Organ Retrieval and Collection of Health Information for Donation (ORCHID)

There are well-documented inefficiencies and inequities in the current system of deceased donor organ transplantation. While much prior research has focused on designing better allocation systems to distribute donated organs, more can be done to study organ procurement, the process by which organs are recovered from deceased donors. Improvements to organ procurement can greatly increase the supply of a scarce public resource, improving health outcomes for the more than 100,000 patients currently waiting for an organ transplant. Such changes will also impact health equity, as a disproportionate number of waitlisted patients come from marginalized communities. So far, research into organ procurement has been hamstrung by a lack of transparent data. To address this pressing issue, we have collected the first ever multi-center dataset on organ procurement, covering ten years of clinical, financial, and administrative information from six organ procurement organizations (OPOs). This novel dataset can be used to identify opportunities to improve current practice, build tools to help OPOs make better decisions, and recommend policy changes to increase procurement.

当前死者捐赠器官移植体系中存在着诸多已记录的效率低下和不平等现象。尽管先前的研究大量集中在设计更优的分配系统以分配捐赠器官，但在研究器官获取过程——即从死者身上恢复器官的过程——方面仍有大量工作可做。对器官获取过程的改进将极大提升稀缺公共资源的供应量，从而改善目前等待器官移植的超过十万名患者的健康状况。此类变革亦将影响健康公平性，因为等候名单上的患者中，来自边缘化社区的比例过高。迄今为止，由于缺乏透明数据，对器官获取的研究受到限制。为解决这一紧迫问题，我们收集了首个多中心器官获取数据集，该数据集涵盖了六个器官获取组织（OPO）十年来的临床、财务和管理信息。这一新颖的数据集可用于识别改进现有实践的机会，构建辅助OPO做出更优决策的工具，并就增加获取量的政策变革提出建议。