Naylor Kyla L, McKenzie Susan, Cherry Cindy, McArthur Eric, Li Alvin H, McCallum Megan K, Kim S Joseph, Prakash Versha, Knoll Gregory A, Garg Amit X
Institute of Health Policy, Management, and Evaluation, University of Toronto, Ontario, Canada.
Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada.
Can J Kidney Health Dis. 2017 Jul 5;4:2054358117717252. doi: 10.1177/2054358117717252. eCollection 2017.
The Kidney Foundation of Canada developed a pilot campaign to educate persons attending junior hockey league games in London, Ontario, Canada, on deceased organ donation.
To evaluate the impact of a hockey campaign on the number of new organ and tissue donor registrants.
Population-based retrospective cohort study.
Residents of London, Ontario.
We included 255 476 individuals eligible to register for organ donation with a London, Ontario postal code.
We compared the number of new deceased organ donor registrants in London, Ontario, during the campaign period (March 12 to April 16, 2015) with 3 different time periods (December 30, 2014 to February 3, 2015; February 4 to March 11, 2015; April 17 to May 22, 2015). We also compared registration rates in London with 2 Ontario cities (Kitchener-Waterloo and Hamilton) matching in a 1:1 ratio on age, sex, and income quintile.
To compare registrations across time periods, we used binomial regression with an identity link function and generalized estimating equations with an independence correlation structure. We used modified Poisson regression to compare registration rates between cities.
During the campaign period, there were slightly more registrations (1218 registered of 252 832 unregistered individuals [0.48%]) compared with an earlier time period (risk difference: 0.09%; 95% confidence interval [CI]: 0.05%-0.12%). However, there was no significant difference compared with 2 time periods immediately before and after the campaign. London had slightly more registrations during the campaign period compared with the matched city of Hamilton (1180 registered of 236 582 unregistered individuals [0.50%] vs 490 registered of 236 582 unregistered individuals [0.21%]; risk ratio: 2.41; 95% CI: 2.17-2.68). The registration rate in London did not significantly differ from Kitchener-Waterloo.
Unable to conclude whether the minor increase in deceased organ donor registration was the result of the campaign or other factors (e.g., simultaneous organ registration events, seasonality).
Overall, a minor increase in deceased organ donor registration was observed during the hockey organ donation awareness campaign; however, the specific impact of the campaign on organ donor registration could not be determined.
加拿大肾脏基金会开展了一项试点活动，旨在对加拿大安大略省伦敦市参加青少年曲棍球联赛的人员进行关于 deceased 器官捐赠的教育。
评估一项曲棍球活动对新的器官和组织捐赠登记者数量的影响。
基于人群的回顾性队列研究。
安大略省伦敦市居民。
我们纳入了 255476 名有资格登记器官捐赠且邮政编码为安大略省伦敦市的个人。
我们将活动期间（2015 年 3 月 12 日至 4 月 16 日）安大略省伦敦市新的 deceased 器官捐赠登记者数量与 3 个不同时间段（2014 年 12 月 30 日至 2015 年 2 月 3 日；2015 年 2 月 4 日至 3 月 11 日；2015 年 4 月 17 日至 5 月 22 日）进行比较。我们还将伦敦市的登记率与安大略省另外两个城市（基奇纳 - 滑铁卢和汉密尔顿）进行比较，这两个城市在年龄、性别和收入五分位数方面按 1:1 比例匹配。
为了比较不同时间段的登记情况，我们使用了具有恒等连接函数的二项式回归和具有独立相关结构的广义估计方程。我们使用修正的泊松回归来比较城市之间的登记率。
在活动期间，登记人数略多于早期时间段（252832 名未登记个体中有 1218 人登记 [0.48%]）（风险差异：0.09%；95%置信区间 [CI]：0.05% - 0.12%）。然而，与活动前后紧邻的两个时间段相比，没有显著差异。与匹配城市汉密尔顿相比，伦敦市在活动期间登记人数略多（236582 名未登记个体中有 1180 人登记 [0.50%]，而 236582 名未登记个体中有 490 人登记 [0.21%]；风险比：2.41；95%CI：2.17 - 2.68）。伦敦市的登记率与基奇纳 - 滑铁卢没有显著差异。
无法确定 deceased 器官捐赠登记的小幅增加是活动的结果还是其他因素（例如，同时进行的器官登记活动、季节性）导致的。
总体而言，在曲棍球器官捐赠宣传活动期间，观察到 deceased 器官捐赠登记有小幅增加；然而，无法确定该活动对器官捐赠登记的具体影响。
