Featured Research

from universities, journals, and other organizations

Organ donation shortfall at large general hospitals in Ontario

Date:
April 2, 2013
Source:
Canadian Medical Association Journal
Summary:
Organ donation in Ontario is significantly less common at large general hospitals than at hospitals with clinical programs for transplant recipients, which points to missed opportunities to optimize organ donation, according to a new study.

Organ donation in Ontario is significantly less common at large general hospitals than at hospitals with clinical programs for transplant recipients, which points to missed opportunities to optimize organ donation, according to a study published in CMAJ (Canadian Medical Association Journal).

To understand whether organ donation rates differed between hospitals that treat transplant recipients and those that do not, researchers looked at all patients (adults and children) who died from catastrophic brain injury in Ontario between 1994 and 2011. After excluding small hospitals and ineligible patients, the study included 79 746 deaths at 56 hospitals and 1898 organ donors. Transplant hospitals accounted for 22 515 deaths and 1118 organ donors for a procurement rate of 5.0 per 100 deaths. In comparison, large general hospitals accounted for 57 231 deaths and 780 donors for a rate of 1.4 per 100 deaths.

"Our research suggests lower frequency of deceased organ donation at large general hospitals than at transplant hospitals," writes Dr. Donald Redelmeier, a physician at the Institute for Clinical Evaluative Sciences and the University of Toronto, with coauthors. The absolute reduction amounted to about 121 actual organ donors per year in large hospitals in Ontario and was accentuated among older patients. "Some of the shortfall may be explained by appropriate medical judgment, given that older organs are sometimes unsuitable for transplantation to young recipients. However, unfair age discrimination may be an additional explanation," write the authors.

Over the 17-year study period the number of actual donors increased steadily and was almost double comparing the last year to the first year. The average age of donors increased from about 40 to 51 years of age by the last year of the study. Men and women were equally represented. Patients aged 59 years or younger were about 10 times more likely to become actual donors than patients aged 60 years or older. Patients with lower socioeconomic status were about 30% less likely to become actual donors than patients with higher socioeconomic status. The most common condition leading to donation was brain death due to major trauma.

The authors suggest more training, education and improved policies around potential donors at large general hospitals in Ontario. Redelmeier and colleagues also stress, "Any of these approaches would require tact, is prone to misinterpretation and is rarely included in national campaigns for organ donation. The current data suggest, however, that prevailing practices lead to missed potential opportunities for solid organ donation in large general hospitals."


Story Source:

The above story is based on materials provided by Canadian Medical Association Journal. Note: Materials may be edited for content and length.


Journal Reference:

  1. Donald A. Redelmeier, Frank Markel, Damon C. Scales. Organ donation after death in Ontario: a population-based cohort study. CMAJ, 2013 DOI: 10.1503/cmaj.122047

Cite This Page:

Canadian Medical Association Journal. "Organ donation shortfall at large general hospitals in Ontario." ScienceDaily. ScienceDaily, 2 April 2013. <www.sciencedaily.com/releases/2013/04/130402124640.htm>.
Canadian Medical Association Journal. (2013, April 2). Organ donation shortfall at large general hospitals in Ontario. ScienceDaily. Retrieved September 30, 2014 from www.sciencedaily.com/releases/2013/04/130402124640.htm
Canadian Medical Association Journal. "Organ donation shortfall at large general hospitals in Ontario." ScienceDaily. www.sciencedaily.com/releases/2013/04/130402124640.htm (accessed September 30, 2014).

Share This



More Health & Medicine News

Tuesday, September 30, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

How 'Yes Means Yes' Defines Sexual Assault

How 'Yes Means Yes' Defines Sexual Assault

Newsy (Sep. 29, 2014) Aimed at reducing sexual assaults on college campuses, California has adopted a new law changing the standard of consent for sexual activity. Video provided by Newsy
Powered by NewsLook.com
Scientists May Have Found An Early Sign Of Pancreatic Cancer

Scientists May Have Found An Early Sign Of Pancreatic Cancer

Newsy (Sep. 29, 2014) Researchers looked at 1,500 blood samples and determined people who developed pancreatic cancer had more branched chain amino acids. Video provided by Newsy
Powered by NewsLook.com
Colo. Doctors See Cluster of Enterovirus Cases

Colo. Doctors See Cluster of Enterovirus Cases

AP (Sep. 29, 2014) Doctors at the Children's Hospital of Colorado say they have treated over 4,000 children with serious respiratory illnesses since August. Nine of the patients have shown distinct neurological symptoms, including limb weakness. (Sept. 29) Video provided by AP
Powered by NewsLook.com
Dr.'s Unsure of Cause of Fast-Spreading Virus

Dr.'s Unsure of Cause of Fast-Spreading Virus

AP (Sep. 29, 2014) Doctors at the Children's Hospital of Colorado say they have treated over 4,000 children with serious respiratory illnesses since August. Nine of the patients have shown distinct neurological symptoms, including limb weakness. (Sept. 29) Video provided by AP
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:

Strange & Offbeat Stories


Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins