The Impact of Race on Organ Donation Authorization Discussed in the Context of Liver Transplantation

作者: Waheed Tajik , Henry C. Bodenheimer , Michael J. Goldstein , Jeffrey M. Okun , Julienne Obadia

DOI:

关键词: Race (biology)Family medicineOrgan donationLiver transplantationDonationMedicineTransplantationConcordanceHealth educationContext (language use)Gerontology

摘要: Inadequate organ donation limits transplantation for many in need of a life-saving organ. Race donor families and requesting coordinators may impact the authorization rate donation. We evaluated rates within New York Organ Donor Network by race during 2009 2010. The varied considerably according to donor. was 57% Hispanic, 53% Caucasian, 48% African-American, 23% Asian families. Fifty-five percent agreed when there racial concordance between coordinator Donation 49% mis-match existed. When adjusted training experience, discordance had lesser on rates. Our findings suggest education communication strategies overcome racial-associated perception process.

参考文章(23)
Susan E. Morgan, Thomas Cannon, African Americans' knowledge about organ donation: closing the gap with more effective persuasive message strategies. Journal of The National Medical Association. ,vol. 95, pp. 1066- 1071 ,(2003)
Edward Lee, William Midodizi, Sita Gourishankar, Attitudes and opinions on organ donation: an opportunity to educate in a Canadian city. Clinical Transplantation. ,vol. 24, ,(2010) , 10.1111/J.1399-0012.2010.01260.X
Venodhar R. Julapalli, Jennifer R. Kramer, Hashem B. El-Serag, Evaluation for liver transplantation: adherence to AASLD referral guidelines in a large Veterans Affairs center. Liver Transplantation. ,vol. 11, pp. 1370- 1378 ,(2005) , 10.1002/LT.20434
Jeanette C. Yu, Alfred I. Neugut, Shuang Wang, Judith S. Jacobson, Lauren Ferrante, Vandana Khungar, Emerson Lim, Dawn L. Hershman, Robert S. Brown, Abby B. Siegel, Racial and insurance disparities in the receipt of transplant among patients with hepatocellular carcinoma. Cancer. ,vol. 116, pp. 1801- 1809 ,(2010) , 10.1002/CNCR.24936
J. R. Rodrigue, D. L. Cornell, R. J. Howard, Organ Donation Decision: Comparison of Donor and Nondonor Families American Journal of Transplantation. ,vol. 6, pp. 190- 198 ,(2006) , 10.1111/J.1600-6143.2005.01130.X
Carlos V. R. Brown, Kelli H. Foulkrod, Sarah Dworaczyk, Kit Thompson, Eric Elliot, Hassie Cooper, Ben Coopwood, Barriers to obtaining family consent for potential organ donors Journal of Trauma-injury Infection and Critical Care. ,vol. 68, pp. 447- 451 ,(2010) , 10.1097/TA.0B013E3181CAAB8F
Charles Bratton, Kenneth Chavin, Prabhakar Baliga, Racial disparities in organ donation and why. Current Opinion in Organ Transplantation. ,vol. 16, pp. 243- 249 ,(2011) , 10.1097/MOT.0B013E3283447B1C
Ashwin N. Ananthakrishnan, Kia Saeian, Racial differences in liver transplantation outcomes in the MELD era. The American Journal of Gastroenterology. ,vol. 103, pp. 901- 910 ,(2008) , 10.1111/J.1572-0241.2008.01809.X