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Recent Decrease in Organ Donation from Brain-Dead Potential Organ Donors in Korea and Possible Causes

Title
Recent Decrease in Organ Donation from Brain-Dead Potential Organ Donors in Korea and Possible Causes
Authors
Park, JinKim, Claire Junga
Ewha Authors
김정아박진
SCOPUS Author ID
김정아scopus; 박진scopus
Issue Date
2020
Journal Title
JOURNAL OF KOREAN MEDICAL SCIENCE
ISSN
1011-8934JCR Link

1598-6357JCR Link
Citation
JOURNAL OF KOREAN MEDICAL SCIENCE vol. 35, no. 13
Keywords
Brain DeathEthicsFamilyOrgan DonorOrgan Transplantation
Publisher
KOREAN ACAD MEDICAL SCIENCES
Indexed
SCIE; SCOPUS; KCI WOS scopus
Document Type
Article
Abstract
Background: In 1999, the Organ Transplantation Act legalized organ donation from brain-dead patients. As a result of the government's continued efforts, the number of brain-dead donors steadily increased from 2002 through 2016. However, the number has declined since 2017. This paper examined the possible reasons behind the decline in brain-dead organ donation. Methods: This investigation was an analysis of published data from the Korea Organ Donation Agency annual reports from 2013 to 2018. Results: The number of brain-dead organ donors in Korea rose steadily until 2016, declined in 2017 for the first time since 2002, and then dropped sharply in 2018. Although the number of brain-dead potential organ donors increased between 2017 and 2018, the number of eligible donors decreased, suggesting that patient families rejected the brain-death determination process and brain-dead organ donation. Statistics gathered during identification of brain-dead potential donors and actual donations confirm that rejection or withdrawal of consent by the family has increased. During the same period when donation from brain- dead patients decreased, five events occurred: 1) compensation for donor families was abolished; 2) an incident of mistreatment of a brain-dead donor's remains occurred; 3) the Life-Sustaining Treatment Act was enacted, providing a legal procedure whereby families of brain-dead patients could forgo life-sustaining treatment; 4) residents' work week was limited to 80 hours; and 5) the Labor Standards Law was amended. Conclusion: Fewer eligible donors in spite ofan increase in brain-dead potential organ donors suggests that reduction in these donations resulted mainly from factors associated with family consent. Among such factors, implementation of the Life-sustaining Treatment Act appears to be most important. Abolition of family compensation and the incident in which a brain-dead donor's remains were mistreated may also have influenced family consent.
DOI
10.3346/jkms.2020.35.e94
Appears in Collections:
의과대학 > 의학과 > Journal papers
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