Evidence map›Paper›PMID 29093824›Full record

ArticleCanadian journal of kidney health and disease2017

Familial Consent for Deceased Organ Donation Among Immigrants and Long-term Residents in Ontario, Canada: A Population-Based Retrospective Cohort Study.

Alvin Ho-Ting Li, Ahmed A Al-Jaishi, Matthew Weir, Ngan N Lam, Janet Maclean, Sonny Dhanani, S Joseph Kim, Greg Knoll, Amit X Garg

Open access · goldAbstract read
In one paragraph

Article in Canadian journal of kidney health and disease, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.2field-weighted citation impact, top 32% of its field
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 6 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 6 institutions in 1 country.

Alvin Ho-Ting LiDepartment of Epidemiology and Biostatistics, Western University, London, Ontario, Canada.
Ahmed A Al-JaishiInstitute for Clinical Evaluative Sciences, Toronto, Ontario, Canada.
Matthew WeirDivision of Nephrology, Western University, London, Ontario, Canada.
Ngan N LamDivision of Nephrology, University of Alberta, Edmonton, Canada.
Janet MacleanTrillium Gift of Life Network, Toronto, Ontario, Canada.
Sonny DhananiTrillium Gift of Life Network, Toronto, Ontario, Canada.
S Joseph KimDivision of Nephrology, University of Toronto, Ontario, Canada.
Greg KnollOttawa Hospital Research Institute, Ontario, Canada.
Amit X GargDepartment of Epidemiology and Biostatistics, Western University, London, Ontario, Canada.
Western University · CATrillium Therapeutics (Canada) · CAInstitute for Clinical Evaluative Sciences · CAOttawa Hospital Research InstituteUniversity of Alberta · CAUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMany families choose not to consent to organ donation at the time of their loved one's death. In Ontario, Canada, whether these decisions vary by ethnicity remains unclear.

objectiveTo compare the proportion of families of immigrants who consented for deceased organ donation with families of long-term residents.

designPopulation-based retrospective cohort study.

settingPotential donors in Ontario, Canada, between November 2008 and March 2013.

methodsWe used linked administrative databases to study the proportion of families who consented for deceased organ donation.

resultsOverall, of the 2873 families of potential donors approached, 1912 (67%) provided consent for deceased organ donation. Families of immigrants were less likely to provide consent compared with families of long-term residents (46% [135 of 291] vs 69% [1777 of 2582]; adjusted rate ratio (RR): 0.72; 95% confidence interval [CI]: 0.63-0.81). When examined by the country of birth, families of immigrants from the following regions were less likely to consent to organ donation compared with long-term residents: South Asia (RR: 0.71; 95% CI: 0.55-0.91), East Asia and Pacific (RR: 0.68; 95% CI: 0.53-0.88) and Middle East, North Africa, and sub-Saharan Africa (RR: 0.58; 95% CI: 0.37-0.91). LIMITATIONS: We could not determine why consent was not obtained. We had a small sample of immigrants. We only had access to the potential donors' information and not the family member who was approached for consent. Many characteristics that we examined were nonmodifiable (eg, age, sex).

conclusionsIn Ontario, families of immigrants are less likely to consent to deceased organ donation. There is an opportunity to better understand the reasons for lower consent among certain immigrant groups.

Indexed as

epidemiologyimmigrantsorgan donation

Identifiers

PMID29093824
PMCPMC5652658
OpenAlexW2766548774

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Registered trials

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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.