Processo de Doação de Órgãos para Transplante: Revisão de Escopo

Tatiane Ribeiro da Silva; Ronaldo Rocha Bastos; Suellen Cristina D  Emidio; Fabio da Costa Carbogim; Patrícia Rodrigues Braz

Autores

Tatiane Ribeiro da Silva Universidade Federal de Juiz de Fora – Juiz de Fora (MG) – Brasil. https://orcid.org/0000-0002-1387-3244
Ronaldo Rocha Bastos Universidade Federal de Juiz de Fora – Juiz de Fora (MG) – Brasil. https://orcid.org/0000-0001-9597-5967
Suellen Cristina D Emidio Universidade Federal de Juiz de Fora – Juiz de Fora (MG) – Brasil. https://orcid.org/0000-0003-2790-0271
Fabio da Costa Carbogim Universidade Federal de Juiz de Fora – Juiz de Fora (MG) – Brasil. https://orcid.org/0000-0003-2065-5998
Patrícia Rodrigues Braz Universidade Federal de Juiz de Fora – Juiz de Fora (MG) – Brasil. https://orcid.org/0000-0003-2102-635X

Palavras-chave:

Morte Encefálica, seleção de doador, Doações

Resumo

Objetivos: Identificar na literatura estudos que abordem as estratégias utilizadas no processo de doação de órgãos. Métodos: Revisão de escopo baseada na metodologia Joanna Briggs Institute (JBI) nas bases de dados Medical Literature and Retrieval System Online (MEDLINE), Scopus, Web of Science, Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS) e Embase via Biblioteca Virtual de Saúde (BVS), seguindo o checklist Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR), realizada de agosto a dezembro de 2023. Resultados: Foram elegíveis 33 estudos, os quais evidenciaram que o processo de doação deve ocorrer de forma sistemática, seguindo as seguintes etapas: 1) identificação de pacientes com suspeita de morte encefálica (ME); 2) abertura do protocolo e notificação às organizações; 3) confirmação do diagnóstico de ME; 4) comunicação da morte à família; 5) realização da entrevista; 6) consentimento para doação; 7) manutenção do doador; 8) captação e alocação dos órgãos; 9) transplante; e 10) acompanhamento. Conclusão: A doação exige uma abordagem multifacetada, incluindo conscientização, investimento, avaliação e pesquisa.

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Referências

Coelho GH, Bonella AE. Doação de órgãos e tecidos humanos: a transplantação na Espanha e no Brasil. Revista Bioética. 2019; 27(3): 419-29. https://doi.org/10.1590/1983-80422019273325

Garcia CD, Pereira JD. Garcia VD. Doação e transplante de órgãos e tecidos. São Paulo: Segmento Farma; 2015.

Associação Brasileira de Transplantes de Órgãos. Dados numéricos da doação de órgãos e transplantes realizados por estado e instituição. São Paulo: ABTO; 2022.

Oliveira AFCG, Cardoso RAB, Freitas KC, Lotte EJ, Lucas BL. Lacunas e fatores impeditivos da doação de órgãos no Brasil: revisão de literatura. Braz J Transpl. 2023; 26(2): 420-8. https://orcid.org/0000-0003-2829-0508

Peters MD, Godfrey C, McInerney P, Munn Z, Tricco AC, Khalil H. Scoping reviews. JBI Evid Synth. 2022; 169(7): 467-73. https://doi.org/10.46658/JBIMES-24-01

Tricco AC, Lillie E, Zarin W, O’Brien KK, Colquhoun H, Levac D, et al. PRISMA Extension for Scoping Reviews (PRISMA- ScR): checklist and explanation. Ann Intern Med. 2018; 169(7): 46773. https://doi.org/10.7326/M18-0850

Melnyk BM, Fineout-Overholt E. Evidence-based practice in nursing & healthcare: a guide to best practice. Philadelphia: Lippincott Williams & Wilkins; 2022.

Toews M, Chandler JA, Pope T, Pape R, Weiss M, Sandiumenge A. Legislation and policy recommendations on organ and tissue donation and transplantation from an international consensus forum. Transplant Direct. 2023; 9(5): 1395-1400. https://doi.org/10.1097%2FTXD.0000000000001395

Dageforde LA, English RA, Kizer KW. Achieving equity in organ transplantation: recommendations for action based on the National Academies of Sciences, engineering, and Medicine Report. Transplantation. 2022; 107(2): 291-6. https://doi.org/10.1097/TP.0000000000004464

Escoto M, Issa F, Cayouette F, Consolo H, Chaudhury P, Dhanani S, et al. Research and innovation in organ donation: recommendations from an international consensus forum. Transplant Direct. 2023; 9(5): 1446-6. https://doi.org/10.1097% 2FTXD.0000000000001446

Silva A, Arora S, Dhanani S, Rochon A, Giorno LP, Jackson E, et al. Quality improvement tools to manage deceased organ donation processes: a scoping review. BMJ Open. 2023; 13(2): e070333. https://doi.org/10.1136/bmjopen-2022-070333

Saxena D, Trivedi P, Bhavsar P, Memon F, Thaker A, Chaudhary C, et al. Challenges and motivators to organ donation: a qualitative exploratory study in Gujarat, India. Int J Gen Med. 2023; 16(1): 151-9. https://doi.org/10.2147/ijgm.s393240

Mahdi S, Marzieh L, Habib R, Elahe P, Sanaz D. The role of healthcare professionals to improve organ donation and transplantation outcome: a national study. Cell Tissue Bank. 2023 ;25: 159-65. https://doi.org/10.1007/s10561-023-10071-7

