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  • Title: Potential limitations of presumed consent legislation.
    Author: Boyarsky BJ, Hall EC, Deshpande NA, Ros RL, Montgomery RA, Steinwachs DM, Segev DL.
    Journal: Transplantation; 2012 Jan 27; 93(2):136-40. PubMed ID: 21968525.
    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.
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