BMJ  2008;336:230 (2 February), doi:10.1136/bmj.39475.498090.80

Editorials

Presumed consent for organ donation

Is an ethical and effective way of dealing with organ donation shortages

The first 150 words of the full text of this article appear below.

Last year, 1000 people in the United Kingdom died while on the organ transplant list or after being removed from the list because they became too ill. Had a system of presumed consent been in place, whereby adults are automatically registered as organ donors unless they opt out, many of these deaths may have been prevented.

Over the past year, opinion in the UK among the public, media, and politicians has shifted towards presumed consent, and the prime minister has pledged his support of such a system. A public opinion poll taken in October 2007 showed that 64% of respondents were in favour of a soft system of presumed consent, compared with 59% in 2004.1

Although 90% of the UK population is in favour of organ donation, only 24% has signed the Organ Donation Register.2 Currently, when a person’s wishes are not known relatives are asked to decide about donation, . . . [Full text of this article]

Danielle Hamm, ethics adviser, Juliet Tizzard, deputy head of ethics

1 British Medical Association, London WC1H 9JP

dhamm@bma.org.uk


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Rapid Responses:

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A Conscious Decision?
Dr Joss Bray
bmj.com, 2 Feb 2008 [Full text]
A lot is already presumed
Sue R Roff
bmj.com, 2 Feb 2008 [Full text]
consent and choice in organ donation
John Saunders
bmj.com, 4 Feb 2008 [Full text]
Opt out scheme must be matched by funding and education
DAVID G SAMUEL
bmj.com, 4 Feb 2008 [Full text]
Re: A Conscious Decision?
Mary Bond
bmj.com, 5 Feb 2008 [Full text]
Presumed consent is no consent at all
Hugh V McLachlan
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A bad choice
Sarah Boehm
bmj.com, 7 Feb 2008 [Full text]
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Gee Yen Shin
bmj.com, 7 Feb 2008 [Full text]
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bmj.com, 8 Feb 2008 [Full text]
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Hugh V McLachlan
bmj.com, 10 Feb 2008 [Full text]
Presumed Consent for End-of-life Organ Donation: A Legislation Undermining Values in a Multicultural Society.
Joseph L. Verheijde
bmj.com, 12 Feb 2008 [Full text]
Presumed consent is no consent
Roger M Goss
bmj.com, 14 Feb 2008 [Full text]
Proactive opt-in already exists
Michael Archer
bmj.com, 19 Feb 2008 [Full text]
Improving donation rates without presuming anything...
stephen black
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