Cargando…

Comparing Deceased Organ Donation Performance in Two Countries that Use Different Metrics: Comparing Apples With Apples

Organ donation networks audit and report on national or regional organ donation performance, however there are inconsistencies in the metrics and definitions used, rendering comparisons difficult or inappropriate. This is despite multiple attempts exploring the possibility for convergently evolving...

Descripción completa

Detalles Bibliográficos
Autores principales: Milross, Luke, Brown, Chloe, Gladkis, Laura, Downes, Kylie, Goodwin, Melissa, Madden, Susanna, McDonald, Mark, Barry, Lucinda, Opdam, Helen, Manara, Alex, Gardiner, Dale
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9136659/
https://www.ncbi.nlm.nih.gov/pubmed/35634583
http://dx.doi.org/10.3389/ti.2022.10461
_version_ 1784714231805902848
author Milross, Luke
Brown, Chloe
Gladkis, Laura
Downes, Kylie
Goodwin, Melissa
Madden, Susanna
McDonald, Mark
Barry, Lucinda
Opdam, Helen
Manara, Alex
Gardiner, Dale
author_facet Milross, Luke
Brown, Chloe
Gladkis, Laura
Downes, Kylie
Goodwin, Melissa
Madden, Susanna
McDonald, Mark
Barry, Lucinda
Opdam, Helen
Manara, Alex
Gardiner, Dale
author_sort Milross, Luke
collection PubMed
description Organ donation networks audit and report on national or regional organ donation performance, however there are inconsistencies in the metrics and definitions used, rendering comparisons difficult or inappropriate. This is despite multiple attempts exploring the possibility for convergently evolving audits so that collectives of donation networks might transparently share data and practice and then target system interventions. This paper represents a collaboration between the United Kingdom and Australian organ donation organisations which aimed to understand the intricacies of our respective auditing systems, compare the metrics and definitions they employ and ultimately assess their level of comparability. This point of view outlines the historical context underlying the development of the auditing tools, demonstrates their differences to the Critical Pathway proposed as a common tool a decade ago and presents a side-by-side comparison of donation definitions, metrics and data for the 2019 calendar year. There were significant differences in donation definition terminology, metrics and overall structure of the audits. Fitting the audits to a tiered scaffold allowed for reasonable comparisons however this required substantial effort and understanding of nuance. Direct comparison of international and inter-regional donation performance is challenging and would benefit from consistent auditing processes across organisations.
format Online
Article
Text
id pubmed-9136659
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Frontiers Media S.A.
record_format MEDLINE/PubMed
spelling pubmed-91366592022-05-28 Comparing Deceased Organ Donation Performance in Two Countries that Use Different Metrics: Comparing Apples With Apples Milross, Luke Brown, Chloe Gladkis, Laura Downes, Kylie Goodwin, Melissa Madden, Susanna McDonald, Mark Barry, Lucinda Opdam, Helen Manara, Alex Gardiner, Dale Transpl Int Health Archive Organ donation networks audit and report on national or regional organ donation performance, however there are inconsistencies in the metrics and definitions used, rendering comparisons difficult or inappropriate. This is despite multiple attempts exploring the possibility for convergently evolving audits so that collectives of donation networks might transparently share data and practice and then target system interventions. This paper represents a collaboration between the United Kingdom and Australian organ donation organisations which aimed to understand the intricacies of our respective auditing systems, compare the metrics and definitions they employ and ultimately assess their level of comparability. This point of view outlines the historical context underlying the development of the auditing tools, demonstrates their differences to the Critical Pathway proposed as a common tool a decade ago and presents a side-by-side comparison of donation definitions, metrics and data for the 2019 calendar year. There were significant differences in donation definition terminology, metrics and overall structure of the audits. Fitting the audits to a tiered scaffold allowed for reasonable comparisons however this required substantial effort and understanding of nuance. Direct comparison of international and inter-regional donation performance is challenging and would benefit from consistent auditing processes across organisations. Frontiers Media S.A. 2022-05-13 /pmc/articles/PMC9136659/ /pubmed/35634583 http://dx.doi.org/10.3389/ti.2022.10461 Text en Copyright © 2022 Milross, Brown, Gladkis, Downes, Goodwin, Madden, McDonald, Barry, Opdam, Manara and Gardiner. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Health Archive
Milross, Luke
Brown, Chloe
Gladkis, Laura
Downes, Kylie
Goodwin, Melissa
Madden, Susanna
McDonald, Mark
Barry, Lucinda
Opdam, Helen
Manara, Alex
Gardiner, Dale
Comparing Deceased Organ Donation Performance in Two Countries that Use Different Metrics: Comparing Apples With Apples
title Comparing Deceased Organ Donation Performance in Two Countries that Use Different Metrics: Comparing Apples With Apples
title_full Comparing Deceased Organ Donation Performance in Two Countries that Use Different Metrics: Comparing Apples With Apples
title_fullStr Comparing Deceased Organ Donation Performance in Two Countries that Use Different Metrics: Comparing Apples With Apples
title_full_unstemmed Comparing Deceased Organ Donation Performance in Two Countries that Use Different Metrics: Comparing Apples With Apples
title_short Comparing Deceased Organ Donation Performance in Two Countries that Use Different Metrics: Comparing Apples With Apples
title_sort comparing deceased organ donation performance in two countries that use different metrics: comparing apples with apples
topic Health Archive
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9136659/
https://www.ncbi.nlm.nih.gov/pubmed/35634583
http://dx.doi.org/10.3389/ti.2022.10461
work_keys_str_mv AT milrossluke comparingdeceasedorgandonationperformanceintwocountriesthatusedifferentmetricscomparingappleswithapples
AT brownchloe comparingdeceasedorgandonationperformanceintwocountriesthatusedifferentmetricscomparingappleswithapples
AT gladkislaura comparingdeceasedorgandonationperformanceintwocountriesthatusedifferentmetricscomparingappleswithapples
AT downeskylie comparingdeceasedorgandonationperformanceintwocountriesthatusedifferentmetricscomparingappleswithapples
AT goodwinmelissa comparingdeceasedorgandonationperformanceintwocountriesthatusedifferentmetricscomparingappleswithapples
AT maddensusanna comparingdeceasedorgandonationperformanceintwocountriesthatusedifferentmetricscomparingappleswithapples
AT mcdonaldmark comparingdeceasedorgandonationperformanceintwocountriesthatusedifferentmetricscomparingappleswithapples
AT barrylucinda comparingdeceasedorgandonationperformanceintwocountriesthatusedifferentmetricscomparingappleswithapples
AT opdamhelen comparingdeceasedorgandonationperformanceintwocountriesthatusedifferentmetricscomparingappleswithapples
AT manaraalex comparingdeceasedorgandonationperformanceintwocountriesthatusedifferentmetricscomparingappleswithapples
AT gardinerdale comparingdeceasedorgandonationperformanceintwocountriesthatusedifferentmetricscomparingappleswithapples