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Enhancements to OPTN Donor Data and Matching System Clinical Data Collection

eye iconAt a glance

Background

Donation after circulatory death (DCD) donation is a different method of organ donation compared to brain dead donors. Transplants from DCD donors have steadily increased each year, but current data collection related to DCD donors within the OPTN Donor Data and Matching System is limited to a single question regarding the donor’s DCD status. Any additional information is shared manually between OPOs and transplant hospitals.

Supporting media

Presentation

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Proposed changes

The OPTN OPO Committee proposes the addition of several data fields specific to DCD donors to the OPTN Donor Data and Matching system:

  • Withdrawal of life-sustaining medical support
  • Cessation of circulation
  • Flush time
  • Oxygen saturation

Anticipated impact

  • What it's expected to do
    • Streamline communication between OPOs and transplant hospitals
    • Improve efficiency of organ offer evaluation
    • Provide transplant programs with the necessary clinical information that is important to evaluating DCD organ offers
  • What it won't do
    • It will not change allocation policies for any organ

Terms to know

  • Donation after Circulatory Death (DCD): Recovery of organs from a donor who has suffered a devastating and non-survivable brain injury and requires ventilator support to sustain life, but does not meet formal brain death criteria. Organs are recovered after the family decides to withdraw care and the donor’s heart has irreversibly stopped beating.
  • Withdrawal of life-sustaining medical support: the removal of all therapies intended to sustain life.
  • Cessation of circulation: the permanent and irreversible lack of circulation or heartbeat
  • Flush time: the start of infusion of cold preservation solution during organ procurement
  • Oxygen saturation: a measure of the amount of oxygen-carrying hemoglobin in the blood relative to the amount of hemoglobin not carrying oxygen

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Provide feedback

eye iconComments

Rebecca Baranoff | 08/07/2022

I think these suggested additions are important and necessary. It makes sense to have all the information about a donor in one place.

Kidney Donor Conversations | 08/04/2022

Support changes to improve efficiencies in the process and to standardize the process/information. If this is important information, recommend requiring.

ELAINE LANDER | 08/03/2022

As a Transplant Research Coordinator I am required to confirm if deceased donors' Next of Kin consented to research. Trying to locate this information on the many different authorization forms is often like playing "Where's Waldo". It would be so nice if there was one standardized authorization form for all OPO's. Thank you.