title: Organ donation from brain-dead and circulatory-dead donors: single-institution experiences.
abstract: Although the number of organ donations is extremely small in Japan, organ donation from brain dead (DBD) donors is increasing since the revised Law for Organ Transplantation was enacted on July 17, 2010. In our institution, organ donations had so far been performed from 247 donors (DCD 242, DBD 5), which is the largest number in Japan. In this study, we analyzed the status of organ donation before and after the enforcement of the revised law. After the enforcement of the revised law, the option of organ donation was shown to the more families of potential donors by the doctors or donor coordinators. However, the final number of donors was almost the same. The frequency of DBD donors of all donors increased (33.3%) as compared to 9.1% before the enforcement of the revised law. Reasons for rejection of donation from donor families were mainly based on the lack of understanding of brain death. To increase organ donation, we should promote social recognition of brain death, having the Organ Donation Card, and discussion of organ donation in each family.
authors.affiliation: Department of Organ Transplant Surgery, Fujita Health University, School of Medicine, Toyoake City, Aichi, Japan; Transplantation Supporting Unit, Fujita Health University, School of Medicine, Toyoake City, Aichi, Japan. Electronic address: kenmochi@fujita-hu.ac.jp.
authors.forename: T
authors.initials: T
authors.lastname: Kenmochi
authors.affiliation: Transplantation Supporting Unit, Fujita Health University, School of Medicine, Toyoake City, Aichi, Japan.
authors.forename: S
authors.initials: S
authors.lastname: Nishiyama
authors.affiliation: Transplantation Supporting Unit, Fujita Health University, School of Medicine, Toyoake City, Aichi, Japan.
authors.forename: M
authors.initials: M
authors.lastname: Hayashi
authors.affiliation: Department of Organ Transplant Surgery, Fujita Health University, School of Medicine, Toyoake City, Aichi, Japan; Transplantation Supporting Unit, Fujita Health University, School of Medicine, Toyoake City, Aichi, Japan.
authors.forename: T
authors.initials: T
authors.lastname: Ito
authors.affiliation: Department of Neurosurgery, Fujita Health University, School of Medicine, Toyoake City, Aichi, Japan.
authors.forename: Y
authors.initials: Y
authors.lastname: Kato
authors.affiliation: Department of Urology, Fujita Health University, School of Medicine, Toyoake City, Aichi, Japan.
authors.forename: K
authors.initials: K
authors.lastname: Hoshinaga
mesh_terms: D001926:Brain Death / Q000331:legislation & jurisprudence; D002423:Cause of Death; D005190:Family / Q000523:psychology; D007722:Health Knowledge, Attitudes, Practice; D006291:Health Policy; D006801:Humans; D007564:Japan; D011639:Public Opinion; D014019:Tissue Donors / Q000331:legislation & jurisprudence / Q000600:supply & distribution*; D009927:Tissue and Organ Procurement / Q000331:legislation & jurisprudence