Obtaining cornea donation consent by telephone

Abstract

Background: Cornea donation process comes up against difficulties in obtaining families' consent. A face-to-face interview is often not possible for logistical reasons. We carried out a prospective study of the effectiveness of telephone contact in obtaining donation consent.

Methods: Consent was obtained by a single, nonmedical, hospital coordinator. If a face-to-face interview was not possible, a telephone interview was conducted using a standardized procedure.

Results: Over a 21-month period, 334 families were contacted, either in a face-to-face interview (142, 42.5%) or by telephone (192, 57.5%). Donation consent was obtained in 66.5% of cases, 106 times by telephone and 116 times in face-to-face interview. The acceptance rate was 55.2% by telephone and 81.6% face to face (P<0.001). In total, 47.7% of the cornea recovery consents were obtained after telephone interview.

Conclusions: Telephone interview is an effective method for obtaining consent to cornea donation. Although the acceptance rate using this method is lower than by face-to-face interview, using the telephone should not be overlooked as this enabled procurement of nearly half the corneas in our hospital.