The Impact of Presumed Consent Legislation on Cadaveric Organ Donation: A Cross Country Study

@article{Abadie2006TheIO,
  title={The Impact of Presumed Consent Legislation on Cadaveric Organ Donation: A Cross Country Study},
  author={Alberto Abadie and S{\'e}bastien Gay},
  journal={Health Care Law \& Policy},
  year={2006}
}
In the U.S., Great Britain and in many other countries, the gap between the demand and the supply of human organs for transplantation is on the rise, despite the efforts of governments and health agencies to promote donor registration. [] Key Method For this purpose, we construct a dataset on organ donation rates and potential factors affecting organ donation for 22 countries over a 10-year period. We find that while differences in other determinants of organ donation explain much of the variation in…
The Impact Of Presumed Consent Law On Organ Donation: An Empirical Analysis From Quantile Regression For Longitudinal Data
TLDR
The results suggest that presumed consent has a positive effect on organ donation, which varies in the interval 21-26% for the quartiles, the impact being stronger in the left tail of the distribution.
A principlist approach to presumed consent for organ donation
TLDR
It is argued here that the system of presumed consent may actually be more respectful of the principle of autonomy than a system of explicit consent, on the basis that it goes against the wishes of the fewest number of people, and it has clear benefits in terms of beneficence and justice whilst also being compatible with the Principle of nonmaleficence.
Presumed consent legislation failed to improve organ donation in Chile.
Presumed consent for organ donation: a clinically unnecessary and corrupting influence in medicine and politics.
  • J. Fabre
  • Medicine, Political Science
    Clinical medicine
  • 2014
TLDR
Rather than legislating for consent of donors, the issue should be addressing the misgivings and misunderstandings of families to improve their consent rate, as has been done successfully in Spain.
The impact of presumed consent laws and institutions on deceased organ donation
  • Fırat Bilgel
  • Medicine
    The European Journal of Health Economics
  • 2010
TLDR
Examining the interactions between a presumed consent legal regime and other customs and institutions using data on health expenditure, death rates caused by cerebro vascular diseases, motor vehicle accidents and homicides, legislation, legal systems, family consent, civil rights and liberties and donor registry systems for 24 countries over a 14-year period concludes that countries in which presumed consent is enacted exhibit significantly higher donation rates.
Organ donation in France: legislation, epidemiology and ethical comments
TLDR
In France there are three situations in which organs may be harvested: from cadaveric donors, from living donors and, since 2005, from non heart beating donors.
Presumed Consent for Organ Donation: Principlism Opts Out
TLDR
This proposal raises many ethical questions that must be examined in light of standard medical ethics principles before implementation of such a policy should be supported, and increases the potential for discrimination in the donation process, is likely to subvert doctor-patient trust in some cases, and undermines the concept of true informed consent in medicine.
Does changing defaults save lives? Effects of presumed consent organ donation policies
TLDR
Evidence indicates that rates of consent, donation, and transplantation are higher under presumed consent policies than under explicit consent policies, and policymakers must balance a number of other considerations to ensure that shifting to a presumed consent system will boost donation and transplation rates.
Taking from the Dead: an Examination of Cadaveric Organ Procurement
TLDR
It is argued that obtaining patient consent before organ removal is not strictly necessary because there are other ways to properlyrespect patient autonomy that do not involve obtaining consent, and that the kind of consent obtained from donors by current U.S. policy fails to respect patient autonomy.
...
1
2
3
4
5
...

References

SHOWING 1-10 OF 73 REFERENCES
Presumed consent and other predictors of cadaveric organ donation in Europe.
TLDR
If a presumed consent policy and other variables can be used to predict the cadaveric organ donation rate per million population in Europe may be useful to academics and professionals responsible for organ procurement.
A decade of continuous improvement in cadaveric organ donation: the Spanish model.
TLDR
Spain is the only example in the world of continuous improvement in cadaveric organ donation registered in a large country over a ten-year period and can be partially or totally translated to other countries if basic conditions are satisfied.
Factors influencing families' consent for donation of solid organs for transplantation.
TLDR
Specific steps can be taken by HCPs and OPO staff to maximize the opportunity to persuade families to donate their relatives' organs.
Presumed Consent to Organ Donation: 10 Years’ Experience in Belgium
  • P. Michielsen
  • Medicine
    Journal of the Royal Society of Medicine
  • 1996
TLDR
This review focuses on how the new law affected organ retrieval and the factors that influenced its acceptance by all parties in Belgium.
How to improve organ donation: results of the ISHLT/FACT poll.
  • M. Oz, A. Kherani, James B. Young
  • Medicine
    The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation
  • 2003
Strategies for cadaveric organ procurement. Mandated choice and presumed consent. Council on Ethical and Judicial Affairs, American Medical Association.
TLDR
Even though each cadaveric organ donor can often supply multiple organs for transplantation, many patients still die before a suitable organ becomes available, and waiting lists for donor organs are increasingly crowded.
Defaults and Donation Decisions
TLDR
Research shows that opt-in countries have much higher rates of apparent agreement with donation, and a statistically significant higher rate of donations, even with appropriate statistical controls, and compares countries with opt- in (explicit consent) and opt-out (presumed consent) defaults.
Do Defaults Save Lives?
TLDR
The article discusses how should policy-makers choose defaults regarding organ donors, noting that every policy must have a no-action default, and defaults impose physical, cognitive, and emotional costs on those who must change their status.
Organ Procurement and Transplantation Network; final rule revision of comment period and effective dates--HRSA. Extension of comment period and delay of effective date for the Organ Procurement and Transplantation Network.
  • Political Science
    Federal register
  • 1998
TLDR
This document sets forth the revisions required by the Fiscal Year 1998 Supplemental Appropriations Act, Public Law 105-174, signed into law by the President on May 1, 1998, to make corresponding changes to the regulation.
...
1
2
3
4
5
...