Pub Date : 1999-03-01DOI: 10.7182/prtr.1.9.1.3053781pu21r1777
S E Newton
Failure to adhere to complex behavioral regimens has been a significant and long-standing problem in healthcare. Transplant recipients are one patient population that needs to learn and incorporate a multidimensional regimen of behaviors into their lives. The literature indicates that not all transplant recipients adhere to their medication regimens, which can lead to graft loss and possibly death. Behavioral analysis is often used to increase adherence to health-related regimens and has been effective for a variety of health conditions. The use of behavioral analysis as a strategy to promote adherence behaviors has not been reported in the transplant literature. Transplant coordinators and clinicians should learn the principles of behavioral analysis and apply them to the care of transplant recipients to facilitate recipients' lifelong adherence behaviors.
{"title":"Promoting adherence to transplant medication regimens: a review of behavioral analysis.","authors":"S E Newton","doi":"10.7182/prtr.1.9.1.3053781pu21r1777","DOIUrl":"https://doi.org/10.7182/prtr.1.9.1.3053781pu21r1777","url":null,"abstract":"<p><p>Failure to adhere to complex behavioral regimens has been a significant and long-standing problem in healthcare. Transplant recipients are one patient population that needs to learn and incorporate a multidimensional regimen of behaviors into their lives. The literature indicates that not all transplant recipients adhere to their medication regimens, which can lead to graft loss and possibly death. Behavioral analysis is often used to increase adherence to health-related regimens and has been effective for a variety of health conditions. The use of behavioral analysis as a strategy to promote adherence behaviors has not been reported in the transplant literature. Transplant coordinators and clinicians should learn the principles of behavioral analysis and apply them to the care of transplant recipients to facilitate recipients' lifelong adherence behaviors.</p>","PeriodicalId":79507,"journal":{"name":"Journal of transplant coordination : official publication of the North American Transplant Coordinators Organization (NATCO)","volume":"9 1","pages":"13-6"},"PeriodicalIF":0.0,"publicationDate":"1999-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21268435","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1999-03-01DOI: 10.7182/prtr.1.9.1.d336u70n4w540w40
T J Shafer, C T Van Buren, C A Andrews
Since its inception 12 years ago, a large, independent OPO experienced a 631% growth in the number of organ donors. These increases in organ recovery were achieved initially through successful mergers, and later, following the mergers, through focused management, OPO organizational development, and hospital marketing and system development. The cumulative percentage increases beginning in 1987 resulted in the OPO achieving 27.2 donors per million population. In 1996 a system of routine notification of all hospital deaths was implemented and a 24-hour communications center was operated. After 3 full years of routine notification, 73% of all deaths were called to the OPO, resulting in the following increases: total referrals, 691%; organ referrals, 41%; organ donors, 16%; bone donors, 149%; skin donors, 123%; and heart valve donors, 78%. The 16% increase in organ donors was twice the national growth rate and significantly more than the 2% growth experienced by the OPO in the year preceding the implementation of routine notification. The OPO has demonstrated sustained growth over the past decade in a time when erosion of donor recovery levels is always a possibility and frequently a reality for many OPOs.
{"title":"Program development and routine notification in a large, independent OPO: a 12-year review.","authors":"T J Shafer, C T Van Buren, C A Andrews","doi":"10.7182/prtr.1.9.1.d336u70n4w540w40","DOIUrl":"https://doi.org/10.7182/prtr.1.9.1.d336u70n4w540w40","url":null,"abstract":"<p><p>Since its inception 12 years ago, a large, independent OPO experienced a 631% growth in the number of organ donors. These increases in organ recovery were achieved initially through successful mergers, and later, following the mergers, through focused management, OPO organizational development, and hospital marketing and system development. The cumulative percentage increases beginning in 1987 resulted in the OPO achieving 27.2 donors per million population. In 1996 a system of routine notification of all hospital deaths was implemented and a 24-hour communications center was operated. After 3 full years of routine notification, 73% of all deaths were called to the OPO, resulting in the following increases: total referrals, 691%; organ referrals, 41%; organ donors, 16%; bone donors, 149%; skin donors, 123%; and heart valve donors, 78%. The 16% increase in organ donors was twice the national growth rate and significantly more than the 2% growth experienced by the OPO in the year preceding the implementation of routine notification. The OPO has demonstrated sustained growth over the past decade in a time when erosion of donor recovery levels is always a possibility and frequently a reality for many OPOs.</p>","PeriodicalId":79507,"journal":{"name":"Journal of transplant coordination : official publication of the North American Transplant Coordinators Organization (NATCO)","volume":"9 1","pages":"40-9"},"PeriodicalIF":0.0,"publicationDate":"1999-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21268439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1999-03-01DOI: 10.7182/prtr.1.9.1.w0u498x3721872r7
J Rosel, M A Frutos, M J Blanca, P Ruiz
Context: Few studies in organ donation have focused on the attitudes and opinions of families who were asked to donate the organs of a deceased relative.
