Consent model, opt-in/opt-out system, and organ donation rates in the European Union countries
Journal Title: Applied Medical Informatics - Year 2019, Vol 41, Issue 0
Abstract
Introduction: Disparities in organ donation rates exists through the world countries, even despite sharing a common legislative background. The model of the consent for organ donation after brain death (deceased donor) informed consent (opt-in system) or presumed consent (opt-out system), influences the rates of organ donation. Opt-out legislative systems claim to dramatically increase effective organ donation consent rates. There is no evidence that opt-out system is the sole factor. The aim of the study was to identify if other factors than opt-out system may interact and modify the system’s effect on donation rates. Materials and methods: Secondary data analysis using the European annual reports from International Registry in Organ Donation and Transplantation (IRODaT) for the years 2013-2017 through univariate descriptive statistics was done. Comparisons were made between all 28 EU countries from the perspective of the consent systems. For this study, we choose to compare the donation rate per million population (pmp) between EU countries with opt-in consent system, 8 countries (28.58%) - Denmark, Netherlands, Germany, Romania, UK, Ireland, Lithuania, Malta - and countries with opt-out consent system, 20 countries (71.42%), namely Sweden, Poland, Austria, France, Spain, Belgium, Bulgaria, Croatia, Cyprus, Czech Republic, Estonia, Finland, Greece, Hungary, Italy, Latvia, Luxembourg, Portugal, Slovakia, and Slovenia. Results: In opt-out system countries resulted a mean value of 20.34±9.79 pmp, and in the opt-in countries resulted a mean value of 15.94±6.30 pmp. For each year we have analyzed, the mean for opt-out countries has recorded a higher value of pmp than opt-in countries: 2013 – 19.77/16.64, 2014 – 19.15/15.10, 2015 – 20.79/14.94, 2016 – 20.45/16.51, 2017 – 21.45/16.50. Conclusion: Opt-out consent may lead to an increase in deceased donation but it is also important to assess other factors that influence organ donation system.
Authors and Affiliations
Petru COTRĂU, Viviana HODOSAN, Adriana VLADU, Lucia DAINA, Marcel NEGRAU, Cristian DAINA, Carmen PANTIS
Keywords
Related Articles
- EP ID EP655076
- DOI -
- Views 115
- Downloads 0
Open Labyrinth – a Web Application for Medical Education Using Virtual Patients
The aim of this paper is to present an application, implemented and used at “Iuliu Hatieganu” University of Medicine and Pharmacy Cluj Napoca for medical education, The application, called Open Labyrinth is an open sourc...
Adult Heart Dynamics Evaluated from A Chaotic Mathematical Law
Aim: to confirm the diagnostic capacity in 18 hours of a methodology applied to heart dynamics in the frame of a chaotic exponential mathematical law previously applied in 21 hours based on dynamical systems theory and f...
Ontology-Based Search Procedure to Identify Tissue Samples in an Autopsy Archive: A Pilot Study
This study aimed to obtain a detailed record of all autopsy specimens analyzed in the Pathology Department of the Emergency Clinical Hospital for Children, Cluj-Napoca from 1974 to 2018, by using an ontology-based search...
An Experiment to Analyze Performance of Virtual Private Network Approach to Information Exchange between Health Facilities
In developing countries, Tanzania in particular, studies and reports have depicted that there is a strong desire and need for seamless information exchange across health care providing facilities. A limited study conduc...
Automated Erythema Quantification in Radiation Therapy - a Java Based Tool
[i]Introduction[/i]: In radiotherapy, erythema is a common side-effect, especially during radiotherapy treatment regimes that last several weeks. The measurement of erythema might be of clinical relevance, especially whe...