Attitudes of medical consultants to organ-donor evaluation and management

Abstract

【Objective】 We surveyed the opinions and concerns of medical consultants (MCs) regarding organ-donor evaluation and management in Japan.

【Design】 Cross-sectional questionnaire survey.

【Methods】 We used a questionnaire regarding the opinions and concerns of MCs regarding organ-donor evaluation and management.

【Results】 Responses were received from 100 of 169 MCs (59.2%). Of the responding MCs, 69% supported organ-donor evaluation and management by emergency physicians or intensive care physicians, and 20% supported the former Japanese system of visits by MCs.

【Conclusion】 Many of the MCs were in support of organ-donor evaluation and management by emergency physicians or intensive care physicians. The responses clarified the appropriate medical care, and the preparation of an instruction manual and a clinical trial were suggested. There was also concern over extended criteria donors and transplant organ variation, injuries, and dysfunction. Appropriate procedures for such cases should be considered.