The decision-making process of parents regarding organ donation of their brain dead child: A Greek study

Bellali, Thalia; Papadatou, Danai

doi:10.1016/j.socscimed.2006.09.006

Cited by 42 publications

(44 citation statements)

References 23 publications

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“…Our results showed no effect of the number of NOK (one or more) involved in the request process on the probability of consent. Two studies, which assessed the decision-making process of parents, indicate that parents may consider organ donation to be somehow consoling, since something positive would result from their child’s death through helping others [44], [45]. This might be the case not only for parents of pediatric patients, but also for parents of adults.…”

Section: Discussionmentioning

confidence: 99%

Organ Donation in Switzerland - An Analysis of Factors Associated with Consent Rate

et al. 2014

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Background and AimSwitzerland has a low post mortem organ donation rate. Here we examine variables that are associated with the consent of the deceased’s next of kin (NOK) for organ donation, which is a prerequisite for donation in Switzerland.Methods and AnalysisDuring one year, we registered information from NOK of all deceased patients in Swiss intensive care units, who were approached for consent to organ donation. We collected data on patient demographics, characteristics of NOK, factors related to the request process and to the clinical setting. We analyzed the association of collected predictors with consent rate using univariable logistic regression models; predictors with p-values <0.2 were selected for a multivariable logistic regression.ResultsOf 266 NOK approached for consent, consent was given in 137 (51.5%) cases. In multivariable analysis, we found associations of consent rates with Swiss nationality (OR 3.09, 95% CI: 1.46–6.54) and German language area (OR 0.31, 95% CI: 0.14–0.73). Consent rates tended to be higher if a parent was present during the request (OR 1.76, 95% CI: 0.93–3.33) and if the request was done before brain death was formally declared (OR 1.87, 95% CI: 0.90–3.87).ConclusionEstablishing an atmosphere of trust between the medical staff putting forward a request and the NOK, allowing sufficient time for the NOK to consider donation, and respecting personal values and cultural differences, could be of importance for increasing donation rates. Additional measures are needed to address the pronounced differences in consent rates between language regions.

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Section: Discussionmentioning

confidence: 99%

Organ Donation in Switzerland - An Analysis of Factors Associated with Consent Rate

et al. 2014

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“…When considering organ donation, 1 of the key factors influencing parental consent is the altruistic desire to help another child live or help prevent or relieve the suffering of other parents. 47,48 Although it would be misleading to let parents think that their child' s donated organs will definitely be transplanted into another sick child, it would be reasonable to inform parents that organ donation from children does help other children, even if not directly.…”

Section: Figurementioning

confidence: 99%

Pediatric Organ Donation and Transplantation

et al. 2013

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BACKGROUND AND OBJECTIVES: There is increasing unmet need for solid organ donation. Alternative donor sources, such as donation after circulatory determination of death (DCDD), are needed. The objective of this study was to examine the impact of DCDD on trends in pediatric organ donation and transplantation. METHODS: Data were obtained from the Organ Procurement and Transplantation Network for US organ recipients and donors from 2001 to 2010 stratified according to age, organ, and deceased donor type (DCDD or donation after neurologic determination of death). Additional data included transplant wait-list removals due to death. RESULTS: From 2001 to 2010, pediatric organ transplant recipients increased from 1170 to 1475. Organs from DCDD donors were transplanted into children infrequently but increased from 1 to 31. Pediatric donation after neurologic determination of death decreased by 13% whereas DCDD increased by 174% (50 to 137). Recipients of pediatric grafts decreased from 3042 to 2751. Adults receiving grafts from pediatric donors decreased from 2243 to 1780; children receiving pediatric grafts increased from 799 to 971. Transplant recipients receiving pediatric DCDD grafts were few but increased annually from 50 to 128 adults and 0 to 9 children. Pediatric candidates dying waiting for an organ decreased from 262 to 110. CONCLUSIONS: From 2001 to 2010, children received more solid organ transplants and fewer children died waiting. Organ recovery from pediatric and adult DCDD donors increased. The number of pediatric recipients of DCDD grafts remains small. Adults primarily receive the direct benefit from pediatric DCDD but other changes in organ allocation have directly benefited children.

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“…La idea de vivir en otros se repite en los estudios revisados 6,9,13,25 , ya que el donante trasciende. Ayudar a otros motiva a los donantes y sus familias; permitiendo aliviar el sufrimiento de la pérdida 9 .…”

Section: Discussionunclassified

“…Comprender esta vivencia permitirá encontrar elementos significativos para brindar un cuidado humanizado y comprensivo, acorde a las necesidades que viven durante este proceso 9,11,25 . Este estudio refuerza una entrega de información sistemática y continua 19,26,27 .…”

Section: Discussionunclassified

Donar, un cambio de vida: comprender la experiencia de familiares que aceptaron la donación de órganos

2014

Rev. méd. Chile

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The decision-making process of parents regarding organ donation of their brain dead child: A Greek study

Cited by 42 publications

References 23 publications

Organ Donation in Switzerland - An Analysis of Factors Associated with Consent Rate

Organ Donation in Switzerland - An Analysis of Factors Associated with Consent Rate

Pediatric Organ Donation and Transplantation

Donar, un cambio de vida: comprender la experiencia de familiares que aceptaron la donación de órganos

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