Williment Claire, Beaulieu Louis, Clarkson Anthony, Gunderson Susan, Hartell David, Escoto Manuel, Ippersiel Richard, Powell Linda, Kirste Gunter, Nathan Howard M, Opdam Helen, Weiss Matthew J
Organ Donation and Transplantation, NHS Blood and Transplant, London, United Kingdom.
Transplant Québec, Montréal, QC, Canada.
Transplant Direct. 2023 Apr 28;9(5):e1440. doi: 10.1097/TXD.0000000000001440. eCollection 2023 May.
This report contains recommendations from 1 of 7 domains of the International Donation and Transplantation Legislative and Policy Forum (the Forum). The purpose is to provide expert guidance on the structure and function of Organ and Tissue Donation and Transplantation (OTDT) systems. The intended audience is OTDT stakeholders working to establish or improve existing systems.
The Forum was initiated by Transplant Québec and co-hosted by the Canadian Donation and Transplantation Program partnered with multiple national and international donation and transplantation organizations. This domain group included administrative, clinical, and academic experts in OTDT systems and 3 patient, family, and donor partners. We identified topic areas and recommendations through consensus, using the nominal group technique. Selected topics were informed by narrative literature reviews and vetted by the Forum's scientific committee. We presented these recommendations publicly, with delegate feedback being incorporated into the final report.
This report has 33 recommendations grouped into 10 topic areas. Topic areas include the need for public and professional education, processes to assure timely referral of patients who are potential donors, and processes to ensure that standards are properly enforced.
The recommendations encompass the multiple roles organ donation organizations play in the donation and transplantation process. We recognize the diversity of local conditions but believe that they could be adapted and applied by organ donation organizations across the world to accomplish their fundamental objectives of assuring that everyone who desires to become an organ donor is given that opportunity in a safe, equitable, and transparent manner.
本报告包含国际捐赠与移植立法及政策论坛（该论坛）七个领域之一的建议。目的是为器官和组织捐赠与移植（OTDT）系统的结构和功能提供专家指导。目标受众是致力于建立或改进现有系统的OTDT利益相关者。
该论坛由魁北克移植协会发起，由加拿大捐赠与移植项目共同主办，与多个国家和国际捐赠与移植组织合作。该领域小组包括OTDT系统的行政、临床和学术专家以及三名患者、家属和捐赠者合作伙伴。我们通过名义小组技术，经共识确定了主题领域和建议。选定的主题参考了叙述性文献综述，并经论坛科学委员会审核。我们公开提出了这些建议，并将代表的反馈纳入了最终报告。
本报告有33条建议，分为10个主题领域。主题领域包括公众和专业教育的必要性、确保及时转诊潜在捐赠者患者的流程以及确保标准得到适当执行的流程。
这些建议涵盖了器官捐赠组织在捐赠和移植过程中所扮演的多重角色。我们认识到当地情况的多样性，但相信世界各地的器官捐赠组织可以对其进行调整和应用，以实现其基本目标，即确保每个希望成为器官捐赠者的人都能以安全、公平和透明的方式获得这一机会。
