• Brian J Boyarsky, Erin C Hall, Neha A Deshpande, R Lorie Ros, Robert A Montgomery, Donald M Steinwachs, and Dorry L Segev.
• Department of Surgery, Johns Hopkins School of Medicine, Baltimore, MD, USA.
• Transplantation. 2012 Jan 27;93(2):136-40.

AbstractA 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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