title: Outcome of referrals for deceased organ donation to the government organ procurement organization.
abstract: BACKGROUND
  The Human Organ Preservation Effort is a government organ procurement organization that pioneered the Deceased Organ Donation Program in the Philippines. Deceased organ donation comprises only 20% of kidney transplantation in the Philippines in the last 3 years. Various measures were implemented to improve deceased organ donor referrals and organ retrieval.
  
  
  OBJECTIVE
  To compare outcome of deceased organ donor referrals from 2002 to 2008 and 2009 to 2012 in the Philippines.
  
  
  METHODS
  This retrospective study reviewed the deceased organ donor referrals from 2002 to 2008 and 2009 to 2012.
  
  
  RESULTS
  There were 437 referrals for potential deceased organ donors from 2009 to 2012, compared to 434 referrals from 2002 to 2008. Referrals were mainly trauma victims (76%) followed by those with cerebrovascular accidents (12%). In the recent cohort, 81% were approached and 60% consented for donation, but only 23% were retrieved and transplanted. Among those not retrieved, the majority (19%) were medically unsuitable and 6% retracted their consent.
  
  
  CONCLUSIONS
  Although there was an increasing trend of organ donation referrals in the last 4 years, only 25% were procured. The reasons for nonprocurement should be addressed.
authors.affiliation: Human Organ Preservation Effort, National Kidney and Transplant Institute, East Avenue, Diliman, Quezon City, Philippines.
authors.forename: G A
authors.initials: GA
authors.lastname: Suguitan
authors.affiliation: Department of Adult Nephrology, National Kidney and Transplant Institute, East Avenue, Diliman, Quezon City, Philippines.
authors.forename: C B
authors.initials: CB
authors.lastname: Cabanayan-Casasola
authors.affiliation: Department of Adult Nephrology, National Kidney and Transplant Institute, East Avenue, Diliman, Quezon City, Philippines. Electronic address: dr.radanguilan@gmail.com.
authors.forename: R A
authors.initials: RA
authors.lastname: Danguilan
authors.affiliation: Human Organ Preservation Effort, National Kidney and Transplant Institute, East Avenue, Diliman, Quezon City, Philippines.
authors.forename: J M A
authors.initials: JM
authors.lastname: Jaro
mesh_terms: D002423:Cause of Death; D033161:Government Regulation; D006801:Humans; D016030:Kidney Transplantation / Q000639:trends*; D010679:Philippines; D015397:Program Evaluation; D012017:Referral and Consultation / Q000639:trends*; D012189:Retrospective Studies; D013997:Time Factors; D014019:Tissue Donors / Q000600:supply & distribution*; D009927:Tissue and Organ Procurement / Q000639:trends*