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Increasing the donor pool in Chile.

J M Palacios1

  • 1Hospital San Juan de Díos, Santiago, Chile.

Journal of Transplant Coordination : Official Publication of the North American Transplant Coordinators Organization (NATCO)
|April 17, 1999
PubMed
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Chile saw a significant increase in organ donors after establishing the National Transplant Development Corporation (Corporación Nacional de Fomento de Trasplantes). This initiative boosted multiorgan procurement, though donation efforts remain concentrated in Santiago.

Area of Science:

  • Transplantation Medicine
  • Public Health Policy
  • Organ Donation and Procurement

Background:

  • Established in 1991, the National Transplant Development Corporation (Corporación Nacional de Fomento de Trasplantes) is a private, nonprofit organization.
  • Its primary objective is to enhance organ donor numbers and multiorgan procurement rates.
  • The corporation operates independently, bridging patient needs with the National Ministry of Health.

Purpose of the Study:

  • To evaluate the impact of the National Transplant Development Corporation on organ donation in Chile.
  • To assess changes in donor numbers and procurement following the corporation's establishment.

Main Methods:

  • Analysis of organ donor statistics before and after the corporation's inception.
  • Review of family refusal rates and donor demographics.

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  • Geographical analysis of donor concentration.

    • Main Results:

    • Actual donors increased from 32 to 98.
    • Potential donors tripled, with pediatric and marginal donors rising from 2% to 15%.
    • Family refusal rates ranged from 28% to 53.4%; 95% of donors were from Santiago.

    Conclusions:

    • The National Transplant Development Corporation has demonstrably increased organ donation and procurement in Chile.
    • Efforts are ongoing to expand donation nationwide through public campaigns and professional education.
    • Addressing geographical disparities in donation remains a key focus.