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Skip Navigation LinksHome > January 27, 2012 - Volume 93 - Issue 2 > Potential Limitations of Presumed Consent Legislation
Transplantation:
doi: 10.1097/TP.0b013e31823173e0
Editorials and Perspectives: Forum

Potential Limitations of Presumed Consent Legislation

Boyarsky, Brian J.1; Hall, Erin C.1,2; Deshpande, Neha A.1; Ros, R. Lorie1; Montgomery, Robert A.1; Steinwachs, Donald M.3; Segev, Dorry L.1,4,5

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Abstract

A causal link has been proposed between presumed consent (PC) and increased donation; we hypothesized that too much heterogeneity exists in transplantation systems to support this inference. We explored variations in PC implementation and other potential factors affecting donation rates. In-depth interviews were performed with senior transplant physicians from 13 European PC countries. Donation was always discussed with family and would not proceed against objections. Country-specific, nonconsent factors were identified that could explain differences in donation rates. Because the process of donation in PC countries does not differ dramatically from the process in non-PC countries, it seems unlikely that PC alone increases donation rates.

© 2012 Lippincott Williams & Wilkins, Inc.

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