Organ Donation Programs and the Definition of Success: A Scoping Review Preliminary Results
CCCF ePoster library. Silva e Silva V. Nov 7, 2018; 233363; 32 Disclosure(s): nothing to disclose.
Vanessa Silva e Silva
Vanessa Silva e Silva
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Abstract
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Introduction: The effectiveness of organ donation program performance has been predominantly evaluated through cross-country comparisons of quality indicators and legislative processes.  However, the variation of performance within and among programs remains poorly explained and understood.  Objectives: This scoping review aims to synthesize the current evidence on key organizational attributes and processes of international organ donation programs associated with successful outcomes. Methods: We followed a systematic scoping review protocol in accordance with the Joanna Briggs Institute.  This included a detailed search of appropriate databases (PUBMED, CINAHL, EMBASE, LILACS, ABI Business ProQuest, Business Source Premiera) and grey literature (Organ donation association websites, Google Scholar (first eight pages), and Research Gate) and the reference list of all identified documents was scanned. Inclusion criteria: Studies, reports or documents that investigated and provided measures for organ donation program, processes, or initiatives effectiveness/success worldwide (conversion rates, number of organs transplanted, cost-effective measures); studied program evaluation generically, but contains success measures and definitions for programs; definitions of organ donation program effectiveness; measurement of good processes or organ donation program improvements. Full text available in Spanish, Portuguese or English, with no year limit. Exclusion criteria: Studies not related to the ‘concept of interest’ (success, effectiveness, good processes description); evaluation of other programs (organ transplant programs, tissue donation and transplantation programs, mental health programs, etc.); other healthcare and non-healthcare related studies that do not contain definitions or measures for effectiveness and success in organ donation program evaluation; conference abstracts not linked to full text article. non-heart beating/donation after circulatory death programs; articles about knowledge and attitude of people about organ donation; tissue donation programs (bone marrow, skin, bones, eggs, sperm, stem-cell, cornea);  paired kidney donation programs and living donation programs; composite tissue transplant (face/hand/leg); organ donation quality indicators for organ transplantation and not focused in the organ donation programs.  All documents are being reviewed by two independent reviewers to screen: (1) studies selection by title and abstract reading (in progress), and (2) study selection after full text reading. The synthesis will include quantitative analysis (e.g., frequency analysis) of general data on the type of study, country of study, terminologies used to describe “success', etc.; and qualitative analysis (e.g., content analysis) of the components of the research purpose and conceptual definitions of “success” in organ donation programs. Results: We have identified 7832 articles, 958 duplicates were removed, 3610 articles were screened and 1755 were excluded. This review will be finished by June 2018. Conclusion: The outcomes of this study will unfold the current meaning of “success” for the scientific community in organ donation and transplantation programs worldwide and inform the development of quality initiatives in organ donation programs. 


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