Impact of telephone consent and potential for eye donation in the UK: the Newcastle Eye Centre study

Ting, Darren S J; Potts, J; Jones, Mark; Lawther, T; Armitage, W. John; Figueiredo, FC

doi:10.1038/eye.2015.216

Cited by 11 publications

(11 citation statements)

References 20 publications

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“…In this study, 68.50% of the students were aware that prior permission before death is necessary for eye donation. In a study conducted by Ting et al (2016), it was found that consent over the telephone has been much more useful than getting consent face to face. If consent can be obtained from the family over a phone call, it will be a signi icant move in increasing the eye donation rates as it simpli ies the process.…”

Section: Knowledge Regarding Other Donor-related Queriesmentioning

confidence: 99%

Awareness about Eye Donation among Medical Students

B¹,

M²

2020

ijrps

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To assess the awareness about eye donation among undergraduate medical students. A cross-sectional descriptive study was carried out among 400 medical students studying in a tertiary medical college/hospital located in Tamil Nadu. The study tool used was a semi-structured google form questionnaire designed for assessing the awareness about eye donation among medical students. It was observed that the majority of the students (99.4%) of the students were aware of eye donation. Media has been the primary source for this awareness. The cornea is the part of the eye used for transplantation, and only 238(59.6%) knew about this The identity of the donor. The recipient will be kept confidential, and also the donors family will not be charged any money for the donation, but only 54% of the students were aware of this fact. Though the awareness was high, only 206(51.60%) were willing to pledge their eyes for donation. The study highlights the importance of educating medical students about eye donation as they play a significant role in helping the public in clarifying misconceptions and also increase the eye donation rates. The importance of consent over the telephone has also been emphasized in this study. Media can be used as a powerful tool in creating appropriate advertisements through television, newspapers, billboards and social media, which will be helpful.

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Section: Knowledge Regarding Other Donor-related Queriesmentioning

confidence: 99%

Awareness about Eye Donation among Medical Students

B¹,

M²

2020

ijrps

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“…Hospitals within Newcastle upon Tyne The process of eye donation and retrieval in our region has been described previously. 2 Briefly, all deaths in hospitals within Newcastle upon Tyne were identified by two full-time eye donation specialist nurses (JP and TL). They were trained by the NHSBT to identify potential eye donors, to examine medical records for medical contraindications, to approach and obtain consent for eye donation from relatives, and to retrieve eyes from suitable donors.…”

Section: Process Of Eye Donation and Retrievalmentioning

confidence: 99%

“…We recently reported the success of this initiative, which demonstrated an 88% increase in eye donation when telephone consent was used in addition to the conventional face-to-face interview. 2 Nonetheless, merely increasing the eye donation rate is not sufficient. A successful corneal transplant relies on a series of welldefined steps in the donation-transplantation pathway, starting with identification and referral of potential donors, approaching the relatives of these potential donors to obtain consent for eye donation, eye retrieval, transport of the eyes to the eye bank for processing and corneal storage, donor testing for markers of transmissible disease, and investigation of the donor's medical history to exclude corneas from donors with medical contraindications to transplantation, quality assessment (eg, based on endothelial cell density) of corneas, and ultimately transplanting the donated corneas.…”

Section: Introductionmentioning

confidence: 99%

Changing trend in the utilisation rate of donated corneas for keratoplasty in the UK: The North East England Study

Ting

Potts

Jones

et al. 2016

Eye

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PurposeTo report the changing trend in the utilisation rate of donated corneas for keratoplasty and to examine the reasons for unutilised corneas in the North East of England.MethodsRelevant data were retrospectively collected from a local eye retrieval database and the UK Transplant Registry for two separate years; namely, 2006 and 2010.ResultsThe utilisation rate of donated corneas for keratoplasty improved from 57% (52/92) in 2006 to 71% (220/312) in 2010 (P=0.012). Over the same period, there was a marked reduction of failed serological test results from 24% (22/92) to 5% (14/312) (P<0.001). The leading reasons for unutilised corneas were failed serological test results (22/92, 24%) in 2006 and inadequate tissue quality (23/312, 7%) in 2010. The rate of tissue contamination remained similar between 2006 (4%) and 2010 (6%) (P=0.80). Eleven (4%) corneas were not transplanted due to recipient-related factors in 2010. Donor corneas of inadequate tissue quality were associated with older age (P=0.04) but not with gender, donation site, consent method, death-to-enucleation interval, death-to-processing interval, and storage time in the eye bank.ConclusionThere was a substantial improvement in the utilisation rate of corneas donated in the North East of England between 2006 and 2010. The principal reason was a reduction in failed serological test results. High donor age was associated with increased chance of corneas not being used. Utilisation rate of corneas can be further improved if potential modifiable factors are addressed, such as recipient-related factors and microbial contamination.

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“…13 To address the constant deficit of donor corneas, various countries have considered and implemented a range of initiatives and research programmes, including campaigns to increase public awareness of corneal donation, introduction of telephone consent, refinement in the eye retrieval and eye banking systems, and development of corneal cell-based therapy. 14-18…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Junior Doctors’ Knowledge of Corneal Donation and the New Opt-Out System in England

Gopal

Titi-Lartey

Fernandes

et al. 2021

Preprint

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Objectives: To evaluate the knowledge of corneal donation and the new opt-out system among junior doctors in the East Midlands, UK. Methods: This was a cross-sectional study performed during June-September 2020. A 26-item questionnaire-based survey was disseminated to all 340 junior doctors working in the East Midlands, UK. Relevant data, including participants background, knowledge of corneal donation and the new opt-out system introduced in England, were analysed. Results: A total of 143 responses were received (response rate=42.1%). Nineteen (13.3%) junior doctors had previously discussed about corneal donation. The majority (100, 69.9%) of them perceived the importance of obtaining consent for corneal donation as junior doctors, but only 24 (16.8%) felt comfortable in discussing corneal donation. The knowledge of corneal donation was low, with a mean correct response rate of 33.3+/-20.8%. Only 28 (19.6%) doctors were aware of the 24-hour death-to-enucleation time limit. The majority (116, 81.1%) of doctors would consider certifying a death on the ward quicker if they knew it could potentially compromise the quality of corneas. Most (103, 72%) doctors were aware of the new opt-out system but only 56 (39.2%) doctors correctly stated that donation can only proceed with family consent. Conclusion: Junior doctors working at the frontline services serve as valuable members in contributing to the process of obtaining consent for organ/tissue donation. Our study highlights the lack of knowledge of corneal donation and the opt-out system amongst junior doctors in the UK. Targeted postgraduate training during the induction process may potentially enhance the donation rate.

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Impact of telephone consent and potential for eye donation in the UK: the Newcastle Eye Centre study

Abstract: Aims To examine the impact of telephone consent introduced in 2007 on the eye donation rate and to report the changing trend and potential for improvement in eye donation in Newcastle upon Tyne, UK.

Cited by 11 publications

References 20 publications

Awareness about Eye Donation among Medical Students

Awareness about Eye Donation among Medical Students

Changing trend in the utilisation rate of donated corneas for keratoplasty in the UK: The North East England Study

Evaluation of Junior Doctors’ Knowledge of Corneal Donation and the New Opt-Out System in England

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