In-House Coordinator Programs Improve Conversion Rates for Organ Donation
BACKGROUND:The organ supply shortage continues to be a public health care crisis, with nearly 20 people dying each day awaiting transplantation. Inability to obtain consent remains one of the major obstacles to converting potential donors into organ donors. We hypothesize that the presence of in-hou...
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| Veröffentlicht in: | The Journal of trauma, injury, infection, and critical care injury, infection, and critical care, 2011-09, Vol.71 (3), p.733-736 |
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| container_title | The Journal of trauma, injury, infection, and critical care |
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| creator | Salim, Ali Berry, Cherisse Ley, Eric J. Schulman, Danielle Desai, Chirag Navarro, Sonia Malinoski, Darren |
| description | BACKGROUND:The organ supply shortage continues to be a public health care crisis, with nearly 20 people dying each day awaiting transplantation. Inability to obtain consent remains one of the major obstacles to converting potential donors into organ donors. We hypothesize that the presence of in-house coordinators (IHCs) from organ procurement organizations (OPOs) will improve organ donor conversion rates.
METHODS:This retrospective review analyzed the effect of an IHC program on organ donation outcome. Referrals for possible organ donation from three IHC programs to regional organ procurement organizations were included. Data regarding organ donation demographics and outcomes were compared before (Pre-IHC) and after (Post-IHC) the establishment of an IHC program. The main outcome measures were conversion and family decline rates. The conversion rate was calculated as the number of actual donors divided by the number of eligible deaths and is represented as a percentage. The IHC functioned to assess for potential donors, ensure timely referrals, provide hospital staff education, assist with family consent and donor management, and provide family support.
RESULTS:Post-IHC was associated with a significantly lower family decline rate (6% vs. 18%, p < 0.001), a significantly higher consent for research rate (8% vs. 0.4%, p < 0.001), and a significantly higher conversion rate (77% vs. 63%, p = 0.007) compared with Pre-IHC. In addition, a significant increase in referralsper day (0.35 vs. 0.27, p < 0.05) and organs transplanted per eligible death were noted Post-IHC.
CONCLUSION:The presence of an IHC program significantly improves conversion rates for organ donation as well as organ yield. An IHC program should be considered as a viable option to bridge the gap between organ supply and organ demand. |
| doi_str_mv | 10.1097/TA.0b013e31820500e6 |
| format | Article |
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METHODS:This retrospective review analyzed the effect of an IHC program on organ donation outcome. Referrals for possible organ donation from three IHC programs to regional organ procurement organizations were included. Data regarding organ donation demographics and outcomes were compared before (Pre-IHC) and after (Post-IHC) the establishment of an IHC program. The main outcome measures were conversion and family decline rates. The conversion rate was calculated as the number of actual donors divided by the number of eligible deaths and is represented as a percentage. The IHC functioned to assess for potential donors, ensure timely referrals, provide hospital staff education, assist with family consent and donor management, and provide family support.
RESULTS:Post-IHC was associated with a significantly lower family decline rate (6% vs. 18%, p < 0.001), a significantly higher consent for research rate (8% vs. 0.4%, p < 0.001), and a significantly higher conversion rate (77% vs. 63%, p = 0.007) compared with Pre-IHC. In addition, a significant increase in referralsper day (0.35 vs. 0.27, p < 0.05) and organs transplanted per eligible death were noted Post-IHC.
