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Related Concept Videos

Tissue Transplantation01:24

Tissue Transplantation

Tissue transplantation is a significant medical procedure involving the transfer of cells, tissues, or organs from a donor to a recipient, with the primary aim of restoring lost functions. This procedure is crucial in treating a broad spectrum of diseases, including kidney diseases, liver failure, heart disease, and certain types of cancers.
The Biology of Tissue Transplantation
The biology of tissue transplantation hinges on the Major Histocompatibility Complex (MHC) molecules. These molecules...
Kidney Transplant I: Introduction01:28

Kidney Transplant I: Introduction

A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...

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Recent Decrease in Organ Donation from Brain-Dead Potential Organ Donors in Korea and Possible Causes.

Jin Park1, Claire Junga Kim2

  • 1Department of Critical Care Medicine and Neurology, Ewha Womans University Seoul Hospital, Seoul, Korea.

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|April 4, 2020
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Summary

Declining organ donation from brain-dead patients in Korea is linked to family consent issues. The Life-Sustaining Treatment Act and abolished donor family compensation significantly impacted donation rates.

Keywords:
Brain DeathEthicsFamilyOrgan DonorOrgan Transplantation

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Area of Science:

  • Medical Ethics
  • Public Health Policy
  • Transplantation Medicine

Background:

  • Organ donation from brain-dead individuals was legalized in Korea in 1999.
  • Donation rates increased from 2002 to 2016, but have declined since 2017.
  • This study investigates the reasons for the recent decrease in brain-dead organ donation.

Purpose of the Study:

  • To analyze the factors contributing to the decline in brain-dead organ donation in Korea.
  • To identify key policy and societal influences on organ donor consent rates.

Main Methods:

  • Analysis of annual reports from the Korea Organ Donation Agency (2013-2018).
  • Examination of trends in brain-dead potential donors versus eligible donors.
  • Correlation of donation trends with significant legislative and societal events.

Main Results:

  • Brain-dead organ donor numbers declined sharply in 2017 and 2018 after years of increase.
  • An increase in potential donors did not translate to more donations, indicating higher family rejection.
  • Key events coinciding with the decline include the abolition of donor family compensation and the enactment of the Life-Sustaining Treatment Act.

Conclusions:

  • The reduction in brain-dead organ donation is primarily attributed to decreased family consent.
  • The Life-Sustaining Treatment Act is a significant factor influencing family decisions.
  • Abolition of compensation and mistreatment incidents may also have negatively impacted family consent for organ donation.