Donatie - P55 - Significant more consent for organ donation for doctors trained in ‘Communication about Donation’ 

N.E. Jansen, A.J. Hoitsma, H. Rodenburg, B. Schaefer, B.J.J.M. Haase-Kromwijk

Chair(s): drs. Tineke Wind, transplantatiecoördinator, Maastricht UMC

Thursday 10 march 2016

12:30 - 13:00h at Foyer

Categories: Postersessie

Parallel session: Postersessies XI - Opgesplitst in 3 tijdblokken en 3 categoriëen (klinisch, basaal, donatie)

The training ‘Communication about Donation’ (CaD), developed by the Dutch Transplant Foundation in 2007, facilitates medical professionals in approaching families of potential organ and tissue donors. According to the Masterplan Organ Donation the CaD training is mandatory for intensivists since 2012, therefore many CaD trainings were organized in the Dutch hospitals. The main part in the practical training includes role-playing with actors. In the period November 2012 - October 2015 family approaches, for only organ donation, are evaluated by a questionnaire.

Evaluations took place by ‘donation intensivists’ in a face to face setting, by telephone or by email. Items about the consent process were evaluated for example; if the doctor was trained in CaD, what was the outcome of consulting the Donor Registry, if donation was requested decoupled from breaking the bad news and, how many family members were present during the request.

In total 1723 questionnaires were retrieved. The number of doctors trained in CaD was 1094, 531 are not (yet) trained and in 98 cases this information is missing. In 1533 cases the family reached a decision about donation. The consent rate for organ donation in the CaD trained group was significant higher (p<0.029); 56.3% (579/1028) compared to the non-CaD trained group 50.9% (257/505). After excluding potential donors with ‘consent’ in the Donor Registry, the family consent rate was 42% for CaD trained doctors and 36.2% for the group not trained in CaD (p=0.069).

These figures show that it is important that family of a potential organ donor is approached by a doctor trained in CaD. Although the results are promising the consent rate is still low and we expect there is room for improvement, compared to other countries. A complete analysis will be shown at the congress.