Epidemiology and Comorbidity Burden of Organ Donor Referrals in Australia: Cohort Study 2010–2015
This study looked at all cases referred to the donation service and found that over time, although more people have been organ donors, a much larger proportion are declined for donation. Referral evaluation of potential donors is resource-intensive. We found the comorbidity burden among donor referrals is increasing (more people with more chronic diseases are being referred for consideration). A better understanding of referral characteristics associated with non-donation may improve the efficiency of the referral process in the context of encouraging routine referrals.
Weekend effect: analysing temporal trends in solid organ donation
Other research suggests patients treated over weekends experience poorer outcomes. One study performed in the USA suggested that fewer organ retrievals happen at weekends, and of those organs retrieved, more are discarded and not used than during the week. The CODE team thought it was important to see how the Australian donor procurement service performed. We found of 3496 potential donors referred for consideration, 694 (20%) progressed to organ procurement. In Australia, the donation pathway operated consistently throughout the week, with donation no less likely to proceed on weekends and holidays.
Find the text here: Weekend effect: analysing temporal trends in solid organ donation
All Publications for this Project
Brief description of all publications relating to the ORCHARD projects and links to the full text.
The Organ Referral Characterisation Database (ORCHARD) study was established in collaboration with the NSW Organ and Tissue Donation Service (OTDS), and the NSW Transplant Advisory Committee in 2010 to describe trends in organ donor referrals. This study is a retrospective clinical audit of all patientsreferred to the OTDS for deceased organ donation in NSW. ORCHARD […]