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How to Increase Organ Donation: Does Opting Out Have a Role?

Rudge, Chris J.1,3; Buggins, Elisabeth2

doi: 10.1097/TP.0b013e31823a2411
Editorials and Perspectives: Forum

Every country needs to increase the number of deceased organ donors and the potential impact of a change to opting-out legislation remains unproven, despite the apparent association between opting out and higher donor rates. However, the Spanish model—so successful in Spain and many other countries—is not based on a requirement for opting out, and, in the UK, deceased organ donation has increased by 25% in 3 years through implementation of a series of recommendations that have transformed the infrastructure of donation. A major review of opting out concluded that it is not appropriate for the UK at this time.

1Department of Health, London, United Kingdom.

2West Midlands Strategic Health Authority, Organ Donation Taskforce, Edgbaston, Birmingham, United Kingdom.

The authors declare no funding or conflicts of interest.

Address correspondence to: Chris J. Rudge, F.R.C.S., Department of Health, London, United Kingdom. E-mail:

Received 6 September 2011.

Accepted 27 September 2011.

© 2012 Lippincott Williams & Wilkins, Inc.