Sang-Il Min1, Curie Ahn, Duck Jong Han, Soon Il Kim, Sang Young Chung, Suk Koo Lee, Sung Joo Kim, Oh Jung Kwon, Hong Rae Cho, Shin Hwang, Myoung Soo Kim, Chul Woo Yang, Jongwon Ha, Won Hyun Cho. 1. 1 Department of Surgery, Seoul National University College of Medicine, Seoul, Korea. 2 Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea. 3 Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. 4 Department of Surgery, Yonsei University College of Medicine, Seoul, Korea. 5 Department of Surgery, Chonnam National University Medical School, Gwangju, Korea. 6 Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. 7 Department of Surgery, Hanyang University College of Medicine, Seoul, Korea. 8 Department of Surgery, University of Ulsan College of Medicine, Ulsan, Korea. 9 Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea. 10 Korea Organ Donation Agency, Seoul, Korea. 11 Department of Surgery, Keimyung University Dongsan Medical Center, Keimyung University School of Medicine, Daegu, Korea.
Abstract
BACKGROUND: The disparity between patients awaiting transplantation and available organs has widened, and resultant organ shortage became a world crisis. The transplantation community has made considerable progress in national organ donation system in Korea, and significant growth in the number of deceased donors has been witnessed. METHODS: After introduction of the Organ Transplant Act, which was enacted in 2000, transparency was established in organ allocation system in Korea. However, the number of deceased donor dwindled significantly from 162 in 1999 to 36 in 2002. To improve deceased donation, several strategies were pursued, and finally new national organ donation system was established through the amendment of the Organ Transplant Act. RESULTS: Organ incentive system, which was introduced in 2003, failed to increase the number of deceased donors (68 in 2003, 86 in 2004, and 91 in 2005). Monetary incentive to the bereaved family was introduced in 2006 and slightly increased the number of deceased donor (141 in 2006). However, this effect was not long-lasting (148 in 2007). After enforcement of the new Organ Transplant Act, which included nationwide independent organ procurement organization and mandatory report of potential brain death, the number of deceased donors significantly increased, reaching 368 in 2011. The growth continued and the number of deceased donors reached 409 (8.03 pmp) in 2012. CONCLUSION: There has been a significant growth in the number of deceased donors in Korea since the appropriate deceased organ donation system was launched. A comprehensive national program is required to improve deceased donation and achieve self-sufficiency.
BACKGROUND: The disparity between patients awaiting transplantation and available organs has widened, and resultant organ shortage became a world crisis. The transplantation community has made considerable progress in national organ donation system in Korea, and significant growth in the number of deceased donors has been witnessed. METHODS: After introduction of the Organ Transplant Act, which was enacted in 2000, transparency was established in organ allocation system in Korea. However, the number of deceased donor dwindled significantly from 162 in 1999 to 36 in 2002. To improve deceased donation, several strategies were pursued, and finally new national organ donation system was established through the amendment of the Organ Transplant Act. RESULTS: Organ incentive system, which was introduced in 2003, failed to increase the number of deceased donors (68 in 2003, 86 in 2004, and 91 in 2005). Monetary incentive to the bereaved family was introduced in 2006 and slightly increased the number of deceased donor (141 in 2006). However, this effect was not long-lasting (148 in 2007). After enforcement of the new Organ Transplant Act, which included nationwide independent organ procurement organization and mandatory report of potential brain death, the number of deceased donors significantly increased, reaching 368 in 2011. The growth continued and the number of deceased donors reached 409 (8.03 pmp) in 2012. CONCLUSION: There has been a significant growth in the number of deceased donors in Korea since the appropriate deceased organ donation system was launched. A comprehensive national program is required to improve deceased donation and achieve self-sufficiency.
Authors: Jong Man Kim; Shin Hwang; Kwang-Woong Lee; Jae-Geun Lee; Je Ho Ryu; Bong-Wan Kim; Dong Lak Choi; Young Kyoung You; Dong-Sik Kim; Yang Won Nah; Koo Jeong Kang; Jai Young Cho; Geun Hong; In Seok Choi; Hee Chul Yu; Dongho Choi; Myoung Soo Kim Journal: Hepatobiliary Surg Nutr Date: 2020-08 Impact factor: 7.293
Authors: Jong Cheol Jeong; Tai Yeon Koo; Han Ro; Dong Ryeol Lee; Dong Won Lee; Jieun Oh; Jayoun Kim; Dong-Wan Chae; Young Hoon Kim; Kyu Ha Huh; Jae Berm Park; Yeong Hoon Kim; Seungyeup Han; Soo Jin Na Choi; Sik Lee; Sang-Il Min; Jongwon Ha; Myoung Soo Kim; Curie Ahn; Jaeseok Yang Journal: Sci Rep Date: 2022-05-24 Impact factor: 4.996