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Telephone consent in tissue donation: effectiveness and efficiency in postmortem tissue generation.
C Rodríguez-Villar1, M C Ruiz-Jaramillo, D Paredes
1Transplant Service Unit, Clinic Hospital, Barcelona, Spain. crodri@clinic.ub.es
Transplantation Proceedings
|September 25, 2007
Summary
Telephone interviews are an effective method for increasing postmortem tissue donation rates. This approach significantly improves donor generation effectiveness and efficiency, aiding transplant purposes.
Area of Science:
- Transplantation science
- Medical sociology
- Public health
Background:
- Contacting family members for interviews is a critical step in the organ and tissue donation process.
- Difficulty in reaching families can lead to a loss of potential donors.
Purpose of the Study:
- To evaluate the effectiveness and efficiency of telephone interviews in obtaining consent for tissue donation.
- To compare telephone interviews with in-person interviews for tissue procurement.
Main Methods:
- A prospective, comparative cross-sectional study was conducted between January 2004 and December 2005.
- Data were collected on personal and telephone interviews with family members of deceased individuals.
- Effectiveness (donors/total deaths) and efficiency (donors/potential donors) were calculated.
Main Results:
- Out of 3625 deaths, 770 (21%) were potential donors.
- Telephone interviews were used in 29% of cases, with a 48% refusal rate.
- In-person interviews occurred in 65% of cases, with a 37% refusal rate.
- Telephone interviews increased tissue generation by 16%, with a year-on-year increase of 4% in donor generation effectiveness.
- Donor generation effectiveness increased from 9% (personal) to 12% (including telephone).
- Donor generation efficiency increased from 43% (personal) to 59% (including telephone).
Conclusions:
- Telephone interviews are a valuable tool for increasing postmortem tissue donation.
- This method enhances both the effectiveness and efficiency of tissue procurement.
- The study highlights the utility of telephone communication in overcoming barriers to family consent for donation.
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