Objective: To determine what variables influenced a family's decision to donate.
Design: Post hoc investigation using a survey.
Setting: Málaga, Spain.
Participants: Seventy-one people who had been approached for the donation of their deceased relatives' organs at a single hospital.
Main outcome measure: Consent to donate.
Results: Based on a stepwise discriminant function analysis, the following variables played a determining role in a family member's decision to donate: (1) the expressed wish of the deceased, (2) having a clear understanding of the definition of "brain death." (3) the manners and approach of the doctors, (4) the hospital facilities, (5) concerns regarding the donation process, and (6) educational level.
Conclusion: Prodonation campaigns geared toward the public and hospital staff should focus on specific objectives to increase the likelihood of consent for organ donation.
{"title":"Discriminant variables between organ donors and nondonors: a post hoc investigation.","authors":"J Rosel, M A Frutos, M J Blanca, P Ruiz","doi":"10.7182/prtr.1.9.1.w0u498x3721872r7","DOIUrl":"https://doi.org/10.7182/prtr.1.9.1.w0u498x3721872r7","url":null,"abstract":"<p><strong>Context: </strong>Few studies in organ donation have focused on the attitudes and opinions of families who were asked to donate the organs of a deceased relative.</p><p><strong>Objective: </strong>To determine what variables influenced a family's decision to donate.</p><p><strong>Design: </strong>Post hoc investigation using a survey.</p><p><strong>Setting: </strong>Málaga, Spain.</p><p><strong>Participants: </strong>Seventy-one people who had been approached for the donation of their deceased relatives' organs at a single hospital.</p><p><strong>Main outcome measure: </strong>Consent to donate.</p><p><strong>Results: </strong>Based on a stepwise discriminant function analysis, the following variables played a determining role in a family member's decision to donate: (1) the expressed wish of the deceased, (2) having a clear understanding of the definition of \"brain death.\" (3) the manners and approach of the doctors, (4) the hospital facilities, (5) concerns regarding the donation process, and (6) educational level.</p><p><strong>Conclusion: </strong>Prodonation campaigns geared toward the public and hospital staff should focus on specific objectives to increase the likelihood of consent for organ donation.</p>","PeriodicalId":79507,"journal":{"name":"Journal of transplant coordination : official publication of the North American Transplant Coordinators Organization (NATCO)","volume":"9 1","pages":"50-3"},"PeriodicalIF":0.0,"publicationDate":"1999-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21268440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1999-03-01DOI: 10.7182/prtr.1.9.1.3q633m166u7720r1
L Ohler
{"title":"Dynamic high performance transplant teams: trust, talent, and collaboration.","authors":"L Ohler","doi":"10.7182/prtr.1.9.1.3q633m166u7720r1","DOIUrl":"https://doi.org/10.7182/prtr.1.9.1.3q633m166u7720r1","url":null,"abstract":"","PeriodicalId":79507,"journal":{"name":"Journal of transplant coordination : official publication of the North American Transplant Coordinators Organization (NATCO)","volume":"9 1","pages":"9"},"PeriodicalIF":0.0,"publicationDate":"1999-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21268434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1999-03-01DOI: 10.1177/090591999900900101
S. Campbell
F areas in healthcare depend on multidisciplinary collaboration more than transplantation. Whether in procurement or clinical practice, transplantation achieves its best results when team members share a focus and mission for implementing goals. High performance teams are characterized as those with clearly defined roles and expectations, in which the members value their diversity.2 In a patient selection committee, for example, the diversity of the multidisciplinary team is clearly evident. Physicians, transplant coordinators, social workers, psychologists, pharmacists, dietitians, and ethicists: each facilitates the decision-making process. Although their decisions are not always unanimous, a consensus can be reached. Trust is implicit in dynamic teamwork. Obstacles to efficient teamwork may include poor communication, distrust, personal competition, differences in goals and values, lack of team leadership, and lack of systems support from the organization. Among transplant teams, the frequency of interactions and the diversity of disciplines create a great potential for conflict.2 The perspective of a clinician who focuses on the physiologic need for transplantation versus the perspective of a social worker or psychologist who focuses on the psychosocial warnings can vary greatly. Teamwork requires individuals who