The case for “presumed consent” in organ donation

Kennedy, Ian; Sells, R A; As, Daar; Rd, Guttmann; Hoffenberg, R.; Lock, Margaret; Radcliffe-Richards, J; Tilney, Nicholas L.

doi:10.1016/s0140-6736(97)08212-3

Cited by 95 publications

(38 citation statements)

References 2 publications

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“…In 1984, less than 7% of Americans supported the notion of presumed consent (44,48). Because of poor donation rates this approach has been promoted again recently, provoking strong ethical debate (49,50). Although a majority of individuals preferred an explicit consensus model in the decision of organ donation, a majority had not adequately fixed their will.…”

Section: The Perceptionmentioning

confidence: 99%

Attitudes and Behavior of Young European Adults Towards the Donation of Organs – a Call for Better Information

Groß

Martinoli

Spagnoli

et al. 2001

American Journal of Transplantation

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Public perception of organ donation critically affects the availability of organ transplantation in the Western world. To assess the attitude of young adults towards the donation of organs and to investigate potential factors influencing their knowledge and actual behavior regarding organ transplantation, we evaluated a handout questionnaire survey of all Swiss-Italian recruits during six of the years 1989-98 (n Ω 7272). The attitude of recruits towards organ donation did not change significantly within the 10-year survey period: 61% of young men would personally donate their organs in the case of brain death, 13% would refuse, and 26% had not made up their mind. If they had to decide for close relatives, 50% would consent; 60% of recruits neither knew their next of kin's attitude nor had informed them about their own opinion; 80% felt they were insufficiently informed about organ transplantation. A significantly more positive attitude towards organ donation was found among men who felt they were sufficiently informed, who had close next of kin who were aware of their personal attitude (p ∞0.0001), who had contacts with transplanted persons (p ∞0.015), or who believed in an existence after death (p ∞0.001; c 2 -test). Our results suggest that there is potentially large support towards organ donation in this population. To minimize the high rate of indecisiveness, young adults need more appropriate information on the subject and they ask for it.

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Section: The Perceptionmentioning

confidence: 99%

Attitudes and Behavior of Young European Adults Towards the Donation of Organs – a Call for Better Information

Groß

Martinoli

Spagnoli

et al. 2001

American Journal of Transplantation

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“…Information is treated differently across countries and the collection of statistics can introduce bias. For example, the cause of death and cultural differences can have an impact on donor statistics [7]. Furthermore, one must consider global trends while comparing donor rate increases.…”

Section: Arguments For An 'Opt-out' Systemmentioning

confidence: 99%

“…This could potentially result in a higher rate of refusal. Kennedy et al suggest that during the discussion of organ donations, the 'opt-out' system allows families to be partially relieved of the burden of deciding [7]. The families have transitioned into a position of corroborating facts instead of pushed into making a timely decision [7].…”

Section: Arguments For An 'Opt-out' Systemmentioning

confidence: 99%

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A Case for an Opt-Out Organ Donation System in Canada

Aust

2017

UOJM

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“…On the other hand, opponents of presumed consent have pointed out that this system is neither morally nor ethically acceptable. In fact, the huge majority of 4 Gundle (2004), Gnant et al (1991), Michielsen et al (1996), Matesanz and Miranda (2001), Kaur (1998) and Kennedy et al (1998). 5 Following Gill (2004): "no matter how well the current system (informed consent) is instituted, there will still be cases in which people who would have preferred to donate their organs will be buried with all their organs intact; call these mistaken non-removals.…”

Section: Introductionmentioning

confidence: 99%

The Impact of Presumed Consent Law on Organ Donation: An Empirical Analysis from Quantile Regression for Longitudinal Data

Neto

Silva

Campelo³

2012

Work Paper Public Hlth

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Human organs for transplantation are extremely valuable goods and their shortage is a problem that has been verified in most countries around the world, generating a long waiting list for organ transplants. This is one of the most pressing health policy issues for governments. To deal with this problem, some researchers have suggested a change in organ donation law, from informed consent to presumed consent. However, few empirical works have been done to measure the relationship between presumed consent and the number of organ donations. The aim of this paper is to estimate that impact, using Health expenditure has an important role on the response variable as well, the coefficient estimate varying between 42-52%.

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The case for “presumed consent” in organ donation

Cited by 95 publications

References 2 publications

Attitudes and Behavior of Young European Adults Towards the Donation of Organs – a Call for Better Information

Attitudes and Behavior of Young European Adults Towards the Donation of Organs – a Call for Better Information

A Case for an Opt-Out Organ Donation System in Canada

The Impact of Presumed Consent Law on Organ Donation: An Empirical Analysis from Quantile Regression for Longitudinal Data

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