Maximizing the use of potential donors through increased rates of family approach for authorization.

In the United States, a small proportion of potential deceased organ donor referrals lead to donation and recovery. Understanding variation in the processes involved between organ procurement organizations (OPOs) may help increase deceased donation and reduce the organ shortage. We studied 103 923 referrals from 10 OPOs from 2018 to 2019, of which 14.4% led to approach for authorization, 8.2% led to authorization, 5.1% led to organ recovery, and 4.8% led to transplantation. First-person authorization (FPA) was associated with threefold higher odds of donation (OR = 2.83 3.02 3.22 , p < .001). Female referrals had 11% lower odds of approach; when approached, Black and Hispanic referrals had 46% and 35% lower odds of authorization, respectively (all p < .001). There was substantial OPO-level variation in rates of approach, authorization, and organ recovery, which persisted after adjusting for age, sex, race, and FPA status. An OPO's relative rate of approach correlated strongly with its relative rate of donation among all referrals (ρ = 0.43). Correlation between an individual OPO's authorization rate among approached families, and overall rate of donation, was negative, suggesting that high authorization rates may be the result of selective approach practices. Therefore, approaching a higher proportion of families for authorization may lead to higher donation rates.

Levan ML ，Massie AB ，Trahan C ，Hewlett J ，Strout T ，Klitenic SB ，Vanterpool KB ，Segev DL ，Adams BL ，Niles P ... -  《-》

The impact of donor consent mechanism on organ procurement organization performance in the United States.

Valikodath N ，Lambert AN ，Butler A ，Lebovitz DJ ，Chapman G ，Xu M ，Slaughter JC ，Menachem JN ，Godown J ... -  《-》

When the living and the deceased cannot agree on organ donation: a survey of US organ procurement organizations (OPOs).

Chon WJ ，Josephson MA ，Gordon EJ ，Becker YT ，Witkowski P ，Arwindekar DJ ，Naik A ，Thistlethwaite JR Jr ，Liao C ，Ross LF ... -  《-》

Assessment of National Organ Donation Rates and Organ Procurement Organization Metrics.

DeRoos LJ ，Zhou Y ，Marrero WJ ，Tapper EB ，Sonnenday CJ ，Lavieri MS ，Hutton DW ，Parikh ND ... -  《-》

The Impact of Ethnicity on Research Authorization at the Time of Organ Donation: A Single-Center Experience Among Deceased Donor Kidney Transplantation.

Ortigosa-Goggins M ，Sivan S ，Gaynor JJ ，Guerra G ，Lentine KL ，Mannon RB ... -  《-》