ArticleCMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne2013
Organ donation after death in Ontario: a population-based cohort study.
Article in CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
17 citing papers in PubMed.
- Contemporary evidence to inform management of deceased potential thoracic organ donors after brain death.JHLT open · 2026Article
- Heart donation after a fatal stab wound to the right ventricle: a case report.Forensic science, medicine, and pathology · 2025Article
- Heart donation and transplant recipient survival outcomes from deceased organ donors managed in hospital-based vs independent donor care units.The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation · 2025Article
- Characteristics and Practices of High-Performing Centers in Organ Donor Identification and Referral: A Qualitative Study.Canadian journal of kidney health and disease · 2024Article
- Deceased Organ Donor Management and Organ Distribution From Organ Procurement Organization-Based Recovery Facilities Versus Acute-Care Hospitals.Progress in transplantation (Aliso Viejo, Calif.) · 2023Article
- Organ Transplantation Outcomes of Deceased Organ Donors in Organ Procurement Organization-Based Recovery Facilities Versus Acute-Care Hospitals.Progress in transplantation (Aliso Viejo, Calif.) · 2023Article
- Automated screening of potential organ donors using a temporal machine learning model.Scientific reports · 2023Article
- The Suitability of Potential Organ Donors Using Real Case-Scenarios; Do we Need to Create a "Donor Board" Process for Donors Perceived as Unlikely Suitable?Transplant international : official journal of the European Society for Organ Transplantation · 2022Article
- Family veto in organ donation: the experiences of Organ and Tissue Donation Coordinators in Ontario.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2021Article
- Potential organ donor identification and system accountability: expert guidance from a Canadian consensus conference.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2019Article
- Identification of potential organ donors after aneurysmal subarachnoid hemorrhage in a population-based neurointensive care in Eastern Finland.Acta neurochirurgica · 2018Article
- Trends in brain-dead organ donor characteristics: a 13-year analysis.Canadian journal of surgery. Journal canadien de chirurgie · 2016Article
- Deceased Organ Donation Registration and Familial Consent among Chinese and South Asians in Ontario, Canada.PloS one · 2015Article
- Organ donation programs needed in rural areas.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2013Article
- Exemplary medicine: why doctors should practise what they preach.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2013Article
- Validity of physician billing claims to identify deceased organ donors in large healthcare databases.PloS one · 2013Article
- Acquisition-Related Heterogeneity in Human Spinal Cord Donors: A 10-Year Organ Donation-Integrated Procurement Cohort for Translational Spinal Cord Injury Research.Neurotrauma reportsArticle
Corrections and comments
- Commented on by
- Commented on by
Authors and funding
3 authors.
Funding
Abstract
backgroundShortfalls in deceased organ donation lead to shortages of solid organs available for transplantation. We assessed rates of deceased organ donation and compared hospitals that had clinical services for transplant recipients (transplant hospitals) to those that did not (general hospitals).
methodsWe conducted a population-based cohort analysis involving patients who died from traumatic brain injury, subarachnoid hemorrhage, intracerebral hemorrhage or other catastrophic neurologic conditions in Ontario, Canada, between Apr. 1, 1994, and Mar. 31, 2011. We distinguished between acute care hospitals with and without transplant services. The primary outcome was actual organ donation determined through the physician database for organ procurement procedures.
resultsOverall, 87,129 patients died from catastrophic neurologic conditions during the study period, of whom 1930 became actual donors. Our primary analysis excluded patients from small hospitals, reducing the total to 79,746 patients, of whom 1898 became actual donors. Patients who died in transplant hospitals had a distribution of demographic characteristics similar to that of patients who died in other large general hospitals. Transplant hospitals had an actual donor rate per 100 deaths that was about 4 times the donor rate at large general hospitals (5.0 v. 1.4, p < 0.001). The relative reduction in donations at general hospitals was accentuated among older patients, persisted among patients who were the most eligible candidates and amounted to about 121 fewer actual donors per year (adjusted odds ratio 0.58, 95% confidence interval 0.36-0.92). Hospital volumes were only weakly correlated with actual organ donation rates.
interpretationOptimizing organ donation requires greater attention to large general hospitals. These hospitals account for most of the potential donors and missed opportunities for deceased organ donation.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.