Efficiency indicators to assess the organ donation and transplantation process: systematic review of the literature

Efficiency indicators to assess the organ donation and transplantation process: systematic review of the literature

Author Siqueira, Marina Martins Google Scholar
Araujo, Claudia Affonso Google Scholar
Roza, Bartira de Aguiar Autor UNIFESP Google Scholar
Schirmer, Janine Autor UNIFESP Google Scholar
Abstract Objective. To search the literature and identify indicators used to monitor and control the organ donation and transplantation process and to group these indicators into categories. Method. In November 2014, a systematic review of the literature was carried out in the following databases: Biblioteca Virtual em SaLde (BVS), EBSCO, Emerald, Proquest, Science Direct, and Web of Science. The following search terms (and the corresponding terms in Brazilian Portuguese) were employed: "efficiency," "indicators," "organ donation," "tissue and organ procurement," and "organ transplantation." Of the 344 articles retrieved, 23 original articles published between 1992 and 2013 were selected and reviewed for analysis of efficiency indicators. Results. The review revealed 117 efficiency indicators, which were grouped according to similarity of content and divided into three categories: 1) 71 indicators related to organ donation, covering mortality statistics, communication of brain death, clinical status of donors and exclusion of donors for medical reasons, attitude of families, confirmation of donations, and extraction of organs and tissues

2) 22 indicators related to organ transplantation, covering the surgical procedure per se and post-transplantation follow-up

and 3) 24 indicators related to the demand for organs and the resources of hospitals involved in the process. Conclusions. Even if organ transplantation is a recent phenomenon, the high number of efficiency indicators described in the literature suggests that scholars interested in this field have been searching for ways to measure performance. However, there is little standardization of the indicators used. Also, most indicators focus on the donation step, suggesting gaps in the measurement of efficiency at others points in the process. Additional indicators are needed to monitor important stages, such as organ distribution (for example, organ loss indicators) and post-transplantation aspects (for example, survival and quality of life).
Keywords Tissue and organ procurement
organ transplantation
Language English
Date 2016
Published in Revista Panamericana De Salud Publica-Pan American Journal Of Public Health. Washington, v. 40, n. 2, p. 90-97, 2016.
ISSN 1020-4989 (Sherpa/Romeo, impact factor)
Publisher Pan Amer Health Organization
Extent 90-97
Access rights Closed access
Type Revisão
Web of Science ID WOS:000393211200005
URI http://repositorio.unifesp.br/handle/11600/51192

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