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Racial Equity in Family Approach for Patients Medically Suitable for Deceased Organ Donation.

James R Rodrigue1,2,3, Jesse D Schold4, Alexandra Glazier3,5

  • 1Beth Israel Deaconess Medical Center, Boston, MA.

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|September 16, 2024
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Summary

Organ Procurement Organizations (OPOs) showed racial equity in family approach rates for medically suitable organ donors. This study found no significant differences in family approach across racial/ethnic groups.

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Area of Science:

  • Organ transplantation research
  • Public health disparities
  • Medical ethics in donation

Background:

  • Organ donation is critical for saving lives, yet disparities in donation rates exist.
  • Understanding factors influencing organ donor referral and family consent is crucial for addressing these disparities.

Purpose of the Study:

  • To analyze the association between race/ethnicity and the family approach for medically suitable potential organ donors.
  • To identify potential disparities in the organ donation process.

Main Methods:

  • Retrospective review of data from ten Organ Procurement Organizations (OPOs) in the United States.
  • Analysis included over 255,000 potential organ donors from 2018-2022.
  • Descriptive statistics and multivariable logistic models were used to evaluate factors associated with family approach.

Main Results:

  • Overall family approach rate for medically suitable donors was 94% and did not significantly vary by race/ethnicity.
  • While medical suitability varied slightly by race/ethnicity, family approach rates remained consistent.
  • Donor registration status showed significant variation by race/ethnicity, highlighting a potential area for targeted outreach.

Conclusions:

  • The study indicates racial equity in Organ Procurement Organization family approach rates for medically suitable organ donors.
  • Further research should explore disparities in donor registration and consent processes to ensure equitable organ availability.