Evidence map›Paper›PMID 39708307›Full record

Observational studyClinical transplantation2024

Increased Infectious Risk Donor Status and Equity-Relevant Predictors of Organ Donation Organization Approach and Caregiver Consent for Deceased Organ Donation in a Canadian Province (2015-2021).

Murdoch Leeies, Karen Doucette, Brenden Dufault, Tricia Carta, Owen Mooney, Carmen Hrymak, Nicolette Balzer, Ben Borys, Yasmine El-Salakawy, Mirna Ragheb and 6 more

Abstract readObservational Study
In one paragraph

Observational study in Clinical transplantation, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Article
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

16 authors.

Murdoch LeeiesSection of Critical Care Medicine, Department of Medicine, University of Manitoba, Winnipeg, Canada.ORCID https://orcid.org/0000-0002-7645-0791
Karen DoucetteDivision of Infectious Diseases, Department of Medicine, University of Alberta, Edmonton, Canada.
Brenden DufaultData Sciences Platform, George & Fay Yee Centre for Healthcare Innovation, University of Manitoba, Winnipeg, Canada.
Tricia CartaTransplant Manitoba, Gift of Life Organ Donation Organization, Winnipeg, Canada.
Owen MooneySection of Critical Care Medicine, Department of Medicine, University of Manitoba, Winnipeg, Canada.
Carmen HrymakSection of Critical Care Medicine, Department of Medicine, University of Manitoba, Winnipeg, Canada.
Nicolette BalzerMax Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada.
Ben BorysMax Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada.
Yasmine El-SalakawyMax Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada.
Mirna RaghebMax Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada.
Davie XieMax Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada.
Emily ChristieDivision of Nephrology, Department of Medicine, University of Alberta, Edmonton, Canada.
David CollisterDivision of Nephrology, Department of Medicine, University of Alberta, Edmonton, Canada.
Matthew J WeissDepartment of Pediatrics, Université Laval, Quebec, Canada.
Sonny DhananiDepartment of Pediatrics, University of Ottawa, Ottawa, Canada.
Julie HoSection of Nephrology, Department of Medicine, University of Manitoba, Winnipeg, Canada.ORCID https://orcid.org/0000-0002-8342-9093

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCurrent donor risk assessments to identify risk of infectious transmission through transplantation have been criticized as unnecessarily discriminatory for sexual and gender minorities. Little is known about how increased infectious risk donor (IIRD) patients transition through the deceased donation system. We sought to evaluate how IIRD status and other equity-relevant identities impacted the likelihood of a caregiver of a deceased donor being approached for organ donation and the likelihood of caregiver consent.

methodsWe conducted a retrospective, observational cohort study of potential deceased donors referred to a Canadian provincial organ donation organization (ODO) from 2015 to 2021. Our primary outcome is the difference in the likelihood of being approached by the ODO for organ donation for IIRDs compared to baseline risk donors, amongst referred potential deceased organ donors. Secondary outcomes include the difference in caregiver consent for donation for IIRDs compared to baseline risk donors, amongst approached deceased organ donors. We built multivariable logistic regression models to evaluate these outcomes.

resultsAmongst all referred potential deceased organ donors, IIRD status did not impact the likelihood of being approached by our ODO for deceased organ donation compared to baseline risk donors (OR 1.695, 95% CI 0.902-3.197). Amongst approached deceased organ donors, there was no significant difference in caregiver consent for donation between IIRD and baseline risk donors (OR 1.854, 95% CI 0.902-3.929). Approached eligible IIRDs were younger with fewer comorbidities, lower KDPI scores, were more likely to have died from anoxic brain injuries and have death determined by neurologic criteria, and more likely to have non-medical injection drug use than baseline risk donors. There were no cases of donor-derived human immunodeficiency virus (HIV), hepatitis C virus (HCV), or hepatitis B virus (HBV) reported for any donors included, regardless of IIRD status, during the study period.

conclusionsWe found no significant difference in the likelihood of ODO approach in IIRDs compared to baseline risk donors. There was no difference in caregiver consent for donation in IIRDs compared to baseline risk donors. A greater proportion of IIRDs became successful donors compared to baseline risk donors.

Indexed as

CaregiversTissue and Organ ProcurementTissue DonorsAdultCanadaFemaleFollow-Up StudiesHumansInformed ConsentMaleMiddle AgedOrgan TransplantationPrognosisRetrospective StudiesRisk AssessmentRisk Factorsdeceased organ donordeceased tissue donordiversityhealth equityinclusionincreased infectious risk donororgan donation

Identifiers

PMID39708307
PMCPMC11662980

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

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.