Tissue donation indicators in Latin American and European countries. A way to measure the efficiency of the organizational system
Jessenia Pazmiño1, Raul Mizraji1.
1Montevideo, Instituto Nacional de Donacion y Trasplantes, Montevideo, Uruguay; 2Montevideo, Instituto Nacional de Donacion y Trasplantes, Montevideo, Uruguay
Introduction: The demand for corneas is increasing in the world. Organizational aspects of the health system and procurement are decisive to improve the number of corneal donors. There are no corneal donation indicators at the international level that allow results to be compared other than the total number and donation rate.
Objectives: Analyze the corneal donation situation worldwide, defining indicators related to the deceased in the country. Compare the donation indicators defined in countries of both continents: Latin America and Europe.
Material and methods: The following data in Latin America and Europe were analyzed: number of corneal donors / pmp (Dc / pmp), number of organ donors / pmp (DO / pmp), corneal donors in PCR / pmp, and total number of deceased from the country. The relationship between the total number of corneal donors in each country and the number of deaths in 2019, grouped by continent, was analyzed. Indicator: Cornea donors/Deceased in the country.
The relationship between the number of corneal donors in PCR and the total number of corneal donors of all countries grouped by continent was also analyzed. Indicator: Corneal donors in PCR/Total corneal donors. The data was obtained from the Newsletter Transplant 2019 and the number of deceased at https://ourworldindata.org/.
Results: In Latin America, the average number of Cornea donors/deceases per country is 0.51%, with Brazil being the most efficient with 2.1%. In Europe, the average number of Cornea donors/deceased is 0.48%, where Italy, France and the Netherlands stand out with 1%, 1.4% and 1.3%. In the Latin American countries analyzed, the average number of Cornea donors in PCR / total cornea donors is 69% and in European countries it is 59%.
Conclusions: We believe that the indicator Corneal donors/deceased in a country or hospital is a strong indicator that can be used to define the effectiveness of corneal procurement work and compare results in different countries. Analyzing the percentage of donors of corneas in PCR, we can evaluate the work as a country in the procurement of this tissue in PCR to improve the organizational level in the detection of donors of PCR.
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