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December 1993

Invited Commentary

Author Affiliations

Oakland, Calif

Arch Surg. 1993;128(12):1335. doi:10.1001/archsurg.1993.01420240043007

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This retrospective chart review should serve as a model for every facility in this country that participates in the organ procurement process in its attempts to identify potential candidates for organ procurement and analyze reasons why consent for donation was either successful or unsuccessful. The authors have undertaken a 3-year retrospective review of organ procurement at a level 1 trauma center with a significant African-American population. They found that whites are identified as potential organ donors more often and are approached more often for organ donation than are African-Americans. This study indicates that race plays a significant role in whether potential organ donors are identified. Once identified, however, African-Americans tend to donate organs at rates similar to those of other populations. One must focus on exactly why such patients are not identified as potential organ donors. Many reasons have been cited, such as reluctance of health care individuals to participate

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