Abstract
Background
Since 2010, the number of organ donations in Germany has decreased by one third, mostly due to undetected organ donors. It is unclear, how the undetected potential donor pool is distributed among the different German hospital categories (A = university hospital, B = hospitals with neurosurgery, C = hospitals without neurosurgery) and region types.
Methods
We performed a nationwide secondary data analysis of all German inpatient cases of the year 2016 (n = 20,063,689). All fatalities were regarded as potential organ donors, in which primary or secondary brain damage was encoded and organ donation was not excluded by a contraindication or a lack of ventilation therapy.
Results
In 2016, 28,087 potential organ donors were identified. Thereof 21% were found in category A, 28% in category B and 42% in category C hospitals. The contact rate (= organ donation related contacts/ potential organ donors) and realization rate (= realized organ donations/ potential organ donors) of category A, B and C hospitals was 10.6% and 4.6%, 10.9% and 4.8% and 6.0% and 1.7%, respectively. 58.2% of the donor potential of category C hospitals was found in the largest quartile of category C hospitals. 51% (n = 14,436) of the potential organ donors were treated in hospitals in agglomeration areas, 28% (n = 7,909) in urban areas and 21% (n = 5,742) in rural areas. The contact- and realization rate did not significantly differ between these areas.
Conclusions
The largest proportion of potential organ donors and the lowest realization rate are found in category C hospitals. Reporting and donation practice do not differ between urban and rural regions.
Funder
Christian-Albrechts-Universität zu Kiel
Publisher
Public Library of Science (PLoS)
Reference23 articles.
1. Deutsche Stiftung Organtransplantation. Organspende und Transplantation in Deutschland. Jahresbericht 2018.
2. Quality of life following organ transplantation;P Burra;Transplant International,2007
3. Organtransplantation in Deutschland;A Haverich;Der Internist,2016
4. Caille Brillet a.-L. ZR, Thaiss HM., . Bericht zur Repräsentativstudie 2018, Wissen, Einstellung und Verhalten der Allgemeinbevölkerung zur Organ-und Gewebespende,. BZgA-Forschungsbericht. Köln: Bundeszentrale für gesundheitliche Aufklärung(BZgA), Seite 22.
5. Bundeszentrale für gesundheitliche Aufklärung. BZgA Repräsentativbefragung 2019 [updated 28.05.201904.10.2019]. www.organspende-info.de/infothek/studien.
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