CONCLUSION:The presence of an IHC program significantly improves conversion rates for organ donation as well as organ yield. An IHC program should be considered as a viable option to bridge the gap between organ supply and organ demand.</description><identifier>ISSN: 0022-5282</identifier><identifier>EISSN: 1529-8809</identifier><identifier>DOI: 10.1097/TA.0b013e31820500e6</identifier><identifier>PMID: 21399548</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins, Inc</publisher><subject>Adolescent ; Adult ; Aged ; Anesthesia ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Biological and medical sciences ; Clinical death. Palliative care. Organ gift and preservation ; Diseases of the osteoarticular system ; General anesthesia. Technics. Complications. Neuromuscular blocking. Premedication. Surgical preparation. Sedation ; Humans ; Informed Consent ; Medical sciences ; Middle Aged ; Patient Acceptance of Health Care ; Professional-Family Relations ; Program Evaluation ; Referral and Consultation - organization & administration ; Retrospective Studies ; Tissue and Organ Procurement - organization & administration ; Tissue Donors - supply & distribution ; Young Adult</subject><ispartof>The Journal of trauma, injury, infection, and critical care, 2011-09, Vol.71 (3), p.733-736</ispartof><rights>2011 Lippincott Williams & Wilkins, Inc.</rights><rights>2015 INIST-CNRS</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3826-69be9aa812ac693476b495711d55e0f7a6f5403e6d52a3ff722cab2c1bfaa7a43</citedby><cites>FETCH-LOGICAL-c3826-69be9aa812ac693476b495711d55e0f7a6f5403e6d52a3ff722cab2c1bfaa7a43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=24553028$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21399548$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Salim, Ali</creatorcontrib><creatorcontrib>Berry, Cherisse</creatorcontrib><creatorcontrib>Ley, Eric J.</creatorcontrib><creatorcontrib>Schulman, Danielle</creatorcontrib><creatorcontrib>Desai, Chirag</creatorcontrib><creatorcontrib>Navarro, Sonia</creatorcontrib><creatorcontrib>Malinoski, Darren</creatorcontrib><title>In-House Coordinator Programs Improve Conversion Rates for Organ Donation</title><title>The Journal of trauma, injury, infection, and critical care</title><addtitle>J Trauma</addtitle><description>BACKGROUND:The organ supply shortage continues to be a public health care crisis, with nearly 20 people dying each day awaiting transplantation. Inability to obtain consent remains one of the major obstacles to converting potential donors into organ donors. We hypothesize that the presence of in-house coordinators (IHCs) from organ procurement organizations (OPOs) will improve organ donor conversion rates.
METHODS:This retrospective review analyzed the effect of an IHC program on organ donation outcome. Referrals for possible organ donation from three IHC programs to regional organ procurement organizations were included. Data regarding organ donation demographics and outcomes were compared before (Pre-IHC) and after (Post-IHC) the establishment of an IHC program. The main outcome measures were conversion and family decline rates. The conversion rate was calculated as the number of actual donors divided by the number of eligible deaths and is represented as a percentage. The IHC functioned to assess for potential donors, ensure timely referrals, provide hospital staff education, assist with family consent and donor management, and provide family support.
RESULTS:Post-IHC was associated with a significantly lower family decline rate (6% vs. 18%, p < 0.001), a significantly higher consent for research rate (8% vs. 0.4%, p < 0.001), and a significantly higher conversion rate (77% vs. 63%, p = 0.007) compared with Pre-IHC. In addition, a significant increase in referralsper day (0.35 vs. 0.27, p < 0.05) and organs transplanted per eligible death were noted Post-IHC.
CONCLUSION:The presence of an IHC program significantly improves conversion rates for organ donation as well as organ yield. An IHC program should be considered as a viable option to bridge the gap between organ supply and organ demand.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Anesthesia</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Clinical death. Palliative care. Organ gift and preservation</subject><subject>Diseases of the osteoarticular system</subject><subject>General anesthesia. Technics. Complications. Neuromuscular blocking. Premedication. Surgical preparation. Sedation</subject><subject>Humans</subject><subject>Informed Consent</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Patient Acceptance of Health Care</subject><subject>Professional-Family Relations</subject><subject>Program Evaluation</subject><subject>Referral and Consultation - organization & administration</subject><subject>Retrospective Studies</subject><subject>Tissue and Organ Procurement - organization & administration</subject><subject>Tissue Donors - supply & distribution</subject><subject>Young Adult</subject><issn>0022-5282</issn><issn>1529-8809</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kEtPwzAQhC0EgvL4BUgoF8QpsLbj2D5W5VWpEgiVc7RJbQgkcbHTVvx7XLWAxIHTHuab0ewQckrhkoKWV9PhJZRAueFUMRAAJt8hAyqYTpUCvUsGAIylgil2QA5DeAOALONqnxwwyrUWmRqQ8bhL790imGTknJ_VHfbOJ4_evXhsQzJu594t12K3ND7UrkuesDchsZF68C_YJdcueqJwTPYsNsGcbO8Reb69mY7u08nD3Xg0nKQVVyxPc10ajagowyrXPJN5mWkhKZ0JYcBKzK3IgJt8JhhyayVjFZasoqVFlJjxI3KxyY3NPhYm9EVbh8o0DXYmPlIopamUTKlI8g1ZeReCN7aY-7pF_1lQKNYTFtNh8XfC6Drb5i_K1sx-PN-bReB8C2CosLEeu6oOv1wmBAe25uSGW7mmj-O9N4uV8cWrwaZ__bfCFw38iyc</recordid><startdate>201109</startdate><enddate>201109</enddate><creator>Salim, Ali</creator><creator>Berry, Cherisse</creator><creator>Ley, Eric J.