Effect of united OPO on organ donation and procurement quality control indexes : a study based on single-center data in Fujian province

  Objective  To evaluate the effect of united Organ Procurement Organization (OPO) on organ donation and procurement quality control indexes.

  Methods  The differences in organ donation workload, work efficiency, organ donation quality control and management indexes in a united OPO-led hospital were retrospectively analyzed before (n=36) and after (n=33) the establishment of united OPO.

  Results  After the establishment of united OPO, the organ donation workload and efficiency were enhanced. The annual donation cases, annual organ procurement cases, average organ procurement cases per day, organ donation rate of per million population (PMP), coordinator work efficiency index and other indexes were further improved. Before the establishment of united OPO, the donation conversion rate was 26.5%, and increased up to 29.0% after the establishment of united OPO. The average organ yield rate remained higher than 3.3 before and after the establishment of united OPO. No significant differences were noted in the utilization rate of procured organs, proportion of marginal donor organs, positive rate for pathogen culture in organ preservation solution, the incidence of primary nonfunction (PNF) and delayed graft function (DGF) before and after the establishment of united OPO (all P > 0.05). The biopsy rates of donated organs were 27.7% and 58.3%, and the organ outflow rates were 83.1% and 47.8% before and after the establishment of united OPO, and the differences were statistically significant (both P < 0.05).

  Conclusions  The establishment of united OPO contributes to promoting efficient development of organ donation and procurement, lowering the cost of organ donation and procurement, and improving the effectiveness, quality control and management levels of organ donation and procurement.