The critical pathway for deceased donation: reportable uniformity in the approach to deceased donation

Domínguez‐Gil, Beatriz; Delmonico, Francis L.; Shaheen, Faissal A.M; Matesanz, Rafael; OʼConnor, Kevin; Минина, М. Г.; Muller, Elmi; Young, Kimberly; Manyalich, M.; Chapman, Jeremy R.; Kirste, G.; Al-Mousawi, M; Coene, L. N. J. E. M.; Garcı́a, Valter Duro; Gautier, S. V.; Hasegawa, Tomonori; Jha, Vivekanand; Kwek, Tong Kiat; Chen, Zhonghua Klaus; Loty, B.; Costa, Alessandro Nanni; Nathan, Howard M.; Ploeg, Rutger J.; Резник, О. Н.; Rosendale, John D.; Tibell, Annika; Tsoulfas, George; Vathsala, Anantharaman; Noël, Luc

doi:10.1111/j.1432-2277.2011.01243.x

Cited by 183 publications

(139 citation statements)

References 9 publications

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“…The framework we used to define a possible deceased donor is consistent with the definition proposed by a multi-national workgroup of experts in organ donation, and prior work in Australia and Canada (12,13,16). We employed several assumptions to develop our estimate of the possible donor supply, albeit based on published data that could be extrapolated to our population of patients dying in an intensive care unit potentially eligible to be a deceased donor.…”

Section: Discussionmentioning

confidence: 99%

“…The framework used to determine who was a possible donor was aligned with a published multi-national review focused on defining a uniform approach to identifying and classifying a possible organ donor, and used similar inclusionary causes of death as the two prior studies estimating the deceased-donor supply with administrative data (12,13,16). Filters were applied to the different administrative datasets with the goal to identify possible deceased donors, which the prior multi-national workgroup had defined as "the patient with a devastating brain injury or lesion.…”

Section: Estimating the Possible Deceased Organ Donor Supplymentioning

confidence: 99%

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Changing Metrics of Organ Procurement Organization Performance in Order to Increase Organ Donation Rates in the United States

Goldberg

Kallan

et al. 2017

American Journal of Transplantation

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The shortage of deceased-donor organs is compounded by donation metrics that fail to account for the total pool of possible donors, leading to ambiguous donor statistics. We sought to assess potential metrics of organ procurement organizations (OPOs) utilizing data from the Nationwide Inpatient Sample (NIS) from 2009-2012 and State Inpatient Databases (SIDs) from 2008-2014. A possible donor was defined as a ventilated inpatient death ≤75 years of age, without multi-organ system failure, sepsis, or cancer, whose cause of death was consistent with organ donation. These estimates were compared to patient-level data from chart review from two large OPOs. Among 2,907,658 inpatient deaths from 2009-2012, 96,028 (3.3%) were a "possible deceased-organ donor." The two proposed metrics of OPO performance were: (1) donation percentage (percentage of possible deceased-donors who become actual donors; range: 20.0-57.0%); and (2) organs transplanted per possible donor (range: 0.52-1.74). These metrics allow for comparisons of OPO performance and geographiclevel donation rates, and identify areas in greatest need of interventions to improve donation rates. We demonstrate that administrative data can be used to identify possible deceased donors in the US and could be a data source for CMS to implement new OPO performance metrics in a standardized fashion.Abbreviations: AHRQ-NIS, agency for healthcare research and quality-nationwide inpatient sample; DCDD, donation after circulatory determination of death; DNDD, donation after neurologic determination of death; DSA, donor service area; EDCR, eligible death conversion rate; HCUP, healthcare cost and utilization project; HRSA, health resources and services administration; OPO, organ procurement organization; OTPPD, organs transplanted per possible donor; SIDs, state inpatient databases; UNOS, united network for organ sharing

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Section: Discussionmentioning

confidence: 99%

Section: Estimating the Possible Deceased Organ Donor Supplymentioning

confidence: 99%

Changing Metrics of Organ Procurement Organization Performance in Order to Increase Organ Donation Rates in the United States

Goldberg

Kallan

et al. 2017

American Journal of Transplantation

View full text Add to dashboard Cite

show abstract

“…Their article highlights the integral role of nurses in the organ donation process, [2] and elegantly shows that nurses would welcome a greater role, while at the same time noting that expanded education efforts are desperately needed.…”

Section: Organ Donation In South Africa -A Call To Actionmentioning

confidence: 99%

Organ donation in South Africa – a call to action

Thomson

2017

S Afr J Crit Care

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“…Such a patient is considered a utilized organ donor if at least one procured organ is transplanted. 11 Figure Annual number of DCD, DBD, and living donors in the U.S. since 2000. DCD = donation after cardiac death; DBD = donation after brain death For DCD donors, death is declared based on cardiopulmonary criteria and may be expected to be imminent due to underlying severe illness or accident.…”

Section: Résumémentioning

confidence: 99%