Organ Donation Clinical Trial
Official title:
Organ Procurement : Usefulness of a Guide for Meeting With the Next of Kin
A dedicated guide for physicians and organ procurement nurses meeting with the next of kin could be associated with a reduction in organ donation refusal rate, and in anxiety of professionals involved in such meetings
The main obstacle for organ procurement in brain dead patients in France is organ donation
refusal by the next of kin. When refusal is reflecting the patient's position, ending the
organ donation procedure respects the bioethic French laws. Nevertheless, the actual position
of the deceased patient often remains unknown. In these cases, organ donation refusal does
not necessarily respect the deceased wishes. Many factors have been associated to next of kin
organ donation refusal in such situations. Among those factors, some concerning the meeting
with the next of kin have been isolated. French data on this subject are lacking.
A dedicated guide for the conduct of meetings with the next of kin has been elaborated by a
working group of our network. Its diffusion will take place last quarter of 2016. The purpose
of our study is to evaluate its usefulness through an observational multicenter before-after
study, concerning every situation of brain dead patient where the next of kin are met by the
medical staff. The refusal rate will be assessed over the first period (before the diffusion
of the guide), from july 2012 to june 2014, and compared to that assessed over the second
period (after the diffusion of the guide) from january 2017 to december 2018, using the
national database of Biomedicine Agency. A comparison of this change in refusal rate will be
made between centers of our network and the remaining centers in France nationwide. Anxiety
of professionals will be assessed prospectively after each meeting conducted in one of our
network centers, over 2 periods, before (from July to October 2016) and after (starting in
january 2017) the diffusion of the dedicated guide for the conduct of the meeting with the
next of kin. Compliance to the guide by the physicians and organ procurement nurses will be
assessed after its diffusion in the centers of our network.
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