Factors Influencing Family's Organ Donation Decision

Jaesook Oh; Minsun Kang; Kyung Sook Jang; Hyun Jin Kang; Wonhyun Cho; Jongwon Ha

doi:10.4285/jkstn.2017.31.3.133

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Oh, Kang, Jang, Kang, Cho, and Ha: Factors Influencing Family's Organ Donation Decision

Original Article

The Journal of the Korean Society for Transplantation 2017; 31(3): 133-142.

Published online: 30 September 2017

DOI: https://doi.org/10.4285/jkstn.2017.31.3.133

Factors Influencing Family's Organ Donation Decision

Jaesook Oh, R.N.^1,², Minsun Kang, R.N.¹, Kyung Sook Jang, M.A.^1,², Hyun Jin Kang, R.N.^1,², Wonhyun Cho, M.D.², Jongwon Ha, M.D.^1,³

¹Korea Organ Donation Agency, Seoul, Korea.

²Korea Organ Donation Agency, Seoul, Korea.

³Department of Surgery, Seoul National University College of Medicine, Seoul, Korea.

Corresponding author: Jongwon Ha. Department of Surgery, Seoul National University Hospital, Seoul National University College of Medicine, 101 Daehak-ro, Jongno-gu, Seoul 03080, Korea. Tel: 82-2-2072-2991, Fax: 82-2-766-3975, jwhamd@snu.ac.kr

Received 24 May 2017 Revised 28 June 2017 Accepted 11 August 2017

The Korean Society for Transplantation

Abstract

Background

The main factor limiting the increase in brain dead organ donors is low consent rates for organ donation.

Methods

This study is a retrospective analysis of donor records of Korea Organ Donation Agency from 2013 to 2015. Factors related before providing information about organ donation and process of explaining organ donation were analyzed.

Results

Donor gender, marital status, religious affiliation, residence area, knowledge of patients' wishes, understanding of brain death status, and the referring system, providing initial information about donation and initial medical staff providing information about donation had a significant influence on decision to donate. Organ donation greatly increased when the donor family knew the patient's intent to donate. As the degree of family understanding of brain death status and the referring system increased, organ donation rate significantly increased.

Conclusions

Providing sufficient information about brain death during the period of delivering medical services as well as activating campaign and public education are essential to improving the positive attitude toward organ donation.

Keywords: Family consent, Organ donation, Brain death

Figures and Tables

Fig. 1

Family communication protocol for explaining brain death.

Table 1

Factors associated with the consent for deceased organ donation

Table 2

Characteristics of the potential brain dead patient (n=2,518)

Data are presented as number (%) or mean±SD.

Table 3

Providing information by medical staffs and the degree of family understands (n=2,301)

Data are presented as number (%).

Table 4

Initial providing information about organ donation and the degree of family understanding (n=2,301)

Data are presented as number (%).

Table 5

Logistic regression of preliminary factors (n=2,518)

Abbreviation: CI, confidence interval.

^aP<0.01; ^bP<0.05.

Table 6

Logistic regression of factors related the process of providing information about organ donation (n=2,301)

Abbreviation: CI, confidence interval.

^aP<0.01.

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