The Process of Kidney Donation in the Northern Macroregional Area of Paraná, Brazil

Souza, Cláudio M. D. de; Oliveira, Iria Bárbara de; Galdino, Maria José Quina; Costa, Rafaela; Rossaneis, Mariana Ângela; Haddad, Maurice C.

doi:10.1016/j.transproceed.2017.12.048

Cited by 3 publications

(1 citation statement)

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“…In comparing countries' performance in terms of deceased organ donation and transplantation (ODT), the number of donors per million population (DPMP) or the number of transplantations per million population (TPMP) have been the most widely-used metrics, finding Spain as the world's most successful country (1)(2)(3)(4)(5)(6)(7)(8)(9). The excellent performance by countries such as Spain in having high rate of deceased organ donation was a lesson to be followed by other countries.…”

Section: Introductionmentioning

confidence: 99%

Assessing Countries’ Deceased Organ Donation and Transplantation Performance

Tumin¹,

Tafran²,

Adnan³

et al. 2023

MJMHS

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Introduction: Donors per million population and transplantations per million population are standardized, widely used indicators to assess and compare countries’ performance in organ donation and transplantation. This study aims to investigate these two particular metrics of organ donation and transplantation performance, and to introduce a new index, namely, ‘transplantations per patients on the waiting list’. Methods: Secondary analyses of data on 23 countries in 2016 were used to construct the transplantations per patients on the waiting list indicator for kidney, liver, pancreas, heart, and lung transplantation, as well as for the transplantation of any of the five aforementioned organs. Results: According to the transplantations per patients on the waiting list, the best-performing countries in terms of organ donation and transplantation are Belarus for kidney transplantation, Finland for liver and pancreas transplantation, Australia for heart transplantation, and France for lung transplantation. Considering all five organs together, Sweden, Australia, Finland, Austria, and Poland were the top five best-performing countries, followed by Spain in the sixth position. Conclusion: The deceased transplantations per patients on the waiting list can be an alternative indicator to assess performance, along with the widely-used donors and transplantations per million population, but still has its limitations in certain scenarios.

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Section: Introductionmentioning

confidence: 99%

Assessing Countries’ Deceased Organ Donation and Transplantation Performance

Tumin¹,

Tafran²,

Adnan³

et al. 2023

MJMHS

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Liver Donations and Transplants in the State of Paraná, Brazil

Pimentel

Garcia

Galdino

et al. 2019

Transplantation Proceedings

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The Impact of Early Brain-Dead Donor Detection in the Emergency Department on the Organ Donation Process in Iran

Hasanzade,

Nejatollahi,

Mokhber Dezfouli

et al. 2024

Transpl Int

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We aimed to assess the impact of hospital characteristics on the outcomes of detected possible brain-dead donors, in our organ procurement network in Iran. Data was collected through twice-daily calls with 57 hospitals’ intensive care units and emergency departments over 1 year. The donation team got involved when there was suspicion of brain death before the hospital officially declared it. The data was categorized by hospital size, presence of neurosurgery/trauma departments, ownership, and referral site. Out of 813 possible donors, 315 were declared brain dead, and 203 were eligible for donation. After conducting family interviews (consent rate: 62.2%), 102 eligible donors became actual donors (conversion rate: 50.2%). While hospital ownership and the presence of trauma/neurosurgery care did not affect donation, early referral from the emergency department had a positive effect. Therefore, we strongly recommend prioritizing possible donor identification in emergency rooms and involving the organ donation team as early as possible. The use of twice-daily calls for donor identification likely contributed to the consistency in donation rates across hospitals, as this approach involves the donation team earlier and mitigates the impact of hospital characteristics. Early detection of possible donors from the emergency department is crucial in improving donation rates.

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The Process of Kidney Donation in the Northern Macroregional Area of Paraná, Brazil

Cited by 3 publications

References 13 publications

Assessing Countries’ Deceased Organ Donation and Transplantation Performance

Assessing Countries’ Deceased Organ Donation and Transplantation Performance

Liver Donations and Transplants in the State of Paraná, Brazil

The Impact of Early Brain-Dead Donor Detection in the Emergency Department on the Organ Donation Process in Iran

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