title: Successful Example of How to Implement and Develop a Deceased Organ Donation System in the Caribbean Region: Five-Year Experience of the SEUSA Program in Trinidad and Tobago.
abstract: BACKGROUND
  The SEUSA program, the Donation and Transplantation Institute foundation consultancy program, was implemented in Trinidad and Tobago (T&T) in 2010 with the support of the National Organ Transplant Unit (NOTU) and the Ministry of Health of T&T.
  
  
  METHODS
  The SEUSA program included (1) diagnosis of the current situation using the ODDS (Organ Donation Diagnostic Surveys); (2) creation of a human resources structure through Transplant Procurement Management (TPM); (3) detection of all brain and cardiac deaths in the hospitals implementing the DAS (Decease Alert System); (4) in-hospital awareness based on the EODS (Essentials in Organ Donation); and (5) external hospital audits. Additionally continued monitoring is performed.
  
  
  RESULTS
  Thus far, thanks to implementation of the SEUSA program in Trinidad and Tobago 175, healthcare professionals have been exposed to training programs in the organ donation field. The Living Kidney Program was reinforced and the structure of the Deceased Donation (DD) network was defined. Since 2010, 485 potential organ donors have been detected, and 9 have become actual organ donors; 74 patients have received a kidney transplant (59 from living and 15 from deceased donors).
  
  
  CONCLUSIONS
  This project results demonstrate that the application of the SEUSA program is an efficient methodology to develop DD programs that increase and consolidate transplant programs in the Caribbean region.
authors.affiliation: Donation and Transplantation Institute, DTI Foundation, Barcelona, Spain. Electronic address: chloe.balleste@dtifoundation.com.
authors.forename: C
authors.initials: C
authors.lastname: Ballesté
authors.affiliation: Donation and Transplantation Institute, DTI Foundation, Barcelona, Spain.
authors.forename: E
authors.initials: E
authors.lastname: Arredondo
authors.affiliation: Donation and Transplantation Institute, DTI Foundation, Barcelona, Spain.
authors.forename: M P
authors.initials: MP
authors.lastname: Gómez
authors.affiliation: Donation and Transplantation Institute, DTI Foundation, Barcelona, Spain.
authors.forename: A
authors.initials: A
authors.lastname: Fernandez
authors.affiliation: Donation and Transplantation Institute, DTI Foundation, Barcelona, Spain.
authors.forename: M
authors.initials: M
authors.lastname: Wolf
authors.affiliation: Donation and Transplantation Institute, DTI Foundation, Barcelona, Spain.
authors.forename: S
authors.initials: S
authors.lastname: Gunderson
authors.affiliation: National Organ Transplant Unit of Trinidad and Tobago, Trinidad, Trinidad and Tobago.
authors.forename: L
authors.initials: L
authors.lastname: Roberts
authors.affiliation: Port of Spain General Hospital, Trinidad, Trinidad and Tobago.
authors.forename: B
authors.initials: B
authors.lastname: Elcock
authors.affiliation: San Fernando General Hospital, San Fernando, Trinidad and Tobago.
authors.forename: P
authors.initials: P
authors.lastname: Bradshaw
authors.affiliation: Eric Williams Medical Sciences Complex, Champ Fleurs, Trinidad and Tobago.
authors.forename: C
authors.initials: C
authors.lastname: Gardiner
authors.affiliation: Eric Williams Medical Sciences Complex, Champ Fleurs, Trinidad and Tobago.
authors.forename: J
authors.initials: J
authors.lastname: Byam
authors.affiliation: San Fernando General Hospital, San Fernando, Trinidad and Tobago.
authors.forename: D
authors.initials: D
authors.lastname: Harnanan
authors.affiliation: Donation and Transplantation Institute, DTI Foundation, Barcelona, Spain.
authors.forename: J M
authors.initials: JM
authors.lastname: García-Buitron
authors.affiliation: Donation and Transplantation Institute, DTI Foundation, Barcelona, Spain.
authors.forename: M
authors.initials: M
authors.lastname: Manyalich
mesh_terms: D006801:Humans; D016377:Organ Transplantation / Q000706:statistics & numerical data; D016730:Program Development; D011795:Surveys and Questionnaires; D014019:Tissue Donors / Q000706:statistics & numerical data; D009927:Tissue and Organ Procurement / Q000458:organization & administration*; D014300:Trinidad and Tobago