J Korean Soc Transplant.  2018 Sep;32(3):38-48. 10.4285/jkstn.2018.32.3.38.

Status of Organ Donation and Solution of Organ Shortage in Korea

Affiliations
  • 1Korea Organ Donation Agency, Seoul, Korea. Wh51cho@gmail.com

Abstract

Deceased organ donation in Korea has increased steadily after legislation of transplantation law. Since last year, however, several obstacles resulting in a decrease in organ donation have been experienced. Among them, the reduced reporting of potential brain death from large size hospitals and reduced consent rate of medically available deceased donors are two main hurdles. The consent rate of organ donation was 41.9% in 2017 but has dropped to approximately 10% than 2016. Other strong family members overrode approximately 10% of donations initially consented by their next of kin. In addition to the medical points, difficulties in labor shortage are being experienced during donor management, testing and organ recovery in the hospital. Some end stage patients who are candidates as organ donor give up further management and decide to withdrawing life sustaining treatment, which deprive the chance of donation. Moreover, the national mortality rate of cerebrovascular and traffic accidents, which occupy a major part of brain death, have decreased over the recent 10 years. All of these events can cause a decrease in brain death development so it is important to find solutions to overcome all of them. Revising transplant law and donation system should be led by government. Efforts to increase the consent rate, procurement rate, and transplant rate and decrease the organ discard rate are all the responsibility of the medical team. Public awareness and a positive attitude towards organ donation are the most important basic requirements for increasing organ donation. A comprehensive task force team to overcome all of these problems is requested.

Keyword

Organ and tissue procurement; Waiting lists; Organ transplantation; Informed consent; Organ donor

MeSH Terms

Accidents, Traffic
Advisory Committees
Brain Death
Humans
Informed Consent
Jurisprudence
Korea*
Mortality
Organ Transplantation
Tissue and Organ Procurement*
Tissue Donors
Waiting Lists

Figure

  • Fig. 1 Organ donation & waiting list of Korea. Data from 2017 annual report of KONOS and KODA.

  • Fig. 2 Consent rate in medically available donor. Data from 2017 annual report of KODA.

  • Fig. 3 Deceased donor in USA. Abbreviations: DBD, donation after brain death; DCD, donation after cardiac death; DD, deceased donor Adapted from Table 3 of reference [31].

  • Fig. 4 Rate of recoverd organs not transplanted. Reprinted from Table 27 of reference [31].

  • Fig. 5 Influence of mass media on actual organ donation.


Cited by  2 articles

Recent Decrease in Organ Donation from Brain-Dead Potential Organ Donors in Korea and Possible Causes
Jin Park, Claire Junga Kim
J Korean Med Sci. 2020;35(13):e94.    doi: 10.3346/jkms.2020.35.e94.

Analysis of Factors Affecting Emergency Physicians’ Attitudes toward Deceased Organ & Tissue Donation
Dong Eun Lee, Hyun Kim, Kwi Hwa Park, Song Yi Park, Seung Min Park, Yong Hun Jung, Wonjoon Jeong, Kyung Hye Park
J Korean Med Sci. 2021;36(49):e329.    doi: 10.3346/jkms.2021.36.e329.


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