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A 16-fold increase in organ donation in a Hispanic population.

Abstract：

UNLABELLED:Organ transplantation as a substitute for diseased organs in end-stage organ failure has led to a worldwide increase in this treatment modality, but donation has not kept pace with the demand, despite scientific, social, and government efforts. For many years, Hispanic donation in Puerto Rico was meager and lagged behind major centers in North America and Europe. Studies signaled mostly cultural factors in this limited donation. We report a 16-fold increase in organ donation with the development of a formal procurement organization tailored to a local culture. METHODS:The 30-year, 1400-transplant experience of the Puerto Rico Transplant Center was divided in three periods: 1977 through 1893, the latter signaling the approval of a transplant law; 1984 through 1995, signaling the commencement of a formal organ procurement organization; and 1996 through 2006. The subset of 2001 to 2006 was used in an additional calculation against 1984 to 1995. RESULTS:The comparison of the mean deceased donors from 1984 to 1995 with 1998 to 2006 shows a 12-fold increase; and the last 6 years versus 1984 to 1995, a 16.8-fold increase. CONCLUSION:Cultural and educational obstacles in a given country may be overridden by aggressive administrative and educational approaches and strategic planning tailored to local realities, with improvement in organ transplantation.

journal_name

Transplant Proc

journal_title

Transplantation proceedings

authors

Saadé M,Morales-Otero L,Davis J,Torres E,González Z,Santiago-Delpín EA

doi

10.1016/j.transproceed.2008.03.120

subject

Has Abstract

pub_date

2008-05-01 00:00:00

pages

1005-7

issue

4

eissn

0041-1345

issn

1873-2623

pii

S0041-1345(08)00358-8

journal_volume

40

pub_type

杂志文章

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