Use of normothermic regional perfusion may not impact public perception of organ donation
Key takeaways:
- Most respondents reported they would undergo a donation procedure that maximized use of their organs.
- Many respondents would be willing to donate a loved one’s organs using any procedure.
PHILADELPHIA — Using normothermic regional perfusion to maintain donatable organs after circulatory death may not impact public perceptions of organ donation, data show.
“We still have a barrier to doing [normothermic regional perfusion] NRP and that barrier is that we are so concerned about public perception,” Anji Wall, MD, PhD, FACS, of Baylor University Medical Center, said at the American Transplant Congress, here.
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In a cross-sectional survey of 1,062 U.S. adults, researchers evaluated patient opinion on the ethical acceptability different donation procedures. Overall, 529 respondents were registered organ donors and 533 were non-registrants. Investigators surveyed views on trust in the medical system and willingness to donate in three specific scenarios: donation after brain death; donation after circulatory death with ex-situ heart perfusion; and donation after circulatory death with thoracoabdominal normothermic regional perfusion.
According to the results, most respondents (79%) agreed or strongly agreed they would want to undergo a donation procedure that maximized the use of their organs, the quality of their organs (81%), and that government (58%) and doctors (68%) should try to increase the number of organs available for transplantation.
Researchers also found that regardless of the donation type, many respondents reported a willingness to be donors or to donate a loved one’s organs using any procedure.
Registered donors were more likely to want to be donors in any scenario compared with non-registrants.
Wall said, “[It] is not the procedure. It is all about registration. Organ donor registration matters, and our questions are: ‘How do we educate people about how to be an organ donor?’ and ‘What information do we need to get to the public?’”