A success story in minority donation: The LifeGift/Ben Taub general hospital in-house coordinator program

Shafer, Teresa J.; Wood, Russell; Buren, Charles T. Van; Guerriero, G.; Davis, Kimberly; Reyes, Dennys; Sullivan, Helen; Levert-Cole, T.

doi:10.1016/s0041-1345(97)01099-3

Cited by 25 publications

(14 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In doing so, the OPO can determine whether donation rates are low in all populations and requires broad changes in their approach to donation, or are only suboptimal in certain groups who may benefit from targeted interventions, which has proven successful across diverse populations (i.e. ethnicity-matched requestors to approach next-of-kin of potential donors who were a racial/ethnic minority (36,37)). …”

Section: Discussionmentioning

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

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

show abstract

Section: Discussionmentioning

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

“…For instance, it has been shown that using an ethnicity-matched requestor for donation has the potential to increase consent rates among racial and ethnic minorities. (20) Availability of such ethnicity-matched requestors for ICU staff could potentially lead to increased organ consent rates among racial/ethnic minorities. In addition to ethnicity-matched requestors, ICU staff should ensure appropriate use of medical interpreters when working with individuals for whom English is not the primary language.…”

Section: Discussionmentioning

confidence: 99%

Deceased Organ Donation Consent Rates Among Racial and Ethnic Minorities and Older Potential Donors*

Goldberg

Halpern

Reese

2013

Critical Care Medicine

View full text Add to dashboard Cite

Objectives We sought to assess consent rates for organ donation from potential brain-dead donors, and to identify factors associated with variation in consent for donation that could guide the development of targeted interventions to increase organ consent rates. Design, Setting, and Subjects We used data provided by the Organ Procurement and Transplantation Network (OPTN) to analyze the 35,823 OPO-reported eligible deaths (potential brain-dead donors ≤70 years of age) from January 1st, 2008 to October 31st, 2011. Measurements and Main Results Excluding cases where donation authorization was based on prior patient documentation (e.g. donor registry), consent was obtained on 21,601 (68.9%), not obtained on 8,727 (27.8%), and not requested on 1,080 (3.4%) eligible deaths. There were substantial differences in consent rates among racial/ethnic groups (77.0% in whites, 67.5% in Hispanics, 54.9% in blacks, and 48.1% in Asians) and OPOs (median (IQR): 72.4% (67.5 – 87.3)). In generalized estimating equation models, with whites and patients ages 18–39 years as the respective reference groups, consent for donation was less likely to be obtained among Hispanics (OR 0.54; 95% CI: 0.44–0.65), blacks (OR 0.35; 95% CI: 0.31–0.39), Asians (OR 0.31; 95% CI: 0.25–0.37), and eligible donors ages 55–64 (OR 0.72; 95% CI: 0.67–0.77), and ≥ 65 (OR 0.58; 95% CI: 0.52–0.64) years. Conclusions In presenting the first published analyses of consent rates among all eligible deaths, this study confirms smaller and regional studies that showed significant differences in consent rates between whites and racial/ethnic minorities (blacks, Hispanics, and Asians). The study also identifies considerable variation in consent rates between age groups and between OPOs. Critical care physicians are usually the front-line providers for potential brain-dead donors and their next-of-kin, and these data highlight the need for further research to identify the causes of variation in consent rates and mechanisms to increase rates where appropriate.

show abstract

“…This article focuses on one specific aspect of organ donor management that seems to be the topic of some debate in the literature and thus may help the committee understand areas of debate in the literature and directions for future research. You also include citations and brief explanations discussing the management of social and family concerns involved in organ donation [11]. In addition, you select articles that focus on staff training in the use of appropriate resuscitation protocol methods (i.e., managing respiratory and physiologic parameters to preserve organ function and prevent damage), in providing timely communication with the OPO, and in recognizing specific medical needs that should be appropriately addressed in the organ donor [10].…”

Section: Selecting the Articlesmentioning

confidence: 99%

“…This article may be very useful as background reading and may lead you to studies and other papers cited in the text but does not provide primary evidence that answers your question directly. You also choose not to include an article describing improvements in the number of organs harvested from minority patients due to the inclusion of an in-house OPO staff member [11], because it focuses on a specific patient subset rather than an over-arching protocol.…”

Section: Selecting the Articlesmentioning

confidence: 99%

Organ preservation in a brain dead patient: information support for neurocritical care protocol development

Todd¹,

Jerome²,

Jarquin‐Valdivia³

2007

J Med Libr Assoc

View full text Add to dashboard Cite

A success story in minority donation: The LifeGift/Ben Taub general hospital in-house coordinator program

Cited by 25 publications

References 0 publications

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

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

Deceased Organ Donation Consent Rates Among Racial and Ethnic Minorities and Older Potential Donors*

Organ preservation in a brain dead patient: information support for neurocritical care protocol development

Contact Info

Product

Resources

About