AN EXAMINATION OF THE MOST RECENT UAGA AND POSSIBLE EFFECTS ON THE NUMBER OF ORGANS AVAILABLE FOR TRANSPLANTATION
Author(s)
Lenkel L
Northeastern University, Chevy Chase, MD, USA
OBJECTIVES: Organ transplantation saves lives. Once considered a last resort for critically ill patients, it is now a practical treatment for freeing kidney patients from dialysis machines and giving patients dying from heart, liver, lung and pancreatic disease a second chance for life. Unfortunately, the number of human organs available for transplantation has never been sufficient to meet the need. Many transplant candidates die waiting for an organ that does not come. The 2006 revision of the Uniform Anatomical Gift Act (UAGA) was an attempt to legislatively find a way to alleviate this shortage. This study explores whether it has achieved this goal. METHODS: The United Network for Organ Sharing (UNOS) provides comprehensive data on organ transplants. The focus of this study was on organ procurement from deceased donors. Thirty-three states and the District of Columbia adopted UAGA by 2008. A quantitative analysis using a two-tailed, paired t-test compared the number of organ transplants for early adopting states at the base year of 2006 and at 2012 to see if these states experienced an increase in transplants that may be attributable to the law. The 14 later adopting states and the four non-adopting states were analyzed in the same manner RESULTS: The early adopting states experienced no statistically significant difference in the number of organ transplants between 2006 and 2012. This suggests that the 2006 UAGA has not achieved its goal of increasing the number of organ transplants. A brief discussion of reasons why this may be the case follows. CONCLUSIONS: Other methods of organ procurement must be considered, including those that would fundamentally change the U.S. system of voluntary donation.
Conference/Value in Health Info
2016-05, ISPOR 2016, Washington DC, USA
Value in Health, Vol. 19, No. 3 (May 2016)
Code
PHP52
Topic
Health Policy & Regulatory
Topic Subcategory
Health Disparities & Equity
Disease
Multiple Diseases