Argentine training program for transplant coordinators in the framework of presumed consent.

Rogelio M Anchorena^1,2, 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.