Gaps and Impediments to Organ Donation in Brazil: A Literature Review

Oliveira, Ana Flávia Cunha Gomide de; Cardoso, Raphael Angeli de Barros; Freitas, Katiúscia Christiane; Lotte, Ewerson Jacobini; Lucas, Barbara de Lima

doi:10.53855/bjt.v26i1.520_PORT

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REVIEW PAPER • Braz. J. Transplant. 26 • 2023 • https://doi.org/10.53855/bjt.v26i1.520_ENG linkcopy

Gaps and Impediments to Organ Donation in Brazil: A Literature Review

Authorship SCIMAGO INSTITUTIONS RANKINGS

Objective: To explore the factors that hinder organ donation in Brazil.

Methods: A literature review was carried out, seeking the main factors that hamper organ donation, using the following descriptors: organ referral, brain death, and intensive care.

Results: 54 studies published in the last five years were found: PubMed (n=15), EMBASE (n=32), Lilacs (n=1), Mendeley (n=16) and SciELO (n=0). Family members’ refusal is the main difficulty in the organ donation process in Brazil. The systematization of organ capture and distribution and the efficiency of diagnosing brain death proved predictive factors for higher rates of family acceptance and efficiency in the process stages.

Conclusion: Measures to systematize organ procurement and distribution and the health team’s training can benefit the Brazilian organ donation scenario.

Keywords
Tissue and Organ Procurement; Brain Death; Intensive care; Professional Training and Transplantation

Study Contributions.
Main results	The literature review indicated the lack of knowledge about the system and the health team’s declaration of brain death as the main gap.
Implications for services	Training of the health team related to potential donors. Dissemination of information among the academic community, professionals in training and those involved with the organ collection and distribution system.
Prospects	Indicate work protocols and suggest mechanisms to reduce the time between collection and distribution of human organs and tissues, making the donation system effective for treatment with transplanted human organs.

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Associação Brasileira de Transplante de Órgãos Avenida Paulista, 2.001 - 17° andar Conj. 1.704/1.707, Cerqueira César - CEP: 01311-300, Tel: (55) 11 98243 - 3901 - São Paulo - SP - Brazil
E-mail: abto@abto.org.br

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[1] Source: Elaborated by the authors