Opting-out systems: no guarantee for higher donation rates.

Normative consent is not consent.

The UK has an opt-in system of consent for postmortem organ donation. More specifically, the Human Tissue Act 2004 prohibits the removal, storage, and use of organs postmortem for a range of ‘‘scheduled purposes’’—which include transplantation—unless ‘‘appropriate consent’’ has been given. Appropriate consent can be given by the donor premortem by signing and carrying a donor card, or by opting...

Tacitly opting out of organ donation: too presumptuous after all?

Race and ethnicity in decisions about unrelated hematopoietic stem cell donation.

Large international registries of potential unrelated hematopoietic stem cell (HSC) donors, including the National Marrow Donor program (NMDP), continue to face difficulties finding matched donors for racial/ethnic minorities. One reason, in addition to the generally less common HLA types among minority patients, is the much higher registry attrition rate of racial/ethnic minorities compared wi...

An international comparison of deceased and living organ donation/transplant rates in opt-in and opt-out systems: a panel study

BACKGROUND Policy decisions about opt-in and opt-out consent for organ donation are based on limited evidence. To fill this gap we investigated the difference between deceased and living organ donation rates in opt-in and opt-out consent systems across a 13 year period. We controlled for extensive covariates and estimated the causal effect of consent with instrumental variables analysis. METH...

Organ Donation Knowledge and Attitudes among Health Science Students in Greece: Emerging Interprofessional Needs

BACKGROUND The impact of presumed consent on donation rates has been widely debated. In June 2013 Greece adopted a 'soft' presumed consent law for organ and tissue donation, where relatives' approval is sought prior to organ removal. AIMS To report on the knowledge, attitudes and concerns of undergraduate students, enrolled in three health science disciplines, in regards to organ donation and...