean age 41 ± 18 years and mean management time 23 ± 9 hours; 376 organs were procured and 327 successfully transplanted. Donors managed greater than 20 hours yielded significantly more heart (5 vs 26, P < 0.01) and lung (6 vs 40, P < 0.01) procurements, more organs procured per donor (3.2 ± 1.4 vs 4.2 ± 1.6, P < 0.01), and more organs transplanted per donor (2.6 ± 1.5 vs 3.7 ± 1.8, P < 0.01) than those managed 20 hours or less. No difference in the attainment of donor management goals was observed between these populations. Contrary to our initial hypothesis, donor management times greater than 20 hours yielded increased organ procurement and transplant rates, particularly for hearts and lungs, despite no differences in the achievement of donor preprocurement management goals.

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