understand that grandstand behaviors block effectiveness. Synergy arises only when individual talents work collaboratively and respectfully. The true value of teamwork is that the outcome is greater than the individual contributions. In a society that emphasizes individuality and independence, it is not always easy to achieve the mindset and skillset of the interdependence required of our transplant teams.3 Add to this the organizational structure and system of a hospital environment that may not support the goals or intricate needs of transplantation, and you have identified some of the challenges. Clinical transplant teams functioning in a hospital environment are self-managed, self-directed autonomous groups that may not communicate effectively within the organizational structure. Most transplant team members do not serve on hospital committees, where assignments may include facilitation of intradepartmental communication. This may contribute to the lack of understanding of team needs. Interestingly, most hospitals have several transplant teams that do not communicate with one another, serving almost as separate fiefdoms within the organization. Few hospitals have established a department of transplantation or a patient care center for transplantation where the leadership from each team is represented in a steering committee or council. More often, the teams function separately under individual departments such as cardiology, surgery, or hepatology. Programs structured within a transplant center have teams that function within a greater team concept. This design seems to promote a strength of unity that is conducive to communicati
{"title":"Dynamic High Performance Transplant Teams: Trust, Talent, and Collaboration","authors":"S. Campbell","doi":"10.1177/090591999900900101","DOIUrl":"https://doi.org/10.1177/090591999900900101","url":null,"abstract":"F areas in healthcare depend on multidisciplinary collaboration more than transplantation. Whether in procurement or clinical practice, transplantation achieves its best results when team members share a focus and mission for implementing goals. High performance teams are characterized as those with clearly defined roles and expectations, in which the members value their diversity.2 In a patient selection committee, for example, the diversity of the multidisciplinary team is clearly evident. Physicians, transplant coordinators, social workers, psychologists, pharmacists, dietitians, and ethicists: each facilitates the decision-making process. Although their decisions are not always unanimous, a consensus can be reached. Trust is implicit in dynamic teamwork. Obstacles to efficient teamwork may include poor communication, distrust, personal competition, differences in goals and values, lack of team leadership, and lack of systems support from the organization. Among transplant teams, the frequency of interactions and the diversity of disciplines create a great potential for conflict.2 The perspective of a clinician who focuses on the physiologic need for transplantation versus the perspective of a social worker or psychologist who focuses on the psychosocial warnings can vary greatly. Teamwork requires individuals who understand that grandstand behaviors block effectiveness. Synergy arises only when individual talents work collaboratively and respectfully. The true value of teamwork is that the outcome is greater than the individual contributions. In a society that emphasizes individuality and independence, it is not always easy to achieve the mindset and skillset of the interdependence required of our transplant teams.3 Add to this the organizational structure and system of a hospital environment that may not support the goals or intricate needs of transplantation, and you have identified some of the challenges. Clinical transplant teams functioning in a hospital environment are self-managed, self-directed autonomous groups that may not communicate effectively within the organizational structure. Most transplant team members do not serve on hospital committees, where assignments may include facilitation of intradepartmental communication. This may contribute to the lack of understanding of team needs. Interestingly, most hospitals have several transplant teams that do not communicate with one another, serving almost as separate fiefdoms within the organization. Few hospitals have established a department of transplantation or a patient care center for transplantation where the leadership from each team is represented in a steering committee or council. More often, the teams function separately under individual departments such as cardiology, surgery, or hepatology. Programs structured within a transplant center have teams that function within a greater team concept. This design seems to promote a strength of unity that is conducive to communicati","PeriodicalId":79507,"journal":{"name":"Journal of transplant coordination : official publication of the North American Transplant Coordinators Organization (NATCO)","volume":"28 1","pages":"9 - 9"},"PeriodicalIF":0.0,"publicationDate":"1999-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/090591999900900101","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65464701","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1999-03-01DOI: 10.1177/090591999900900108
