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Variation in organ donation in northeastern England 1986 to 2003

Lookup NU author(s): John Asher, Colin Wilson, Muhammed Gok, Professor Naeem Soomro, David Rix, Bryon Jaques, Professor Derek Manas, David Talbot

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Abstract

Renal transplantation is established as the best form of renal replacement therapy, but demand for kidneys exceeds supply from cadaveric donations. It is therefore important to make the best use of the pool of potential cadaveric organ donors. Donation rates are to a large extent dependent on public opinions, which may be influenced by external events. In northeast England from 1986 to 2003, there was a potential pool of 1170 brain stem-dead donors, of whom 190 (16%) could not be retrieved due to relatives' objections. From 1998 to 2003 we were referred 90 potential non-heart-beating donors, of whom relatives refused donation in 10 (11%). A major reason for not retrieving organs from a potential donor has been lack of consent from the relatives. Refusals appear to vary year by year and are consistently lower for non-heart-beating donors. This therefore raises the possibility that negative or positive media publicity plays a role in this variation.


Publication metadata

Author(s): Asher JF, Wilson CH, Gupta A, Robson L, Latimer S, Wong Y, Gok MA, Del Rio Martin J, Soomro NA, Rix DA, Jaques BC, Manas DM, Talbot D

Publication type: Article

Publication status: Published

Journal: Transplantation Proceedings

Year: 2005

Volume: 37

Issue: 8

Pages: 3262-3263

ISSN (print): 0041-1345

ISSN (electronic): 1873-2623

URL: http://dx.doi.org/10.1016/j.transproceed.2005.09.036

DOI: 10.1016/j.transproceed.2005.09.036

Notes: Conference: 22nd Congress of the Scandinavian Transplantation Society, Aarhus, Denmark, 02-04 June 2004.


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