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Siminoff LA , Alolod GP , Gardiner HM , Hasz RD , Mulvania PA , Wilson-Genderson M
A Comparison of the Content and Quality of Organ Donation Discussions with African American Families Who Authorize and Refuse Donation
J Racial Ethn Health Disparities. 2021 Apr;8(2) :485-493
PMID: 32607720    PMCID: PMC7772258    URL: https://www.ncbi.nlm.nih.gov/pubmed/32607720
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BACKGROUND: This study compares the experiences of African American (AA) families who authorized organ donation with those who refused. METHODS: Large administrative datasets were obtained from 9 partnering Organ Procurement Organizations (OPO). Initial analyses used these data to assess authorization among African American families (nā€‰=ā€‰1651). Subsequent analyses were performed using a subsample of interview data of AA family decision makers (nā€‰=ā€‰276). Initial bivariate analyses tested differences in study variables by authorization status (donor/nondonor). Two separate multilevel logistic regressions examined associations between independent variables and family authorization. RESULTS: Analyses of the administrative datasets found that refusal was more likely when the patient was older, female, a DCD case, and not referred in a timely manner; refusal was less likely when families initiated donation conversations. Interview data revealed that families who refused donation were less likely to respond favorably to initial donation requests and reported less satisfaction with the overall approach, amount of time with OPO staff, and how questions were handled. Refusing families were also more likely to feel pressured, had less comprehensive donation discussions, and rated the OPO requesters' communication skills lower. No significant differences in organ donation attitudes were found between families who authorized donation and those refusing to donate. CONCLUSIONS: The study suggests that AA families making decisions about organ donation would benefit from culturally appropriate discussions. TRIAL REGISTRATION: Clinical Trial Notation: NCT02138227.
2196-8837 Siminoff, Laura A Orcid: 0000-0002-6775-665x Alolod, Gerard P Orcid: 0000-0001-7137-5967 Gardiner, Heather M Orcid: 0000-0003-2017-991x Hasz, Richard D Mulvania, Patricia A Wilson-Genderson, Maureen R01DK081118/DK/NIDDK NIH HHS/United States R39OT10581/HRSA/HRSA HHS/United States Journal Article Switzerland J Racial Ethn Health Disparities. 2020 Jun 30. doi: 10.1007/s40615-020-00806-7.