ArticleKidney international2019
Comparison of organ donation and transplantation rates between opt-out and opt-in systems.
Article in Kidney international, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 75 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
75 citing papers in PubMed, 2 syntheses or guidelines pooled it, 280 citations in OpenAlex.
- Public Opinions on Removing Disincentives and Introducing Incentives for Organ Donation: Proposing a European Research Agenda.Transplant international : official journal of the European Society for Organ Transplantation · 2024Pooled it
- Donor heart selection: Evidence-based guidelines for providers.The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation · 2023Guideline
- Education and Ethical Guidance for Organ Donation at the End-of-Life: An Ethical Guidance Statement from the Neurocritical Care Society.Neurocritical care · 2026Review
- Ten tips to preserve and reuse water in nephrology.Clinical kidney journal · 2026Review
- Does opt-out legislation crowd out living organ donations? A cross-country study.The European journal of health economics : HEPAC : health economics in prevention and care · 2026Article
- Potential for donation after circulatory death in Germany: a multicenter retrospective study at seven university hospitals.Transplant international : official journal of the European Society for Organ Transplantation · 2026Article
- Article
- Innovative strategies to increase cardiac donor availability.World journal of transplantation · 2025Review
- Policy innovations to advance equity in solid organ transplantation.Lancet (London, England) · 2025Review
- Hospital-Related Determinants of Refusal of Organ Donation in France: A Multilevel Study.International journal of environmental research and public health · 2025Article
- Future anxiety mediates the relationship between organ donation and transplantation knowledge and health-related quality of life.World journal of psychiatry · 2025Article
- TransformerLSR: Attentive joint model of longitudinal data, survival, and recurrent events with concurrent latent structure.Artificial intelligence in medicine · 2025Article
- Identifying the Views and Needs of Family Physicians on Providing Care to Living Kidney Donors: A Cross-Sectional Survey.Clinical transplantation · 2025Article
- Expanding the Donor Pool.Methodist DeBakey cardiovascular journal · 2025Review
- Opinions and knowledge about organ donation and transplantation: a multicenter cross-sectional study among medical science students in Poland.Frontiers in public health · 2025Article
- Promoting and Supporting Positive Conversations and Knowledge Mobilisation About Organ Donation in NHS Staff: a Hashtag "#" Series of Projects.Transplant international : official journal of the European Society for Organ Transplantation · 2025Article
- Rethinking Organ Donation in the Philippines: An Examination of the Opt-Out Policy as an Alternative to the Current Opt-In System.Acta medica Philippina · 2025Article
- Attitudes of Slovenian students towards whole-body donation, organ donation, and the use of donated bodies in medical education.BMC medical education · 2024Article
- Protocol and Statistical Analysis Plan for a Comparative Interrupted Time Series Evaluation of the Impact of Deemed Consent for Organ Donation Legislative Reform in Nova Scotia, Canada.Transplantation direct · 2024Article
- Bringing a Systems Approach to Living Donor Kidney Transplantation.Kidney international reports · 2024Article
15 more citing papers are in PubMed but not listed here.
Corrections and comments
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- Erratum issued
Authors and funding
3 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Studies comparing opt-out and opt-in approaches to organ donation have generally suggested higher donation and transplantation rates in countries with an opt-out strategy. We compared organ donation and transplantation rates between countries with opt-out versus opt-in systems to investigate possible differences in the contemporary era. Data were analysed for 35 countries registered with the Organisation for Economic Co-operation and Development (17 countries classified as opt-out, 18 classified as opt-in) and obtained organ donation and transplantation rates for 2016 from the Global Observatory for Donation and Transplantation. Compared to opt-in countries, opt-out countries had fewer living donors per million population (4.8 versus 15.7, respectively) with no significant difference in deceased donors (20.3 versus 15.4, respectively). Overall, no significant difference was observed in rates of kidney (35.2 versus 42.3 respectively), non-renal (28.7 versus 20.9, respectively), or total solid organ transplantation (63.6 versus 61.7, respectively). In a multivariate linear regression model, an opt-out system was independently predictive of fewer living donors but was not associated with the number of deceased donors or with transplantation rates. Apart from the observed difference in the rates of living donation, our data demonstrate no significant difference in deceased donation or solid organ transplantation activity between opt-out versus opt-in countries. This suggests that other barriers to organ donation must be addressed, even in settings where consent for donation is presumed.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.