RT Journal Article
SR Electronic
T1 Canada-DONATE study protocol: a prospective national observational study of the medical management of deceased organ donors
JF BMJ Open
JO BMJ Open
FD British Medical Journal Publishing Group
SP e018858
DO 10.1136/bmjopen-2017-018858
VO 7
IS 9
A1 D’Aragon, Frederick
A1 Dhanani, Sonny
A1 Lamontagne, Francois
A1 Cook, Deborah J
A1 Burns, Karen
A1 Akhtar, Aemal
A1 Chassé, Michaël
A1 Frenette, Anne-Julie
A1 Keenan, Sean
A1 Lize, Jean-Francois
A1 Kutsogiannis, Demetrios J
A1 Kramer, Andreas
A1 Hand, Lori E
A1 Arseneau, Erika
A1 Masse, Marie-Helene
A1 Ribic, Christine
A1 Ball, Ian
A1 Baker, Andrew
A1 Boyd, Gordon
A1 Rochwerg, Bram
A1 Healey, Andrew
A1 Hanna, Steven
A1 Guyatt, Gordon H
A1 Meade, Maureen O
A1 
YR 2017
UL http://bmjopen.bmj.com/content/7/9/e018858.abstract
AB Introduction Research on the management of deceased organ donors aims to improve the number and quality of transplants and recipient outcomes. In Canada, this research is challenged by regionalisation of donation services within provinces and the geographical, clinical and administrative separation of donation from transplantation services. This study aims to build a national platform for future clinical trials in donor management. Objectives are to engage collaborators at donation hospitals and organ donation organisations (ODOs) across Canada, describe current practices, evaluate the effectiveness of donation-specific interventions and assess the feasibility of future clinical trials.Methods and analysis This ongoing prospective observational study of the medical management of deceased organ donors will enrol more than 650 consented potential donors from adult intensive care units at 33 hospital sites across Canada, each participating for 12 months. ODOs ensure enrolment of consecutive eligible participants. Research staff record detailed data about participants, therapies, organ assessments, death declaration procedures and adverse clinical exposures from the time of donation consent to organ recovery. ODOs provide reasons that organs are declined, dates and places of transplantation, and recipient age and sex.Descriptive analyses will summarise current practices. Effectiveness analyses will examine donation-specific interventions with respect to the number of transplants, using multilevel regression models to account for clustering by donor, hospitals and ODOs. Feasibility analyses will focus on acceptance of the research consent model; participation of academic and community hospitals as well as ODOs; and accessibility of recipient data.Ethics and dissemination This study uses a waiver of research consent. Hospitals will receive reports on local practices benchmarked to (1) national practices and (2) national donor management guidelines. We will report findings to donation and transplant collaborators (ie, clinicians, researchers, ODOs) and publish in peer-reviewed journals.Trial registration number NCT03114436.