Is Donor Age an Important Factor in Cadaveric Organ Donation?

Dündar, Halit Ziya; Oflaz, Rafet; Çinar, Yavuz Selim; Sarkut, Pınar; Kaya, Ekrem

doi:10.1097/01.tp.0000525201.06663.03

Cited by 4 publications

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“…Among the 59 interviewees, 29 did not agree to their family members donating organs. It can be seen that the organ donation resistance from the family members was great [8,21,30]. Some interviewees thought that they were willing to donate organs after death, but they were reluctant to let their families donate organs.…”

Section: Discussionmentioning

confidence: 99%

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A Study on the Impact of Chinese Family Culture on Citizens' Voluntary Organ Donation

Luo¹,

He²,

Xie³

et al. 2020

Preprint

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Objectives: Family members’ attitude is the key factor in organ donation. This study aimed to analyze the attitude and willingness of families towards organ donation and to explore the impact of Chinese family culture on voluntary organ donation.Methods: Taking the family as a unit, a total of 15 families (59 family members) were interviewed using the semi-structured interviews.Results: Among the 59 participants, 58 had heard of organ donation, 30 were unwilling to donate organs, 25 had an intention to donate, and 13 were very taboo about it. 29 weren’t giving consent for family members’ donation, only 8 supported families to sign up as donors. Particularly, 7 participants could donate their organs but wouldn’t donate organs of family members. The family culture models were divided into the patriarchal family culture model (4 families), independent family culture model (8 families), patriarchal subversion family culture model (3 families). Based on the influence of social and cultural factors (taking national policy as an example) on the willingness to donate organs of relatives, the family culture models were divided into the stubborn family culture model (3 families), swing family culture model(9 families), and selfless dedication family culture model(3 families). Conclusions: Organ donation is still a taboo topic in Chinese families. Although the patriarchal family cultural model is no longer dominant, the father's thoughts and views still play an essential role in the whole family. Most families belong to the swing family culture model, and the willingness to donate is greatly influenced by social and cultural factors.

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Section: Discussionmentioning

confidence: 99%

“…Traditional culture is one of the main factors that affect organ donation [2,3]. Family members' attitude towards organ donation directly affects the success of potential organ donation [4][5][6][7][8].…”

Section: Introductionmentioning

confidence: 99%

A Study on the Impact of Chinese Family Culture on Citizens' Voluntary Organ Donation

Luo¹,

He²,

Xie³

et al. 2020

Preprint

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“…Higher neighborhood disadvantage, lower socioeconomic level, and lower educational attainment have also been found to be associated with lower organ donor registration and authorization rates . In addition, both donor consent rates and donation rates are significantly associated with age . Our aim was to evaluate whether adjusting metrics for age and/or ADI yields the same tier assignments as the CMS CALC tiers.…”

Section: Introductionmentioning

confidence: 99%

“… 19 , 20 , 21 In addition, both donor consent rates and donation rates are significantly associated with age. 22 , 23 , 24 Our aim was to evaluate whether adjusting metrics for age and/or ADI yields the same tier assignments as the CMS CALC tiers.…”

Section: Introductionmentioning

confidence: 99%

Population Characteristics and Organ Procurement Organization Performance Metrics

Lopez,

Mohan,

Schold

2023

JAMA Netw Open

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ImportanceIn 2020, the Centers for Medicare &amp; Medicaid Services (CMS) issued a final rule updating the Organ Procurement Organization (OPO) Conditions for Coverage. This rule evaluates OPO performance based on an unadjusted donation rate and an age-adjusted transplant rate; however, neither considers other underlying population differences.ObjectiveTo evaluate whether adjusting for age and/or area deprivation index yields the same tier assignments as the cause, age, and location consistent (CALC) tier used by CMS.Design, Setting, and ParticipantsThis retrospective cross-sectional study examined the performance of 58 OPOs from 2018 to 2020 across the entire US. A total of 12 041 778 death records were examined from the 2017 to 2020 National Center for Health Statistics’ Restricted Vital Statistics Detailed Multiple Cause of Death files; 399 530 of these met the definition of potential deceased donor. Information about 42 572 solid organ donors from the Scientific Registry of Transplant Recipients was also used. Statistical analysis was performed from January 2017 to December 2020.ExposureArea deprivation of donation service areas and age of potential donors.Main Outcome and MeasuresOPO performance as measured by donation and transplant rates.ResultsA total of 399 530 potential deceased donors and 42 572 actual solid donor organs were assigned to 1 of 58 OPOs. Age and ADI adjustment resulted in 19.0% (11 of 58) to 31.0% (18 of 58) reclassification of tier ratings for the OPOs, with 46.6% of OPOs (27 of 58) changing tier ranking at least once during the 3-year period. Between 6.9% (4 of 58) and 12.1% (7 of 58) moved into tier 1 and up to 8.6% (5 of 58) moved into tier 3.Conclusions and RelevanceThis cross-sectional study of population characteristics and OPO performance metrics found that adjusting for area deprivation and age significantly changed OPO measured performance and tier classifications. These findings suggest that underlying population characteristics may alter processes of care and characterize donation and transplant rates independent of OPO performance. Risk adjustment accounting for population characteristics warrants consideration in prospective policy and further evaluation of quality metrics.

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Correlation of Organ Donors’ Age With Duration Between Admission and First Brain Death Examination: A Five-Year Study in South Korea

Anwar

Lee

2021

Transplantation Proceedings

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Is Donor Age an Important Factor in Cadaveric Organ Donation?

Cited by 4 publications

References 0 publications

A Study on the Impact of Chinese Family Culture on Citizens' Voluntary Organ Donation

A Study on the Impact of Chinese Family Culture on Citizens' Voluntary Organ Donation

Population Characteristics and Organ Procurement Organization Performance Metrics

Correlation of Organ Donors’ Age With Duration Between Admission and First Brain Death Examination: A Five-Year Study in South Korea

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