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Donation in Private Clinics as an Alternate Strategy to Increase the Pool of Donors
J Revuelto-Rey1, T Aldabó-Pallás2, J J Egea-Guerrero2
1Joan XXIII University Hospital, Tarragona, Spain.
Abstract:
In recent years, the donation process is being characterized by a decreased number of brain deaths and a logistical shift toward cardiac-death donation, both controlled and uncontrolled, in Spain. As we know, cardiac-death donors produce fewer usable organs than brain-death donors. Therefore, many of the Spanish transplant coordinators are working to find new strategies that bring efficiency to donor detection. Since 2012, at the Virgen del Rocío University Hospital, Seville, we have been trying to obtain more donors with the use of a huge logistical and administrative effort of all the elements that make up the donation and transplantation teams, because we have sought to get organ donors in all private clinics in the city. The result of this effort has succeeded in increasing the donation rate in Seville to 3 donors and >6 usable organs per year. This paper also analyzes the characteristics of these donors, comparing our results with our community and the country. The conclusion of all this, we believe, encourages persevering in those efforts and endorses a strategy that could be applied in other parts of the world with good results in terms of transplanted organs.
Insights
Spain
Area of Science:
- Transplant medicine
- Organ donation logistics
Background:
- Declining brain deaths and a shift to cardiac-death donation in Spain.
- Cardiac-death donors yield fewer organs than brain-death donors.
- Need for innovative strategies to improve organ donor detection.
Purpose of the Study:
- To increase organ donor rates in Seville through enhanced logistical and administrative efforts.
- To identify and analyze characteristics of organ donors from private clinics.
- To compare Seville's donation results with regional and national data.
Main Methods:
- Implementation of a comprehensive logistical and administrative strategy at Virgen del Rocío University Hospital.
- Expansion of donor identification efforts to include all private clinics in Seville.
- Analysis of donor characteristics and donation rates.
Main Results:
- Increased donation rate in Seville to 3 donors and >6 usable organs per year.
- Successful integration of private clinics into the organ donation network.
- Demonstrated effectiveness of the enhanced strategy in improving organ yield.
Conclusions:
- The enhanced logistical and administrative strategy is effective in increasing organ donor rates.
- The strategy of expanding donor identification to private clinics shows promise.
- This approach could be replicable globally to improve organ transplantation outcomes.
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