M. Verble, J. Worth
Journal of Transplant Coordination, Vol. 9, Number 1, March 1999 We believe that fear of mutilation is at the base of most donation refusals received by experienced, competent procurement professionals working in collaboration with supportive hospital staff. As such the topic deserves more attention than it has received in the procurement research. In this article, we lay a theoretical foundation for empirical research into this formidable barrier to donation and offer practical suggestions for dealing with the fear of mutilation in the donation discussion. We have elucidated the fear of mutilation in earlier articles as an example of Mystical Thinking, a mode of thought first identified by Lucien Levy-Bruhl at the beginning of the century. Mystical Thinking is, according to Levy-Bruhl,5 culturally ancient, impervious to the rules of logical contradiction, oriented to subjective reality, lived and felt, and not amenable to educational efforts. In the donation decision Mystical Thinking is most often manifested as fear of mutilation and dismemberment or as the belief that we need our body parts in the next world. To shine a more contemporary but complementary light on the same phenomenon, it is also correct to view the fear of mutilation as an example of what Edward Wilson and other sociobiologists refer to as “animal learning.” This is learning that is embedded in our genetic past as primates; that resides in the lower, Dealing with the fear of mutilation in the donation discussion
{"title":"Dealing with the Fear of Mutilation in the Donation Discussion","authors":"M. Verble, J. Worth","doi":"10.1177/090591999900900108","DOIUrl":"https://doi.org/10.1177/090591999900900108","url":null,"abstract":"Journal of Transplant Coordination, Vol. 9, Number 1, March 1999 We believe that fear of mutilation is at the base of most donation refusals received by experienced, competent procurement professionals working in collaboration with supportive hospital staff. As such the topic deserves more attention than it has received in the procurement research. In this article, we lay a theoretical foundation for empirical research into this formidable barrier to donation and offer practical suggestions for dealing with the fear of mutilation in the donation discussion. We have elucidated the fear of mutilation in earlier articles as an example of Mystical Thinking, a mode of thought first identified by Lucien Levy-Bruhl at the beginning of the century. Mystical Thinking is, according to Levy-Bruhl,5 culturally ancient, impervious to the rules of logical contradiction, oriented to subjective reality, lived and felt, and not amenable to educational efforts. In the donation decision Mystical Thinking is most often manifested as fear of mutilation and dismemberment or as the belief that we need our body parts in the next world. To shine a more contemporary but complementary light on the same phenomenon, it is also correct to view the fear of mutilation as an example of what Edward Wilson and other sociobiologists refer to as “animal learning.” This is learning that is embedded in our genetic past as primates; that resides in the lower, Dealing with the fear of mutilation in the donation discussion","PeriodicalId":79507,"journal":{"name":"Journal of transplant coordination : official publication of the North American Transplant Coordinators Organization (NATCO)","volume":"9 1","pages":"54 - 56"},"PeriodicalIF":0.0,"publicationDate":"1999-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/090591999900900108","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65465535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1999-03-01DOI: 10.7182/prtr.1.9.1.c5722r0190017x6t
D K Dressler
This article explores current developments and continuing dilemmas in heart transplantation. Statistical trends such as the increased number of candidates and the increased waiting time are described. Recent developments in implantable ventricular assist device technology and the perioperative use of nitric oxide are also highlighted. In addition, advances in patient management from pretransplant care to long-term follow-up are presented, and alternatives to heart transplantation in current use and for the future are explored.