</creator><creator>Schulman, Danielle</creator><creator>Desai, Chirag</creator><creator>Navarro, Sonia</creator><creator>Malinoski, Darren</creator><general>Lippincott Williams & Wilkins, Inc</general><general>Lippincott Williams & Wilkins</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201109</creationdate><title>In-House Coordinator Programs Improve Conversion Rates for Organ Donation</title><author>Salim, Ali ; Berry, Cherisse ; Ley, Eric J. ; Schulman, Danielle ; Desai, Chirag ; Navarro, Sonia ; Malinoski, Darren</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3826-69be9aa812ac693476b495711d55e0f7a6f5403e6d52a3ff722cab2c1bfaa7a43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Anesthesia</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>Clinical death. Palliative care. Organ gift and preservation</topic><topic>Diseases of the osteoarticular system</topic><topic>General anesthesia. Technics. Complications. Neuromuscular blocking. Premedication. Surgical preparation. Sedation</topic><topic>Humans</topic><topic>Informed Consent</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Patient Acceptance of Health Care</topic><topic>Professional-Family Relations</topic><topic>Program Evaluation</topic><topic>Referral and Consultation - organization & administration</topic><topic>Retrospective Studies</topic><topic>Tissue and Organ Procurement - organization & administration</topic><topic>Tissue Donors - supply & distribution</topic><topic>Young Adult</topic><toplevel>online_resources</toplevel><creatorcontrib>Salim, Ali</creatorcontrib><creatorcontrib>Berry, Cherisse</creatorcontrib><creatorcontrib>Ley, Eric J.</creatorcontrib><creatorcontrib>Schulman, Danielle</creatorcontrib><creatorcontrib>Desai, Chirag</creatorcontrib><creatorcontrib>Navarro, Sonia</creatorcontrib><creatorcontrib>Malinoski, Darren</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of trauma, injury, infection, and critical care</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Salim, Ali</au><au>Berry, Cherisse</au><au>Ley, Eric J.</au><au>Schulman, Danielle</au><au>Desai, Chirag</au><au>Navarro, Sonia</au><au>Malinoski, Darren</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>In-House Coordinator Programs Improve Conversion Rates for Organ Donation</atitle><jtitle>The Journal of trauma, injury, infection, and critical care</jtitle><addtitle>J Trauma</addtitle><date>2011-09</date><risdate>2011</risdate><volume>71</volume><issue>3</issue><spage>733</spage><epage>736</epage><pages>733-736</pages><issn>0022-5282</issn><eissn>1529-8809</eissn><abstract>BACKGROUND:The organ supply shortage continues to be a public health care crisis, with nearly 20 people dying each day awaiting transplantation. Inability to obtain consent remains one of the major obstacles to converting potential donors into organ donors. We hypothesize that the presence of in-house coordinators (IHCs) from organ procurement organizations (OPOs) will improve organ donor conversion rates.
METHODS:This retrospective review analyzed the effect of an IHC program on organ donation outcome. Referrals for possible organ donation from three IHC programs to regional organ procurement organizations were included. Data regarding organ donation demographics and outcomes were compared before (Pre-IHC) and after (Post-IHC) the establishment of an IHC program. The main outcome measures were conversion and family decline rates. The conversion rate was calculated as the number of actual donors divided by the number of eligible deaths and is represented as a percentage. The IHC functioned to assess for potential donors, ensure timely referrals, provide hospital staff education, assist with family consent and donor management, and provide family support.
RESULTS:Post-IHC was associated with a significantly lower family decline rate (6% vs. 18%, p < 0.001), a significantly higher consent for research rate (8% vs. 0.4%, p < 0.001), and a significantly higher conversion rate (77% vs. 63%, p = 0.007) compared with Pre-IHC. In addition, a significant increase in referralsper day (0.35 vs. 0.27, p < 0.05) and organs transplanted per eligible death were noted Post-IHC.
CONCLUSION:The presence of an IHC program significantly improves conversion rates for organ donation as well as organ yield. An IHC program should be considered as a viable option to bridge the gap between organ supply and organ demand.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins, Inc</pub><pmid>21399548</pmid><doi>10.1097/TA.0b013e31820500e6</doi><tpages>4</tpages></addata></record> |
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| subjects | Adolescent Adult Aged Anesthesia Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Clinical death. Palliative care. Organ gift and preservation Diseases of the osteoarticular system General anesthesia. Technics. Complications. Neuromuscular blocking. Premedication. Surgical preparation. Sedation Humans Informed Consent Medical sciences Middle Aged Patient Acceptance of Health Care Professional-Family Relations Program Evaluation Referral and Consultation - organization & administration Retrospective Studies Tissue and Organ Procurement - organization & administration Tissue Donors - supply & distribution Young Adult |
| title | In-House Coordinator Programs Improve Conversion Rates for Organ Donation |
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