Universität zu Köln

Schaub, F., Simons, H. G., Enders, P., Bachmann, B. O., Roters, S., Cursiefen, C. and Heindl, L. M. (2016). Corneal donation. Dilemma between growing demand and declining donor rate. Ophthalmologe, 113 (12). S. 1058 - 1066. NEW YORK: SPRINGER. ISSN 1433-0423

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Abstract

Background. One of the most important requirements for successful corneal transplantation is the availability of donor tissue and thus the approval for postmortem corneal tissue donation. The aim of this study was to investigate donor willingness compared to the continuously increasing demand in recent years. Material and methods. Archives of the local eye bank at the Department of Ophthalmology, University of Cologne, Germany in the time period between 1 July 2011 and 31 December 2015 were examined regarding the willingness for corneal donations in deceased patients from the University Hospital of Cologne. Absolute numbers of deceased, exclusion criteria for donation as well as the rate of negative and affirmative decisions were evaluated. Results. In 235 (5.1 %) out of 4593 deceased at the University Hospital of Cologne, corneal donation was accomplished during the observation period. Of the patients 2923 (63.6%) were excluded because of absolute contraindications for corneal donation and the rate of absolute contraindications increased from 46.6% in 2011 to 68.9% in 2015. Willingness for corneal donation in potentially suitable deceased patients diminished from 34.9% in 2011, to 34.3% in 2012, 35.5% in 2013, 28.4% in 2014 and to 24.1% in 2015. In relation to the total number of deceased, the number of corneal tissue donations decreased from 11.5% in 2011 to 3.5% in 2015. Conclusion. Despite a rising demand, data from Cologne seem to indicate that the number of corneal donations has declined to some extent. In order to increase the number of corneal donors in the future, further educational work as well as standardization and optimization of the tissue donation process seem to be urgently needed.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Schaub, F. UNSPECIFIED UNSPECIFIED UNSPECIFIED Simons, H. G. UNSPECIFIED UNSPECIFIED UNSPECIFIED Enders, P. UNSPECIFIED UNSPECIFIED UNSPECIFIED Bachmann, B. O. UNSPECIFIED UNSPECIFIED UNSPECIFIED Roters, S. UNSPECIFIED UNSPECIFIED UNSPECIFIED Cursiefen, C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Heindl, L. M. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-254049
DOI:	10.1007/s00347-016-0281-1
Journal or Publication Title:	Ophthalmologe
Volume:	113
Number:	12
Page Range:	S. 1058 - 1066
Date:	2016
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1433-0423
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language MEMBRANE ENDOTHELIAL KERATOPLASTY; GERMAN OPHTHALMOLOGICAL SOCIETY; ORGAN DONATION; TISSUE-TRANSPLANTATION; BIOTECHNOLOGY SECTION; MULTICENTER SURVEY; CONSENT; TELEPHONE; ATTITUDES; CAMPAIGNS Multiple languages Ophthalmology Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/25404