{"title":"Heart transplantation: a review.","authors":"D K Dressler","doi":"10.7182/prtr.1.9.1.c5722r0190017x6t","DOIUrl":"https://doi.org/10.7182/prtr.1.9.1.c5722r0190017x6t","url":null,"abstract":"<p><p>This article explores current developments and continuing dilemmas in heart transplantation. Statistical trends such as the increased number of candidates and the increased waiting time are described. Recent developments in implantable ventricular assist device technology and the perioperative use of nitric oxide are also highlighted. In addition, advances in patient management from pretransplant care to long-term follow-up are presented, and alternatives to heart transplantation in current use and for the future are explored.</p>","PeriodicalId":79507,"journal":{"name":"Journal of transplant coordination : official publication of the North American Transplant Coordinators Organization (NATCO)","volume":"9 1","pages":"25-32; quiz 33-4"},"PeriodicalIF":0.0,"publicationDate":"1999-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21268437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1999-03-01DOI: 10.1177/090591999900900104
D. Dressler
Journal of Transplant Coordination, Vol. 9, Number 1, March 1999 began to plateau in 1991. Approximately 3800 procedures are performed yearly, 2300 of them in the United States.1 The 155 US centers all compete for the static number of suitable donor hearts. However, the trend toward the acceptance of older and marginal donor hearts has not increased the number of transplants performed; the number of candidates registered for heart transplants continues to grow daily. The United Network for Organ Sharing (UNOS) currently reports that number at 4157.2 Transplant teams are challenged to physically and emotionally support the growing number of candidates who desperately await suitable organs. It is estimated that 25% of heart transplant candidates die waiting.3 The most common diagnoses in adult patients continue to be equally divided between dilated cardiomyopathy and ischemic cardiomyopathy. Survival following a heart transplant is reported to be 85% at 1 year and almost 70% at 5 years.2 Survival has improved over time: patients undergoing a transplant in the 1990s fare better than those who underwent the procedure in the 1980s.1,2 Factors associated with a positive outcome include a shorter donor-heart ischemic time, younger donor, and blood group A. Factors that increase a recipient’s risk of mortality include having preoperative mechanical ventilatory assistance or ventricular assist device (VAD), undergoing retransplantation, and being older than 65 years. Heart transplantation: a review
{"title":"Heart Transplantation: A Review","authors":"D. Dressler","doi":"10.1177/090591999900900104","DOIUrl":"https://doi.org/10.1177/090591999900900104","url":null,"abstract":"Journal of Transplant Coordination, Vol. 9, Number 1, March 1999 began to plateau in 1991. Approximately 3800 procedures are performed yearly, 2300 of them in the United States.1 The 155 US centers all compete for the static number of suitable donor hearts. However, the trend toward the acceptance of older and marginal donor hearts has not increased the number of transplants performed; the number of candidates registered for heart transplants continues to grow daily. The United Network for Organ Sharing (UNOS) currently reports that number at 4157.2 Transplant teams are challenged to physically and emotionally support the growing number of candidates who desperately await suitable organs. It is estimated that 25% of heart transplant candidates die waiting.3 The most common diagnoses in adult patients continue to be equally divided between dilated cardiomyopathy and ischemic cardiomyopathy. Survival following a heart transplant is reported to be 85% at 1 year and almost 70% at 5 years.2 Survival has improved over time: patients undergoing a transplant in the 1990s fare better than those who underwent the procedure in the 1980s.1,2 Factors associated with a positive outcome include a shorter donor-heart ischemic time, younger donor, and blood group A. Factors that increase a recipient’s risk of mortality include having preoperative mechanical ventilatory assistance or ventricular assist device (VAD), undergoing retransplantation, and being older than 65 years. Heart transplantation: a review","PeriodicalId":79507,"journal":{"name":"Journal of transplant coordination : official publication of the North American Transplant Coordinators Organization (NATCO)","volume":"14 1","pages":"25 - 34"},"PeriodicalIF":0.0,"publicationDate":"1999-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/090591999900900104","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65464833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1999-03-01DOI: 10.1177/090591999900900109
Tran Bac Hai, Ted Eastlund, Le Anh Chien, Phan Thi Hong Duc, Tran Huong Giang, Nguyen Thi Nguyen Hoa, Phan Hong Viet, Duong Quang Trung
Context Few studies on public attitudes toward organ and tissue donation have been carried out in Asia. Objective To determine demographic influences on attitudes toward organ and tissue donation in Vietnam. Design Face-to-face interviews. Setting Tan Binh District, Ho Chi Minh City, Vietnam. Participants Random sample of adults (N=785). Main Outcome Measures Awareness of donation and transplantation, acceptance of organ and tissue donation. Results 75% of respondents stated they had heard of organ or tissue donation, but only 55% were aware of organ and tissue transplantation taking place in Vietnam. Forty-eight percent of Buddhists and 27.5% of Christians had either no knowledge or incorrect knowledge about their religion's official position toward donation and transplantation. Sixty-four percent stated they would give consent for the donation of their deceased relative's tissues and organs, 66% would themselves become posthumous donors, and 21% to 22% would donate multiple organs and tissues. A significant association was found between respondents' acceptance of organ and tissue donation and their educational level, sex, occupation, and awareness of transplantation. Most respondents stated that their willingness to donate depended on whether other family members agreed. Many noted the importance of preventing commerce in organ and tissue transplantation but were in favor of providing healthcare for the donor's family or monetary incentives as a reward for donating. Conclusion Nearly two thirds of urban Vietnamese surveyed were willing to donate organs or tissues after death. Their willingness was related to awareness of transplantation, sex, education level, and occupation.
