Systematic review of hospital-level metrics and interventions to increase deceased organ donation

2021 ◽  
pp. 100613
Author(s):  
Manuel Castillo-Angeles ◽  
George Li ◽  
Paul A. Bain ◽  
Jill Stinebring ◽  
Ali Salim ◽  
...  
Keyword(s):  
Systematic Review ◽  
Organ Donation ◽  
Hospital Level ◽  
Deceased Organ Donation

scholarly journals Impact of Donation Physicians on Deceased Organ Donation: A Systematic Review

2021 ◽  
Author(s):  
Janet E. Squires ◽  
Laura D. Aloisio ◽  
Wilmer John Santos ◽  
Danielle Cho-Young ◽  
Monica Taljaard ◽  
...  
Keyword(s):  
Systematic Review ◽  
Organ Donation ◽  
Interrupted Time Series ◽  
Deceased Donor ◽  
Organ Donors ◽  
Consent Rate ◽  
Team Members ◽  
Study Selection ◽  
Before And After ◽  
Deceased Organ Donation

Abstract Background: An emerging strategy to increase deceased organ donation is to use dedicated donation physicians to champion organ donation. We sought to conduct a systematic review of the effectiveness of donation physicians in improving organ donation outcomes.Methods: A systematic review was conducted following Cochrane principles. MEDLINE, Embase, and CINHAL databases were searched from inception to March 26, 2020. Quantitative studies examining the effects of donation physicians on all deceased organ donation outcomes were considered for inclusion. Review articles, editorials and opinion articles, and case studies were excluded. Study selection was completed independently by two team members; all discrepancies were resolved by consensus. Two team members independently extracted data from studies. Results: A total of 1,017 studies were screened, and 12 met inclusion criteria. Included studies were published between 1994 and 2019. Half used an interrupted time series design (n = 6; 50%), three (25%) were cohort studies, and three (25%) used a before-and-after study design. Outcomes (reported in greater than 50% of included articles) included consent/refusal rate (n = 8; 67%), number of potential donors (n = 7; 58%), and number of actual donors (n = 7; 58%). Across studies and design types, there was an increase in potential organ donors ranging from 8 to 143% (Mdn = 33%), an increase in actual organ donors from 15 to 113% (Mdn = 27%), an increase in donor consent rate from -3 to 258% (Mdn = 12%) and an increase in deceased donor transplants from 13 to 24% (Mdn = 19%) following the introduction of donation physicians.Conclusions: Donation physicians have the potential to significantly improve deceased organ donation. Further implementation and evaluation of donation physician programs is warranted. However, implementation should be undertaken with a clear plan for a methodologically rigorous evaluation of outcomes.

Adolescent classroom education on knowledge and attitudes about deceased organ donation: A systematic review

2013 ◽  
Vol 17 (2) ◽  
pp. 119-128 ◽  
Author(s):  
Alvin Ho-Ting Li ◽  
Amanda M. Rosenblum ◽  
Immaculate F. Nevis ◽  
Amit X. Garg
Keyword(s):  
Systematic Review ◽  
Organ Donation ◽  
Knowledge And Attitudes ◽  
Deceased Organ Donation ◽  
Classroom Education

scholarly journals A systematic review of presumed consent systems for deceased organ donation

2009 ◽  
Vol 13 (26) ◽  
Author(s):  
A Rithalia ◽  
C McDaid ◽  
S Suekarran ◽  
G Norman ◽  
L Myers ◽  
...  
Keyword(s):  
Systematic Review ◽  
Organ Donation ◽  
Presumed Consent ◽  
Deceased Organ Donation

A Systematic Review of Opt-out Versus Opt-in Consent on Deceased Organ Donation and Transplantation (2006–2016)

2019 ◽  
Vol 43 (12) ◽  
pp. 3161-3171 ◽  
Author(s):  
M. Usman Ahmad ◽  
Afif Hanna ◽  
Ahmed-Zayn Mohamed ◽  
Alex Schlindwein ◽  
Caitlin Pley ◽  
...  
Keyword(s):  
Systematic Review ◽  
Organ Donation ◽  
Opt Out ◽  
Deceased Organ Donation

scholarly journals An exploration of the relationship between families of deceased organ donors and transplant recipients: A systematic review and qualitative synthesis

2018 ◽  
Vol 5 (1) ◽  
pp. 205510291878217 ◽  
Author(s):  
Sean Glenton Dicks ◽  
Holly Northam ◽  
Frank MP van Haren ◽  
Douglas P Boer
Keyword(s):  
Systematic Review ◽  
Identity Development ◽  
Dynamic System ◽  
Organ Donation ◽  
Organ Donors ◽  
Transplant Recipients ◽  
Qualitative Synthesis ◽  
Deceased Organ Donation ◽  
Points Of View ◽  
The Relationship

Following deceased organ donation and transplantation, the narratives of families of donors and organ recipients become connected. This is acknowledged when parties receive anonymous information from donation agencies and transplant centres, when they exchange correspondence or when they meet in person. This article reviews literature describing the experience from the points of view of donor families, recipients, and other stakeholders to explore the dynamic system that evolves around this relationship. Findings highlight a link between identity development and ongoing adjustment and will assist those supporting donor families and recipients to make decisions that fit meaningfully.

scholarly journals Impact of Donation Physicians on Deceased Organ Donation: A Systematic Review

2020 ◽  
Author(s):  
Janet Squires ◽  
Laura D Aloisio ◽  
Wilmer John Santos ◽  
Danielle Cho-Young ◽  
Monica Taljaard ◽  
...  
Keyword(s):  
Systematic Review ◽  
Organ Donation ◽  
Data Extraction ◽  
Interrupted Time Series ◽  
Deceased Donor ◽  
Organ Donors ◽  
Consent Rate ◽  
Team Members ◽  
Study Selection ◽  
Deceased Organ Donation

Abstract Background: An emerging strategy to increase deceased organ donation is to use dedicated donation physicians to champion organ donation. We sought to conduct a systematic review of the effectiveness of donation physicians in improving organ donation outcomes.Data Sources: A systematic review was conducted following Cochrane principles. MEDLINE, Embase, and CINHAL databases were searched from inception to March 26, 2020. Study Selection: Quantitative studies examining the effects of donation physicians on all deceased organ donation outcomes were considered for inclusion. Review articles, editorials and opinion articles, and case studies were excluded. Study selection was completed independently by two team members; all discrepancies were resolved by consensus.Data Extraction: Two team members independently extracted data from studies. Data Synthesis: A total of 1,017 studies were screened, and 12 met inclusion criteria. Included studies were published between 1994 and 2019. Half used an interrupted time series design (n = 6; 50%), three (25%) were cohort studies, and three (25%) used a before-and-after study design. Outcomes (reported in greater than 50% of included articles) included consent/refusal rate (n = 8; 67%), number of potential donors (n = 7; 58%), and number of actual donors (n = 7; 58%). Across studies and design types, there was an increase in potential organ donors ranging from 8 to 143% (Mdn = 33%), an increase in actual organ donors from 15 to 113% (Mdn = 27%), an increase in donor consent rate from -3 to 258% (Mdn = 12%) and an increase in deceased donor transplants from 13 to 24% (Mdn = 19%) following the introduction of donation physicians.Conclusions: Donation physicians have the potential to significantly improve deceased organ donation. Further implementation and evaluation of donation physician programs is warranted. However, implementation should be undertaken with a clear plan for a methodologically rigorous evaluation of outcomes.

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