Journal List > J Korean Soc Transplant > v.26(2) > 1034366

Park, Yoon, Cho, Roels, Smits, Cohen, Kim, Bok, Kang, Kim, Lee, and Kim: Preliminary Results of Donor Action in Korea



Donor Action (DA) is a well-known program used to evaluate the potential of organ donors and to survey hospital attitudes toward organ donation in a region or nation. DA has not yet been fully implemented in Korea.


We collected medical information on expired patients from 9 hospitals in Yeoung-nam province. We also passed out Hospital Attitude Survey questionnaires in those same 9 hospitals. We reviewed the medical records of the expired patients in the neurological and neurosurgical critical care units from January 1, 2009 to December 31, 2009. Data was analyzed with a DA system database.


A total of 704 patients were enrolled. Altogether, 307 patients (43.6%) were potential donors, and 26 patients (6.5%) were reported to an to organ procurement organization. Among the potential donors, a family approach was taken with 33 patients (10.7%), and family consent was obtained in 26 cases (8.5%). Organ donation was done with 24 patients (7.8%). Among the potential donors, 88.6% of them were not identified as potential donors. Hospital attitude surveys were given to 417 hospital staff members. A positive attitude towards organ donation was shown in 85%. However, only 55.4% of hospital staff agreed on the concept of brain death.


Among the processes of organ donation, identifying a potential donor is a critical step to increase organ donation.

Figures and Tables

Fig. 1
A breakdown diagram of medical record review according to donation pathway.
Fig. 2
Vocation and age distribution of respondents.
Fig. 3
Attitudes toward the definition of brain death.
Fig. 4
Atittudes toward organ donation and tissue donation.
Fig. 5
Feeling comfortable with donation related tasks (Do you feel comfortable in the following situations?).
Fig. 6
Self reported confidence levels with regard to donation related tasks (Do you feel you have necessary competence or necessary knowledge to?).
Fig. 7
Educational needs with regard to donation related tasks.
Table 1
Donation number according to donor age (n, % of potential donor)
Table 2
Donation number according to the cause of brain death (n, % of potential donor)


1. Andersen KS, Fox DM. The impact of routine inquiry laws on organ donation. Health Aff (Millwood). 1988. 7:65–78.
2. Rithalia A, McDaid C, Suekarran S, Myers L, Sowden A. Impact of presumed consent for organ donation on donation rates: a systematic review. BMJ. 2009. 338:a3162.
3. Rithalia A, McDaid C, Suekarran S, Norman G, Myers L, Sowden A. A systematic review of presumed consent systems for deceased organ donation. Health Technol Assess. 2009. 13:iiiix–xi. 1–95.
4. Alonso M, Fernández M, Mataix R, Rincón MD, Corrales JA, Burgos R, et al. Donor action in Spain: a program to increase organ donation. Transplant Proc. 1999. 31:1084–1085.
5. Wight C, Cohen B, Roels L, Miranda B. Donor Action: a quality assurance program for intensive care units that increases organ donation. J Intensive Care Med. 2000. 15:104–114.
6. Roels L, Cohen B, Gachet C, Miranda BS. Joining efforts in tackling the organ shortage: the Donor Action experience. Clin Transpl. 2002. 1:111–120.
7. The Donor Action Foundation. Donor Action Program [internet]. 2009. cited 2012 Jan 15. Leiden: DA Foundation;Available from:
8. Roels L, Spaight C, Smits J, Cohen B. Donation patterns in four European countries: data from the donor action database. Transplantation. 2008. 86:1738–1743.
9. Roels L, Spaight C, Smits J, Cohen B. Critical Care staffs' attitudes, confidence levels and educational needs correlate with countries' donation rates: data from the Donor Action database. Transpl Int. 2010. 23:842–850.
10. Lee SJ, Park JB, Lyo IU, Sim HB, Song SK, Kwon SC. The organ donation rates in the neurosurgical field: preliminary study in a single institute. J Korean Soc Transplant. 2009. 23:252–256.
11. Ojo AO, Hanson JA, Meier-Kriesche H, Okechukwu CN, Wolfe RA, Leichtman AB, et al. Survival in recipients of marginal cadaveric donor kidneys compared with other recipients and wait-listed transplant candidates. J Am Soc Nephrol. 2001. 12:589–597.
12. Smits JM, Persijn GG, van Houwelingen HC, Claas FH, Frei U. Evaluation of the Eurotransplant Senior Program. The results of the first year. Am J Transplant. 2002. 2:664–670.
13. Cohen B, Smits JM, Haase B, Persijn G, Vanrenterghem Y, Frei U. Expanding the donor pool to increase renal transplantation. Nephrol Dial Transplant. 2005. 20:34–41.
14. Frei U, Noeldeke J, Machold-Fabrizii V, Arbogast H, Margreiter R, Fricke L, et al. Prospective age-matching in elderly kidney transplant recipients - a 5-year analysis of the Eurotransplant Senior Program. Am J Transplant. 2008. 8:50–57.
15. Cohen J, Ami SB, Ashkenazi T, Singer P. Attitude of health care professionals to brain death: influence on the organ donation process. Clin Transplant. 2008. 22:211–215.
16. Bøgh L, Madsen M. Attitudes, knowledge, and proficiency in relation to organ donation: a questionnaire-based analysis in donor hospitals in northern Denmark. Transplant Proc. 2005. 37:3256–3257.
17. Blok GA, van Dalen J, Jager KJ, Ryan M, Wijnen RM, Wight C, et al. The European Donor Hospital Education Programme (EDHEP): addressing the training needs of doctors and nurses who break bad news, care for the bereaved, and request donation. Transpl Int. 1999. 12:161–167.
18. Blok GA, Morton J, Morley M, Kerckhoffs CC, Kootstra G, van der Vleuten CP. Requesting organ donation: the case of self-efficacy-effects of the European Donor Hospital Education Programme (EDHEP). Adv Health Sci Educ Theory Pract. 2004. 9:261–282.
19. Pugliese MR, Degli Esposti D, Dormi A, Venturoli N, Mazzetti Gaito P, Buscaroli A, et al. Improving donor identification with the Donor Action programme. Transpl Int. 2003. 16:21–25.
20. Lee S, Ahn C, Kim SI, Han DJ, Cho WH. Analysis of the potential deceased donors in the neurosurgical intensive care units of Korea. J Korean Soc Transplant. 2011. 25:106–112.
21. Lee SM, Lee YH, Kim SH, Kim SY. Study on perceptions and attitudes of Koreans on organ donation. J Korean Soc Transplant. 2003. 17:227–233.
22. Ha HS, Hong JJ, Kim SC, Lee SG, Song MG, Han DJ. Study on physician's perceptions and attitudes on organ donation in brain dead donors. J Korean Soc Transplant. 2001. 15:51–57.
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