{"title":"Willingness to Donate Organs and Tissues in Vietnam","authors":"Tran Bac Hai, Ted Eastlund, Le Anh Chien, Phan Thi Hong Duc, Tran Huong Giang, Nguyen Thi Nguyen Hoa, Phan Hong Viet, Duong Quang Trung","doi":"10.1177/090591999900900109","DOIUrl":"https://doi.org/10.1177/090591999900900109","url":null,"abstract":"Context Few studies on public attitudes toward organ and tissue donation have been carried out in Asia. Objective To determine demographic influences on attitudes toward organ and tissue donation in Vietnam. Design Face-to-face interviews. Setting Tan Binh District, Ho Chi Minh City, Vietnam. Participants Random sample of adults (N=785). Main Outcome Measures Awareness of donation and transplantation, acceptance of organ and tissue donation. Results 75% of respondents stated they had heard of organ or tissue donation, but only 55% were aware of organ and tissue transplantation taking place in Vietnam. Forty-eight percent of Buddhists and 27.5% of Christians had either no knowledge or incorrect knowledge about their religion's official position toward donation and transplantation. Sixty-four percent stated they would give consent for the donation of their deceased relative's tissues and organs, 66% would themselves become posthumous donors, and 21% to 22% would donate multiple organs and tissues. A significant association was found between respondents' acceptance of organ and tissue donation and their educational level, sex, occupation, and awareness of transplantation. Most respondents stated that their willingness to donate depended on whether other family members agreed. Many noted the importance of preventing commerce in organ and tissue transplantation but were in favor of providing healthcare for the donor's family or monetary incentives as a reward for donating. Conclusion Nearly two thirds of urban Vietnamese surveyed were willing to donate organs or tissues after death. Their willingness was related to awareness of transplantation, sex, education level, and occupation.","PeriodicalId":79507,"journal":{"name":"Journal of transplant coordination : official publication of the North American Transplant Coordinators Organization (NATCO)","volume":"9 1","pages":"57 - 63"},"PeriodicalIF":0.0,"publicationDate":"1999-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/090591999900900109","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65465170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A great deal of discussion has been generated regarding the effects of donor hypernatremia on recipient liver graft function. Much of this discussion is anecdotal and focuses on the detrimental effects of hypernatremia in the organ donor. The treatment of donor hypernatremia often leads to changes in donor management protocols. A retrospective study was conducted to determine if donor hypernatremia measurably alters the liver graft function of recipients. Results indicated that donor sodium values were unrelated to any recipient parameter assessed. Although further studies are pending, these findings suggest that a moderate rather than a severe approach to the management of donor hypernatremia may be preferred.
{"title":"The effects of donor sodium levels on recipient liver graft function.","authors":"S G Van da Walker","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A great deal of discussion has been generated regarding the effects of donor hypernatremia on recipient liver graft function. Much of this discussion is anecdotal and focuses on the detrimental effects of hypernatremia in the organ donor. The treatment of donor hypernatremia often leads to changes in donor management protocols. A retrospective study was conducted to determine if donor hypernatremia measurably alters the liver graft function of recipients. Results indicated that donor sodium values were unrelated to any recipient parameter assessed. Although further studies are pending, these findings suggest that a moderate rather than a severe approach to the management of donor hypernatremia may be preferred.</p>","PeriodicalId":79507,"journal":{"name":"Journal of transplant coordination : official publication of the North American Transplant Coordinators Organization (NATCO)","volume":"8 4","pages":"205-8"},"PeriodicalIF":0.0,"publicationDate":"1998-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21076272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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