Dopelt K, Siton L, Harrison T, Davidovitch N. Revisiting the relationship between altruism and organ donation: insights from Israel. Int J Environ Res Public Health. 2022; 19(12): 7404. https://doi.org/10.3390/ijerph19127404

Singh JM, Ball IM, Hartwick M, Malus E, Soliman K, Boyd JG, et al. Facteurs qui influent sur le consentement au don d’organes: étude rétrospective basée dans la population. Can Med Assoc J. 2022; 194(4): E134-42. https://doi.org/10.1503/cmaj.210836-f

Viñuela PJM, Escarpa Falcón MC, Candel FJ, Mateos Rodríguez A, Torres González JI, Del Río Gallegos F. Family refusal to consent donation: retrospective quantitative analysis of its increasing tendency and the associated factors over the last decade at a Spanish hospital. Transplant Proc. 2021; 53(7): 2112-21. https://doi.org10.1016/j.transproceed.2021.07.026

Yoshikawa MH, Rabelo NN, Welling LC, Telles JPM, Figueiredo EG. Brain death and management of the potential donor. Neurol Sci. 2021; 42: 3541-52. https://doi.org/10.1007/s10072-021-05360-6

Skowronski G, Ramnani A, Walton-Sonda D, Forlini C, O’Leary MJ, O’Reilly L, et al. A scoping review of the perceptions of death in the context of organ donation and transplantation. BMC Med Ethics. 2021; 22(1). https://doi.org/10.1186/s12910-021-00734-z

Silva e Silva V, Schirmer J, Roza BD, de Oliveira PC, Dhanani S, Almost J, et al. Defining quality criteria for success in organ donation programs: a scoping review. Can J Kidney Health Dis. 2021; 8. https://doi.org/10.1177/2054358121992921

Santos FGT, Mezzavila VAM, Rodrigues TFC, Cardoso LCB, Silva M, Oliveira RR, et al. Trend of transplants and organ and tissue donations in Brazil: a time series analysis. Rev Bras Enferm. 2021; 74(1). https://doi.org/10.1590/0034-7167-2020-0058

Adler JT, Dey T. Evaluating spatial associations in inpatient deaths between organ procurement organizations. Transplant Direct. 2021; 7(3): e668. https://doi.org/10.1097/TXD.0000000000001109

Robitaille N, Mazar N, Tsai CI, Haviv AM, Hardy E. Increasing organ donor registrations with behavioral interventions: a field experiment. J Mark. 2021; 85(3): 168-83. https://doi.org/10.1177/0022242921990070

Anthony SJ, Lin J, Pol SJ, Wright L, Dhanani S. Family veto in organ donation: the experiences of Organ and Tissue Donation Coordinators in Ontario. Can J Anaesth. 2021; 68(5): 611-21. https://doi.org/10.1007/s12630-021-01928-0

Clarke C. Management of the brain-dead organ donor. Indian J Thorac Cardiovasc Surg. 2021; 37(S3): 395-400. https://doi.org/10.1007/s12055-021-01224-y

Lewis A, Koukoura A, Tsianos GI, Gargavanis AA, Nielsen AA, Vassiliadis E. Organ donation in the US and Europe: the supply vs demand imbalance. Transplant Rev. 2020; 35(2): 100585. https://doi.org/10.1016/j.trre.2020.100585

Chuang YM, Yeh SS, Tseng CF, Tseng CC. Soliciting organ donations by medical personnel and organ donation coordinators: a factor analysis. Dor FJ, editor. PLoS One. 2021; 16(4): e0250249. https://doi.org/10.1371/journal.pone.0250249

Soo E, Marsh C, Steiner R, Stocks L, McKay DB. Optimizing organs for transplantation; advancements in perfusion and preservation methods. Transplant Rev. 2020; 34(1): 100514. https://doi.org/10.1016/j.trre.2019.100514

Becker F, Roberts KJ, de Nadal M, Zink M, Stiegler P, Pemberger S, et al. Optimizing organ donation: expert opinion from Austria, Germany, Spain and the U.K. Ann Transplant. 2020; 17(25): e921727. https://doi.org/10.12659%2FAOT.921727

Paixão JTC, Nascimento VHN, Alves MC, Rodrigues MFA, Sousa EJS, Santos BL. Analysis of brain death declaration process and its impact on organ donation in a reference trauma center. Einstein. 2020; 8: eA05448. https://doi.org/10.31744/einstein_journal/2020AO5448

Westphal GA, Robinson CC, Cavalcanti AB, Gonçalves ARR, Guterres CM, Teixeira C, et al. Brazilian guidelines for the management of brain-dead potential organ donors. The task force of the AMIB, ABTO, BRICNet, and the General Coordination of the National Transplant System. Ann Intensive Care. 2020; 10(1). https://doi.org/10.1186/s13613-020- 00787-0

Fernández AV, Palacios CD, Silva MC, García PA. Facilitators and barriers in the organ donation process: a qualitative study among nurse transplant coordinators. Int J Environ Res Public Health. 2020; 17(21): 7996. https://doi.org/10.3390/ijerph17217996

Danet Danet A, Jimenez Cardoso PM, Pérez Villares JM. Rutas emocionales en las experiencias profesionales de los equipos de coordinación de trasplantes. Nefrología. 2019; 40(1) 74-90. https://doi.org/10.1016/j.nefro.2019.05.001

Ribeiro KRA, Prado LS, Santos FR, Gonçalves FAF, Borges MM, Abreu EP de. Brain death and the process of donation of organs: a family care. Rev Pesq. 2020; 10(1); 190-6. https://doi.org/10.9789/2175-5361.rpcfo.v12.7197