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Tytuł:
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Evaluation of underidentification of potential organ donors in German hospitals.
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Autorzy:
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Esser G; Department of Nephrology and Hypertension, University Hospital Schleswig-Holstein, Christian-Albrechts-University, Kiel, Germany.
Kolbrink B; Department of Nephrology and Hypertension, University Hospital Schleswig-Holstein, Christian-Albrechts-University, Kiel, Germany.
Borzikowsky C; Institute of Medical Informatics and Statistics, Christian-Albrechts-University, Kiel, Germany.
Kunzendorf U; Department of Nephrology and Hypertension, University Hospital Schleswig-Holstein, Christian-Albrechts-University, Kiel, Germany.
Feldkamp T; Department of Nephrology and Hypertension, University Hospital Schleswig-Holstein, Christian-Albrechts-University, Kiel, Germany.
Schulte K; Department of Nephrology and Hypertension, University Hospital Schleswig-Holstein, Christian-Albrechts-University, Kiel, Germany.
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Źródło:
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PloS one [PLoS One] 2020 Nov 19; Vol. 15 (11), pp. e0242724. Date of Electronic Publication: 2020 Nov 19 (Print Publication: 2020).
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Typ publikacji:
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Evaluation Study; Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't
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Język:
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English
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Imprint Name(s):
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Original Publication: San Francisco, CA : Public Library of Science
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MeSH Terms:
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Organ Transplantation*
Tissue Donors*
Hospitals/*supply & distribution
Tissue and Organ Procurement/*supply & distribution
Female ; Germany ; Humans ; Male
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References:
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Entry Date(s):
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Date Created: 20201119 Date Completed: 20210104 Latest Revision: 20210104
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Update Code:
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20240105
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PubMed Central ID:
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PMC7676668
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DOI:
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10.1371/journal.pone.0242724
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PMID:
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33211776
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Background: Since 2010, the number of organ donations in Germany has decreased by one third, mostly due to undetected organ donors. It is unclear, how the undetected potential donor pool is distributed among the different German hospital categories (A = university hospital, B = hospitals with neurosurgery, C = hospitals without neurosurgery) and region types.
Methods: We performed a nationwide secondary data analysis of all German inpatient cases of the year 2016 (n = 20,063,689). All fatalities were regarded as potential organ donors, in which primary or secondary brain damage was encoded and organ donation was not excluded by a contraindication or a lack of ventilation therapy.
Results: In 2016, 28,087 potential organ donors were identified. Thereof 21% were found in category A, 28% in category B and 42% in category C hospitals. The contact rate (= organ donation related contacts/ potential organ donors) and realization rate (= realized organ donations/ potential organ donors) of category A, B and C hospitals was 10.6% and 4.6%, 10.9% and 4.8% and 6.0% and 1.7%, respectively. 58.2% of the donor potential of category C hospitals was found in the largest quartile of category C hospitals. 51% (n = 14,436) of the potential organ donors were treated in hospitals in agglomeration areas, 28% (n = 7,909) in urban areas and 21% (n = 5,742) in rural areas. The contact- and realization rate did not significantly differ between these areas.
Conclusions: The largest proportion of potential organ donors and the lowest realization rate are found in category C hospitals. Reporting and donation practice do not differ between urban and rural regions.
Competing Interests: The authors have declared that no competin interests exist.
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