The deceased organ donor rate in Canada is lower than that of top-performing countries, but Canada’s rate has improved in recent years. Although the gap between the number of Canadians awaiting organ transplants and the number of organs available has narrowed, further increases in organ donation will be necessary to meet demand.
Initiatives to improve the organ donation and transplantation system include organ and tissue donor registries, national wait lists of patients, and the collection and storage of cord blood rich in stem cells. Another initiative that may help to optimize the deceased organ donor rate is presumed consent, which Nova Scotia implemented in 2021, whereby all individuals are considered for organ donation after death unless they register their refusal during their lifetime. In terms of consent, the issue of mandatory declaration has been considered by a number of jurisdictions. Under this model, all individuals are required to register either their consent or refusal for organ donation, which differs from a passive approach of allowing a means of registering consent but not requiring it.
Consent to donate is of little value if potential donors are not properly identified and referred to specially trained donation specialists. Mandatory referral, which requires that hospital personnel identify and refer potential donors to donation programs, could play a part in optimization efforts. To be successful, this involves training organ donor coordinators to identify potential donors and specially trained physicians to optimize donation practices.
Public awareness campaigns may contribute to improving deceased and living organ and tissue donor rates. In this regard, Canada’s National Organ and Tissue Donation Awareness Week, organized by Canadian Blood Services, takes place during the last full week of April every year.
Finally, a number of initiatives have been established to optimize the matching of donor organs and recipients in Canada. These include the Kidney Paired Donation Program, the National Organ Waitlist and the Highly Sensitized Patient Program.
Read the full text of the HillStudy: Strategies to Optimize Organ and Tissue Donation and Transplantation
By Sonya Norris, Library of Parliament