{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T23:55:57Z","timestamp":1793231757261,"version":"4.5.0"},"reference-count":47,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2023,5,12]],"date-time":"2023-05-12T00:00:00Z","timestamp":1683849600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004869","name":"Westf\u00e4lische Wilhelms-Universit\u00e4t M\u00fcnster","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004869","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontierspartnerships.org"],"crossmark-restriction":true},"short-container-title":["Transpl Int"],"abstract":"<jats:p>\n                    Organ donation after brain death is constantly lower in Germany compared to other countries. Instead, representative surveys show a positive attitude towards donation. Why this does not translate into more donations remains questionable. We retrospectively analyzed all potential brain dead donors treated in the university hospitals of Aachen, Bielefeld, Bonn, Essen, D\u00fcsseldorf, Cologne and M\u00fcnster between June 2020 and July 2021. 300 potential brain dead donors were identified. Donation was utilized in 69 cases (23%). Refused consent (\n                    <jats:italic>n<\/jats:italic>\n                    = 190), and failed utilization despite consent (\n                    <jats:italic>n<\/jats:italic>\n                    = 41) were reasons for a donation not realized. Consent was significantly higher in potential donors with a known attitude towards donation (\n                    <jats:italic>n<\/jats:italic>\n                    = 94) compared to a decision by family members (\n                    <jats:italic>n<\/jats:italic>\n                    = 195) (49% vs. 33%,\n                    <jats:italic>p<\/jats:italic>\n                    = 0.012). The potential donor\u00b4s age, status of interviewer, and the timing of the interview with decision-makers had no influence on consent rates, and it was comparable between hospitals. Refused consent was the predominant reason for a donation not utilized. Consent rate was lower than in surveys, only a known attitude towards donation had a significant positive influence. This indicates that survey results do not translate well into everyday clinical practice and promoting a previously documented decision on organ donation is important.\n                  <\/jats:p>","DOI":"10.3389\/ti.2023.11186","type":"journal-article","created":{"date-parts":[[2023,5,11]],"date-time":"2023-05-11T11:27:10Z","timestamp":1683804430000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":14,"title":["How Large is the Potential of Brain Dead Donors and what Prevents Utilization? A Multicenter Retrospective Analysis at Seven University Hospitals in North Rhine-Westphalia"],"prefix":"10.3389","volume":"36","author":[{"given":"Jan S\u00f6nke","family":"Englbrecht","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Schrader","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Holger","family":"Kraus","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melanie","family":"Sch\u00e4fer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dirk","family":"Schedler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Friedhelm","family":"Bach","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Soehle","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2023,5,12]]},"reference":[{"key":"B1","volume-title":"International Registry in Organ Donation and Transplantation","year":"2022"},{"key":"B2","volume-title":"Annual Report 2021","year":"2022"},{"key":"B3","doi-asserted-by":"publisher","first-page":"213","DOI":"10.1097\/TP.0000000000001554","article-title":"Transplantation in Germany","volume":"101","author":"Nashan","year":"2017","journal-title":"Transplantation"},{"key":"B4","volume-title":"Knowledge, Attitudes, and Behavior of the General Population (14 to 75 Years) on Organ and Tissue Donation","year":"2022"},{"key":"B5","doi-asserted-by":"publisher","first-page":"w20515","DOI":"10.4414\/smw.2021.20515","article-title":"Organ Donation in the ICU - a Survey on Next of Kin Response in Two Swiss Academic Centres","volume":"151","author":"Nebiker","year":"2021","journal-title":"Swiss Med Weekly"},{"key":"B6","doi-asserted-by":"publisher","first-page":"377","DOI":"10.1007\/s00101-019-0600-4","article-title":"Measures Influencing post-mortem Organ Donation Rates in Germany, the Netherlands, Spain and the UK: A Systematic Review","volume":"68","author":"Tackmann","year":"2019","journal-title":"Anaesthesist"},{"key":"B7","doi-asserted-by":"publisher","first-page":"311","DOI":"10.1007\/s00101-021-01066-8","article-title":"Organ Donation-Not Only a Responsibility of Intensive Care Medicine","volume":"71","author":"Rand","year":"2022","journal-title":"Anaesthesist"},{"key":"B8","doi-asserted-by":"publisher","first-page":"41","DOI":"10.1007\/s00063-019-00631-9","article-title":"Acceptance of and Factors Influencing Attitudes towards post-mortem Organ Donation in Germany: Analysis of Representative Cross-Sectional Studies between 2010 and 2016","volume":"116","author":"Tackmann","year":"2021","journal-title":"Med Klinik, Intensivmed Und Notfallmed"},{"key":"B9","volume-title":"Transplantation Act - TPG","year":"2023"},{"key":"B10","first-page":"A-3235","article-title":"Non Heart-Beating Donor","volume":"95","year":"1998","journal-title":"Deutsches \u00c4rzteblatt."},{"key":"B11","doi-asserted-by":"publisher","first-page":"22","DOI":"10.1007\/s00101-018-0510-x","article-title":"How many Potential Organ Donors Are There Really?: Retrospective Analysis of Why Determination of Irreversible Loss of Brain Function Was Not Performed in Deceased Patients with Relevant Brain Damage","volume":"68","author":"Brauer","year":"2019","journal-title":"Anaesthesist"},{"key":"B12","doi-asserted-by":"publisher","first-page":"463","DOI":"10.3238\/arztebl.2018.0463","article-title":"Decline in Organ Donation in Germany","volume":"115","author":"Schulte","year":"2018","journal-title":"Deutsches Arzteblatt Int"},{"key":"B13","doi-asserted-by":"publisher","first-page":"100","DOI":"10.1007\/s00063-018-0513-z","article-title":"Organ Donation: Update 2019","volume":"114","author":"Rahmel","year":"2019","journal-title":"Med Klinik, Intensivmed Und Notfallmed"},{"key":"B14","doi-asserted-by":"publisher","first-page":"133","DOI":"10.3238\/arztebl.m2022.0367","article-title":"Advance Directives and Consent to Organ Donation in Seven University Hospitals in North Rhine-Westphalia-a Retrospective, Multicenter Analysis","volume":"120","author":"Englbrecht","year":"2023","journal-title":"Deutsches \u00c4rzteblatt Int"},{"key":"B15","doi-asserted-by":"publisher","first-page":"373","DOI":"10.1111\/j.1432-2277.2011.01243.x","article-title":"The Critical Pathway for Deceased Donation: Reportable Uniformity in the Approach to Deceased Donation","volume":"24","author":"Dom\u00ednguez-Gil","year":"2011","journal-title":"Transpl Int Off J Eur Soc Organ Transplant"},{"key":"B16","volume-title":"Guideline on Donor Identification","year":"2020"},{"key":"B17","doi-asserted-by":"publisher","first-page":"147","DOI":"10.1111\/j.1432-2277.2006.00413.x","article-title":"How Large Is the Organ Donor Potential in Germany? 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