Vertanous T, Czer L S C, de Robertis M, Kiankhooy A, Kobashigawa J, Esmailian F, Trento A
Division of Cardiology, Cedars-Sinai Heart Institute, Cedars Sinai Medical Center, Los Angeles, California.
Division of Cardiology, Cedars-Sinai Heart Institute, Cedars Sinai Medical Center, Los Angeles, California.
Transplant Proc. 2016 Jan-Feb;48(1):10-4. doi: 10.1016/j.transproceed.2015.12.029.
The influence of new donor registrations through the California Organ and Tissue Donor Registry on the local OneLegacy Organ Procurement Organization (OPO) was examined during a 6-year period.
Publicly available data from Donate Life America for California were examined for the 6 calendar years of 2009-2014. Performance data from OneLegacy for the same 6 years for organ donors and number of transplants were also examined. The donor designation rate (DDR) was defined as the rate at which new individuals joined the state donor registry as a percentage of all driver licenses and ID cards issued within a calendar year. The total donor designation (TDD) was defined as the sum of the new and existing people who were registered organ donors. Donor designation share (DDS) was the total number of designated donors as a percentage of all residents of the state who were ≥18 years old. The business practices and educational efforts of the OneLegacy OPO were examined as well.
In California, from 2009 through 2014, the DDR was 25.5%-28%. When added to the existing donor registrations, the TDD and DDS increased each year from 2009 through 2014. With the current level of growth, it is projected that California will be able to reach a DDS of 50% by 2017. For the OneLegacy OPO, designated donors from the California Organ and Tissue Donor Registry made up 15% of the total donations in 2009, and 39% of the total donations in 2014, increasing by ∼5% each year since 2009. By increasing professionalization and transparency, and widening its educational and training efforts, OneLegacy was able to take advantage of an increasing percentage of donors who were designated donors and to increase the overall number of donors and organs transplanted, becoming one of the largest OPOs in the nation.
This can be a model for OPOs in other donor service areas, and it may set the stage for the United States to serve as an example to the global community in the practice of organ donation.
在6年期间，研究通过加利福尼亚器官和组织捐赠登记处新增的捐赠者登记对当地的OneLegacy器官获取组织（OPO）产生的影响。
对美国器官捐赠组织提供的2009 - 2014这6个日历年加利福尼亚的公开数据进行了研究。同时也研究了OneLegacy在相同6年期间的器官捐赠者和移植数量的绩效数据。捐赠指定率（DDR）定义为新加入该州捐赠登记处的个人数量占一个日历年中颁发的所有驾照和身份证数量的百分比。总捐赠指定数（TDD）定义为已登记器官捐赠者的新增和现有人员总数。捐赠指定份额（DDS）是指定捐赠者总数占该州所有18岁及以上居民的百分比。还对OneLegacy OPO的商业做法和教育努力进行了研究。
在加利福尼亚，从2009年到2014年，DDR为25.5% - 28%。当与现有的捐赠者登记数相加时，从2009年到2014年，TDD和DDS每年都在增加。按照目前的增长水平，预计到2017年加利福尼亚将能够达到50%的DDS。对于OneLegacy OPO，来自加利福尼亚器官和组织捐赠登记处的指定捐赠者在2009年占总捐赠的15%，在2014年占总捐赠的39%，自2009年以来每年增加约5%。通过提高专业化和透明度，并扩大其教育和培训努力，OneLegacy能够利用越来越多的指定捐赠者，并增加捐赠者和移植器官的总数，成为美国最大的OPO之一。
这可以成为其他捐赠服务地区OPO的一个模式，并且可能为美国在器官捐赠实践中为全球树立榜样奠定基础。
