ArticleDigestive diseases and sciences2019
Presumed Consent: A Potential Tool for Countries Experiencing an Organ Donation Crisis.
Article in Digestive diseases and sciences, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- From Uncertainty to Consent: Educational Intervention Effects on Knowledge and Willingness to Donate Organs After Death.Healthcare (Basel, Switzerland) · 2025Article
- Practice patterns and considerations in liver transplantation from living donors with high BMI: A review.Hepatology forum · 2023Review
- The urgent need to achieve an optimal strategic stock of human allogeneic skin graft materials in case of a mass disaster in Poland.Cell and tissue banking · 2022Article
- Differential impact of opt-in, opt-out policies on deceased organ donation rates: a mixed conceptual and empirical study.BMJ open · 2022Article
- Liver transplantation in developing countries.Hepatology forum · 2022Review
- Cost-Effectiveness and Budget Impact Analysis of Implementing a 'Soft Opt-Out' System for Kidney Donation in Australia.Applied health economics and health policy · 2022Article
- Article
- Redesigning Kidney Care for the Anthropocene: A New Framework for Planetary Health in Nephrology.Canadian journal of kidney health and disease · 2022Article
- Presumed post-mortem donors: the degree of information among university students.BMC medical ethics · 2021Observational
- Increasing Organ Donor Registrations with Behavioral Interventions: A Field Experiment.Journal of marketing · 2021Article
- Assessing Global Organ Donation Policies: Opt-In vs Opt-Out.Risk management and healthcare policy · 2021Review
- Defining Quality Criteria for Success in Organ Donation Programs: A Scoping Review.Canadian journal of kidney health and disease · 2021Article
- Early identification using the referral system prolonged the time to onset for hepatic encephalopathy after diagnosing severe acute liver injury.Scientific reports · 2020Observational
- Impact of donor lung quality on post-transplant recipient outcome in the Lung Allocation Score era in Eurotransplant - a historical prospective study.Transplant international : official journal of the European Society for Organ Transplantation · 2020Article
- Estimated Association Between Organ Availability and Presumed Consent in Solid Organ Transplant.JAMA network open · 2019Article
- How the "Opt-In" Option Optimizes Organ Donation Rates.Digestive diseases and sciences · 2019Article
- Web-Based Perspectives of Deemed Consent Organ Donation Legislation in Nova Scotia: Thematic Analysis of Commentary in Facebook Groups.JMIR infodemiologyArticle
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThere is currently an inadequate supply of allografts to meet the number of transplant candidates worldwide. A number of controversial policies, including implementation of a presumed consent organ donation system, have been considered to rectify the organ donation crisis.
aimsA secondary retrospective data analysis aimed to assess the impact of switching to a presumed consent organ donation model on organ donation rates.
methodsDeceased organ donation rates were compared before and after countries adopted presumed consent.
resultsSix countries met entry criteria. All six countries had an increase in liver donation rates, while 4 out of the six countries had an increase in kidney donation rates. The overall mean (± SD) liver donation rate was 3.23 (± 0.97) per million population (pmp) before the transition and 6.46 (± 1.81) pmp after the transition (p < 0.0001). The overall mean (± SD) kidney donation rate was 17.94 (± 3.34) pmp before the transition and 26.58 (± 4.23) pmp after the transition (p < 0.0001). The percentage increase in liver and kidney donation rates varied among countries, ranging from 28 to 1186%.
conclusionThe transition from explicit to presumed consent was associated with a significant increase in liver donation rates in all countries that met our criteria, while the effect on kidney donation rates was partially realized. Although presumed consent alone is unlikely to explain the increase in donation rates, the adoption of such a policy may prove to be a worthwhile risk for countries experiencing consistently low organ donation rates.
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