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Presenter: Rogelio Matias, Anchorena, Buenos Aires, Argentina
Authors: Rogelio M Anchorena, Ricardo Ibar, Carlos Soratti, Alejandro Yankowsky, Maria E Barone, Martin Torres, Roxana Fontana, Alberto Maceira, Adriana Carballa, Hector Iudicsissa, Rodrigo Salas, Monica Juarez, Vilma Brunetti
Argentine training program for transplant coordinators in the framework of presumed consent.
Rogelio M Anchorena1,2, Ricardo Ibar1, Carlos Soratti1, Alejandro Yankowsky1, Maria E Barone1, Martin Torres1, Roxana Fontana1, Alberto Maceira1, Adriana Carballa1, Hector Iudicsissa1, Rodrigo Salas1, Monica Juarez1, Vilma Brunetti2
1National Institute for Organ Donation and Transplantation INCUCAI, Buenos Aires, Argentina, 2Hospital Simplemente Evita, Gonzalez Catan, Argentina
Background
In recent years, Argentina improved the donation rate. Reached in 2012 15.7 donors PMP, however the family interview is a major and critical point in this process. Since 2006 in Argentina has been incorporated presumed consent in the law. This change the way of doing the family interview. In this framework should be prioritized the donor decision upon the family decision. It was necessary develop tools to train transplant coordinators. In 2011 began the "Argentine training program for transplant coordinators in the framework of presumed consent".
Material and Method
National sistem of procurement and Transplantation in Argentina (SINTRA) collects one hundred percent of the donation process including family interview data. 115 professionals were trained divided into four theoretical and practical courses. By SINTRA analyzed the results of interviews before and after training.
Results
There was a statistically significant impact on communication processes, decreasing the chance that the result is negative (OR: 0.55, 95% CI: 0.39 to 0.78, p = 0.00045).
The study evidence a individually improvement in the family interview after training (p=0.0059)
Conclusion
Communication after training for the use of presumed consent showed a statistically significant reduction of the risk of negative results during the family interview with a consequent increase in the number of donors.
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