Causes of Failure during the Management Process from Identification of Brain-Dead Potential Organ Donors to Actual Donation in Korea: a 5-Year Data Analysis (2012–2016)

Kim, Mi im; Oh, Jaesook; Cho, Won Hyun; Kim, Joo Young; Jung, Cheol Woong; You, Young Dong; Gwon, Jun Gyo; Lee, Jae Myeong

doi:10.3346/jkms.2018.33.e326

Cited by 5 publications

(3 citation statements)

References 6 publications

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“…Fourth, the reason for the lack of deceased OTD in Korea includes factors other than the doctors, such as donation refusal, non-brain death, and incompatible donors. 6 25 However, since such factors were not addressed in this study, understanding the factors affecting physicians’ attitudes toward deceased organ donation in clinical situations may be limited. Lastly, the questionnaire items used in this study were all questions reflecting the Korean system and medical environment, and were based on the thesis in Korean.…”

Section: Discussionmentioning

confidence: 99%

Analysis of Factors Affecting Emergency Physicians’ Attitudes toward Deceased Organ & Tissue Donation

et al. 2021

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Background This study aimed to investigate differences in knowledge, and attitudes toward deceased organ and tissue donation of emergency physicians. Additionally, we analyzed factors affecting the attitudes toward deceased organ and tissue donation. Methods We conducted a survey of specialists and residents registered with the Korean Society of Emergency Medicine in December 2020. The respondents’ sex, age, position, personal registration for organ donation, experience of soliciting organ donation, participation in related education, knowledge, and attitude about brain death organ donation, and attitude toward stopping life-sustaining treatments were investigated. According to the characteristics of the respondents (specialists or residents, experience and education on organ and tissue donation), their knowledge and attitude toward deceased organ donation were compared. Stepwise hierarchical multiple regression analysis was used to investigate the factors affecting the attitudes toward deceased organ and tissue donation. Results Of the total 428 respondents, there were 292 emergency medicine specialists and 136 medical residents. Specialists and those who registered or wished to donate organs had higher knowledge and attitude scores regarding deceased organ and tissue donation. Those who had experience recommending organ and tissue donation more than 6 times had higher knowledge scores on deceased organ and tissue donation and higher overall scores in attitude. Those who received education from the Korean Organ Donation Agency had higher knowledge scores. Specialists, and those who wished to donate or had registered as organ donors and had a higher life-sustaining treatment attitude score and knowledge about deceased organ and tissue donation, had more positive attitudes toward deceased organ and tissue donation. Conclusion For more potential deceased organ and tissue donors to be referred for donation, there should be continuous education for emergency physicians on brain-dead organ and tissue donation-related knowledge and procedures. In addition, institutional or systematic improvements that can lead to organ donation when deciding on the withdrawal of life-sustaining treatment should be considered.

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Section: Discussionmentioning

confidence: 99%

Analysis of Factors Affecting Emergency Physicians’ Attitudes toward Deceased Organ & Tissue Donation

et al. 2021

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“…According to the South Korean protocol, brain death can only be declared after a brain death determination committee, which includes both medical and nonmedical members, reviews the brain death examination results and reaches a unanimous decision [32]. Thus, it is ultimately up to a committee rather than individual physicians to determine whether or not a patient can be declared brain dead.…”

Section: Working Practicementioning

confidence: 99%

Cultural sensitivity in brain death determination: a necessity in end-of-life decisions in Japan

Terunuma

Mathis

2021

BMC Med Ethics

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Background In an increasingly globalized world, legal protocols related to health care that are both effective and culturally sensitive are paramount in providing excellent quality of care as well as protection for physicians tasked with decision making. Here, we analyze the current medicolegal status of brain death diagnosis with regard to end-of-life care in Japan, China, and South Korea from the perspectives of front-line health care workers. Main body Japan has legally wrestled with the concept of brain death for decades. An inability to declare brain death without consent from family coupled with cultural expectations of family involvement in medical care is mirrored in other Confucian-based cultures (China and South Korea) and may complicate care for patients from these countries when traveling or working overseas. Within Japan, China, and South Korea, medicolegal shortcomings in the diagnosis of brain death (and organ donation) act as a great source of stress for physicians and expose them to potential public and legal scorn. Here, we detail the medicolegal status of brain death diagnosis within Japan and compare it to China and South Korea to find common ground and elucidate the impact of legal ambiguity on health care workers. Conclusion The Confucian cultural foundation of multiple Asian countries raises common issues of family involvement with diagnosis and cultural considerations that must be met. Leveraging public education systems may increase awareness of brain death issues and lead to evolving laws that clarify such end-of-life issues while protecting physicians from sociocultural backlash.

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“…In this study, we conducted an online survey to determine the individual readiness in the three neighbouring countries: Japan, South Korea and Taiwan. These three selected countries have a similar social readiness, such as organ transplant acts, transplant centres and performance of organ transplant as ordinary medical care6–8 but exhibit large differences in the numbers of donated organs from the deceased (actual deceased organ donors rate per million population (ADODR); the worldwide index to compare the development of organ donation) (for details see the Methods section). Our working hypothesis was that differences in individual readiness may, at least partially, explain the difference in ADODR among these three countries with similar social readiness.…”

Section: Introductionmentioning

confidence: 99%

Individual readiness for transplantation medicine of laypersons and the number of deceased organ donors: a cross-sectional online survey in Japan, South Korea and Taiwan

2022

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ObjectivesThe gap between the numbers of organ donors and recipients is a common problem worldwide. This study was designed to investigate the importance of ‘individual readiness’, a here introduced novel concept in transplantation medicine and a measure of positive attitudes towards organ donation and transplantation.DesignA cross-sectional online survey was used to collect the research data.ParticipantsThe participants were recruited by a Japanese research company and affiliates in South Korea and Taiwan and fulfilled the following criteria: (1) laypersons aged 18–75 years, (2) residents of the countries and (3) understood the questions in their native languages.Primary outcome measuresThe survey investigated the interest and attitude of individuals regarding transplantation medicine by asking multiple choice questions. Based on answers concerning attitude, a positive group was identified as willing to be organ donors and recipients, and a non-positive group was identified as unwilling to be donors and recipients. The ratio between the positive and non-positive group, the P/N ratio, was introduced as an index of individual readiness.Results1500 samples were included in this analysis. Individuals with interest agreed more with statements on organ donation than those without interest, and the P/N ratio per country was compatible with the actual deceased organ donors rate per million population (ADODR).ConclusionsInterest in transplantation medicine was associated with positive attitudes, and positive attitudes were associated with a higher ADODR. These results support that individual readiness is an important determinant for the number of donors. The P/N ratio can be used as an index to assess individual readiness in organ transplantation, at least in countries with minor to moderate popularisation. Further studies of individual readiness using the P/N ratio should be undertaken to develop policies and initiatives for increasing organ donations.

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Causes of Failure during the Management Process from Identification of Brain-Dead Potential Organ Donors to Actual Donation in Korea: a 5-Year Data Analysis (2012–2016)

Cited by 5 publications

References 6 publications

Analysis of Factors Affecting Emergency Physicians’ Attitudes toward Deceased Organ & Tissue Donation

Analysis of Factors Affecting Emergency Physicians’ Attitudes toward Deceased Organ & Tissue Donation

Cultural sensitivity in brain death determination: a necessity in end-of-life decisions in Japan

Individual readiness for transplantation medicine of laypersons and the number of deceased organ donors: a cross-sectional online survey in Japan, South Korea and Taiwan

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