Evidence map›Paper›PMID 34086783›Full record

ArticlePloS one2021

Governance quality indicators for organ procurement policies.

David Rodríguez-Arias, Alberto Molina-Pérez, Ivar R Hannikainen, Janet Delgado, Benjamin Söchtig, Sabine Wöhlke, Silke Schicktanz

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.2field-weighted citation impact, top 13% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 13 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 2 countries.

David Rodríguez-AriasFiloLab-UGR, Philosophy I Department, Universidad de Granada, Granada, Spain.ORCID 0000-0002-4555-5259
Alberto Molina-PérezFiloLab-UGR, Philosophy I Department, Universidad de Granada, Granada, Spain.
Ivar R HannikainenFiloLab-UGR, Philosophy I Department, Universidad de Granada, Granada, Spain.ORCID 0000-0003-0623-357X
Janet DelgadoELPAT-ESOT Public Issues Working Group, Santa Cruz de Tenerife, Spain.
Benjamin SöchtigDepartment of Medical Ethics and History of Medicine, University Medical Center Goettingen, Goettingen, Germany.
Sabine WöhlkeELPAT-ESOT Public Issues Working Group, Santa Cruz de Tenerife, Spain.
Silke SchicktanzDepartment of Medical Ethics and History of Medicine, University Medical Center Goettingen, Goettingen, Germany.
Universidad de Granada · ESUniversity of Göttingen · DEConsejo Superior de Investigaciones Científicas · ESHAW Hamburg · DEHospital Universitario de Canarias · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundConsent policies for post-mortem organ procurement (OP) vary throughout Europe, and yet no studies have empirically evaluated the ethical implications of contrasting consent models. To fill this gap, we introduce a novel indicator of governance quality based on the ideal of informed support, and examine national differences on this measure through a quantitative survey of OP policy informedness and preferences in seven European countries.

methodsBetween 2017-2019, we conducted a convenience sample survey of students (n = 2006) in Austria (AT), Belgium (BE), Denmark (DK), Germany (DE), Greece (GR), Slovenia (SI) and Spain (ES), asking participants about their donation preferences, as well as their beliefs and views about the policy in place. From these measures, we computed indices of informedness, policy support, and fulfilment of unexpressed preferences, which we compared across countries and consent systems.

resultsOur study introduces a tool for analyzing policy governance in the context of OP. Wide variation in policy awareness was observed: Most respondents in DK, DE, AT and BE correctly identified the policy in place, while those in SI, GR and ES did not. Respondents in opt-out countries (AT, BE, ES and GR) tended to support the policy in place (with one exception, i.e., SI), whereas those in opt-in countries (DE and DK) overwhelmingly opposed it. These results reveal stark differences in governance quality across countries and consent policies: We found a preponderance of informed opposition in opt-in countries and a general tendency towards support-either informed or uninformed-in opt-out countries. We also found informed divergence in opt-in countries and a tendency for convergence-either informed or uninformed-among opt-out countries.

conclusionOur study offers a novel tool for analyzing governance quality and illustrates, in the context of OP, how the strengths and weaknesses of different policy implementations can be estimated and compared using quantitative survey data.

Indexed as

Tissue and Organ ProcurementAttitudeEuropeFemaleHumansKnowledgeMalePolicySocial SupportStudentsSurveys and QuestionnairesTissue DonorsYoung Adult

Identifiers

PMID34086783
PMCPMC8177644
OpenAlexW3164545141

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.