Organ and Tissue Donation and Transplantation, NHS Blood and Transplant, Bristol, United Kingdom.
Organ and Tissue Authority, Canberra, NSW, Australia.
Transpl Int. 2022 May 13;35:10461. doi: 10.3389/ti.2022.10461. eCollection 2022.
Organ donation networks audit and report on national or regional organ donation performance, however there are inconsistencies in the metrics and definitions used, rendering comparisons difficult or inappropriate. This is despite multiple attempts exploring the possibility for convergently evolving audits so that collectives of donation networks might transparently share data and practice and then target system interventions. This paper represents a collaboration between the United Kingdom and Australian organ donation organisations which aimed to understand the intricacies of our respective auditing systems, compare the metrics and definitions they employ and ultimately assess their level of comparability. This point of view outlines the historical context underlying the development of the auditing tools, demonstrates their differences to the Critical Pathway proposed as a common tool a decade ago and presents a side-by-side comparison of donation definitions, metrics and data for the 2019 calendar year. There were significant differences in donation definition terminology, metrics and overall structure of the audits. Fitting the audits to a tiered scaffold allowed for reasonable comparisons however this required substantial effort and understanding of nuance. Direct comparison of international and inter-regional donation performance is challenging and would benefit from consistent auditing processes across organisations.
器官捐赠网络负责审核和报告国家或地区的器官捐赠绩效，但所使用的衡量标准和定义并不统一，这使得比较变得困难或不恰当。尽管已经多次尝试探索趋同的审核可能性，以便捐赠网络的集体可以透明地共享数据和实践，然后针对系统干预措施，但情况仍然如此。本文是英国和澳大利亚器官捐赠组织之间的合作，旨在了解我们各自审核系统的复杂性，比较它们使用的衡量标准和定义，并最终评估其可比性水平。本文从历史角度概述了审核工具的发展情况，展示了它们与十年前提出的作为通用工具的关键路径的区别，并并列比较了 2019 年日历年度的捐赠定义、衡量标准和数据。在捐赠定义术语、衡量标准和审核的整体结构方面存在显著差异。将审核纳入分层框架中可以进行合理的比较，但这需要大量的努力和对细微差别的理解。国际和地区间的捐赠绩效直接比较具有挑战性，需要各组织之间保持一致的审核流程。
