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2023, Number 3

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Rev Mex Traspl 2023; 12 (3)

Presumed consent in organ donation for transplantation purposes: mexican health personnel's opinion

Martínez-Sánchez CA, Alberú J, López-Falcony R, Medeiros M
Full text How to cite this article 10.35366/112284

DOI

DOI: 10.35366/112284
URL: https://dx.doi.org/10.35366/112284

Language: Spanish
References: 12
Page: 127-131
PDF size: 252.47 Kb.


Key words:

presumed consent, tacit consent, donation, organs, transplantation.

ABSTRACT

Organ transplantation is always the best treatment option for organ dysfunction. Organs shortage implies a challenge for transplantation systems worldwide; which was aggravated by the SARS-CoV-2 pandemic. In Mexico alone, the donation and transplant rate decreased 66% in 2020. Presumed consent is an organ donation policy which assumes that all the inhabitants of a state or nation become donors upon death unless there is evidence that the individual decided otherwise while alive; also known as opting out. In Mexico, the current donation policy is by tacit consent, which requires the consent of relatives or the donor himself if he expressed his desire to be a donor before his death. The idea of modifying the donation policy in the country is currently being explored through a reform to the general health law that proposes that those who do not opt for voluntary exclusion through a public instrument known as the "official list of non-donors" can be considered "obligated potential donor".


REFERENCES

  1. Centro Nacional de Trasplantes. Estadísticas sobre donación y trasplantes. Gobierno de México. 2022. pp. 1-1.

  2. Da Silva Clemente Pinho R, Nogueira da Costa Santos CM, Resende Figueiredo Duarte IM. Presumed post-mortem donors: the degree of information among university students. BMC Med Ethics. 2021; 22 (1): 139.

  3. Etheredge HR. Assessing global organ donation policies: opt-in vs opt-out. Risk Manag Healthc Policy. 2021; 14: 1985-1998.

  4. Ahmad MU, Hanna A, Mohamed AZ, Schlindwein A, Pley C, Bahner I et al. A systematic review of opt-out versus opt-in consent on deceased organ donation and transplantation (2006-2016). World J Surg. 2019; 43: 3161-3171.

  5. Williams NJ, O'Donovan L, Wilkinson S. Presumed dissent? opt-out organ donation and the exclusion of organs and tissues. Med Law Rev. 2022; 30 (2): 268-298.

  6. Hulsbergen AFC, Broekman MLD. Organ donation after acute subarachnoid hemorrhage: opt in or opt out? Acta Neurochirurgica. 2018; 160: 1515-1516.

  7. Madden S, Collett D, Walton P, Empson K, Forsythe J, Ingham A et al. The effect on consent rates for deceased organ donation in Wales after the introduction of an opt-out system. Anaesthesia. 2020; 75 (9): 1146-1152.

  8. Arshad A, Anderson B, Sharif A. Comparison of organ donation and transplantation rates between opt-out and opt-in systems. Kidney Int. 2019; 95 (6): 1453-1460.

  9. Csillag C. Brazil abolishes "presumed consent" in organ donation. Lancet. 1998; 352 (9137): 1367.

  10. Sistema Español de Donación y Trasplante. Plan estratégico en donación y trasplante de órganos. Madrid. 2018.

  11. Becker F, Roberts KJ, de Nadal M, Zink M, Stiegler P, Pemberger S et al. Optimizing organ donation: Expert opinion from Austria, Germany, Spain and the U.K. Ann Transplant. 2020; 25: e921727-1-e921727-16.

  12. Gobierno del Estado de Guanajuato. El Sistema de Salud de Guanajuato mantiene 1,588 guanajuatenses en lista de espera de un riñón para trasplante. 2022.




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Rev Mex Traspl. 2023;12