G A Suguitan1, C B Cabanayan-Casasola2, R A Danguilan3, J M A Jaro1. 1. Human Organ Preservation Effort, National Kidney and Transplant Institute, East Avenue, Diliman, Quezon City, Philippines. 2. Department of Adult Nephrology, National Kidney and Transplant Institute, East Avenue, Diliman, Quezon City, Philippines. 3. Department of Adult Nephrology, National Kidney and Transplant Institute, East Avenue, Diliman, Quezon City, Philippines. Electronic address: dr.radanguilan@gmail.com.
Abstract
BACKGROUND: The Human Organ Preservation Effort is a government organ procurement organization that pioneered the Deceased Organ Donation Program in the Philippines. Deceased organ donation comprises only 20% of kidney transplantation in the Philippines in the last 3 years. Various measures were implemented to improve deceased organ donor referrals and organ retrieval. OBJECTIVE: To compare outcome of deceased organ donor referrals from 2002 to 2008 and 2009 to 2012 in the Philippines. METHODS: This retrospective study reviewed the deceased organ donor referrals from 2002 to 2008 and 2009 to 2012. RESULTS: There were 437 referrals for potential deceased organ donors from 2009 to 2012, compared to 434 referrals from 2002 to 2008. Referrals were mainly trauma victims (76%) followed by those with cerebrovascular accidents (12%). In the recent cohort, 81% were approached and 60% consented for donation, but only 23% were retrieved and transplanted. Among those not retrieved, the majority (19%) were medically unsuitable and 6% retracted their consent. CONCLUSION: Although there was an increasing trend of organ donation referrals in the last 4 years, only 25% were procured. The reasons for nonprocurement should be addressed.
BACKGROUND: The Human Organ Preservation Effort is a government organ procurement organization that pioneered the Deceased Organ Donation Program in the Philippines. Deceased organ donation comprises only 20% of kidney transplantation in the Philippines in the last 3 years. Various measures were implemented to improve deceased organ donor referrals and organ retrieval. OBJECTIVE: To compare outcome of deceased organ donor referrals from 2002 to 2008 and 2009 to 2012 in the Philippines. METHODS: This retrospective study reviewed the deceased organ donor referrals from 2002 to 2008 and 2009 to 2012. RESULTS: There were 437 referrals for potential deceased organ donors from 2009 to 2012, compared to 434 referrals from 2002 to 2008. Referrals were mainly trauma victims (76%) followed by those with cerebrovascular accidents (12%). In the recent cohort, 81% were approached and 60% consented for donation, but only 23% were retrieved and transplanted. Among those not retrieved, the majority (19%) were medically unsuitable and 6% retracted their consent. CONCLUSION: Although there was an increasing trend of organ donation referrals in the last 4 years, only 25% were procured. The reasons for nonprocurement should be addressed.