High-donor-volume hospitals recover more transplantable organs per donor

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CHICAGO (January 18, 2016): Hospitals that manage the highest volume of deceased organ donors are 52 percent more likely to recover an above-average number of transplantable organs per donor compared with low-volume hospitals, according to results from a new study conducted across three U.S. donation regions. The findings appear online as an “article in press” on the Journal of the American College of Surgeons website in advance of print publication.

On average, these high-volume medical centers reportedly had an organ yield, or rate of organs transplanted per donor (OTPD), of 0.4 more than the lowest volume centers. National organ procurement data report approximately 9,000 deceased organ donors last year,1suggesting the potential to recover an additional 3,000 or more vital organs yearly.

“Those numbers would make a big difference in improving the nation’s shortage of donated organs available for transplantation,” according to principal investigator Darren J. Malinoski, MD, FACS, a surgeon with Portland Veterans Affairs (VA) Medical Center and a professor of surgery at Oregon Health & Science University in Portland, Ore.

“Our findings suggest we can improve the organ shortage and maximize the gift that patients and their families want to make through organ donation by understanding the aspects of high-volume donor hospitals that contribute to improved outcomes,” Dr. Malinoski said.

Dr. Malinoski called this study the first one to assess the impact of hospitals’ organ donor volume on OTPD. Despite much research showing improved patient results with high hospital volume, including the number of surgical procedures a hospital performs, scientists have not known whether hospital volume of organ donors affects OTPD, he explained.

Continue reading at https://www.eurekalert.org/pub_releases/2017-01/acos-hhr011817.php

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