Organ donation research paper

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The number of organs harvested for transplants from children who die in paediatric intensive care units has increased over the last 11 years according to a new research study published in the Irish Medical Journal. This represents a donation rate of 2. There is also an increased awareness among the public of the need for organ donation and transplantation as a result of advocacy groups and the support of the media.

There is some evidence that discussion in the media may influence parental decisions to donate. The study stated that, in general organs are donated after death has been confirmed using neurological criteria to diagnose brainstem death BSD. Nonetheless, since its introduction there has been a sustained recovery and a This was a view supported by patient and public representatives who co-produced the current study.

An increase of one donor per year with associated increases in organ transplantations, would generate sufficient benefits for a soft opt-out system to more than pay for itself.

Our process evaluation sheds more light on the issues that prevent donation proceeding, some of which are amenable to intervention to reduce this figure. Our findings have important implications for other nations including the Netherlands, Scotland and England who have signalled an intention or decision to implement a soft opt-out system. Having accumulated more data since the conclusion of this study, other NHSBT studies are underway which are looking into this.

Given the growing worldwide interest in introducing opt-out systems and the unclear long-term impact on consent and donation rates these findings should be considered by policymakers who may assume that soft opt-out systems by themselves simply need more time to have a meaningful effect on donation numbers.

Donald Fraser: Lead of the Wales Kidney Research Unit supported development of the funding application and served as independent Chair of the steering group. Carol Williams for undertaking Welsh language and some English interviews. Jo Mitchell for providing administrative support and transcription. Barbara Neukirchinger intern , Natalie Roberts intern. Lisa Welsh, team leader, Donor Records Department for ensuring packs, envelopes and consent forms were included in donor packs for the duration of the study.

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Keeping the research team updated and following up with postal follow ups. A special thanks to all the families. Thank you for agreeing to share your stories so that we could learn from your experiences. Contributors JN: Chief Investigator conceptualised the idea, put the team together, designed the study and procedures and drafted manuscript. MS: Consultant Transplant and Organ Retrieval Surgeon, Clinical Lead for Transplantation, Cardiff and Vale Health Board—advised on key research team members and stakeholders to bring into the research team, proposed changes in the law and key research questions to address.

Organ Donation Research Paper: Commercialization of Organ Transplants

All authors contributed to drafting and agreed the final submitted manuscript. Project Reference Provenance and peer review Not commissioned; externally peer reviewed. Data sharing statement Additional unpublished data are not publicly available. Family attitudes, actions, decisions and experiences following implementation of deemed consent and the Human Transplantation Wales Act mixed-method study protocol.

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Health services research. Short-term impact of introducing a soft opt-out organ donation system in Wales: before and after study. Abstract Objectives To determine the short-term impact of a soft opt-out organ donation system on consent rates and donor numbers. Participants potential organ donor cases in Wales. Interventions The Act and implementation strategy. Statistics from Altmetric. View this table: View inline View popup.

Organ Donation Research Paper: Commercialization of Organ Transplants

Table 1 Comparison of the previous opt-in and new soft out-opt system in Wales. Table 2 Additional key terms and operational definitions. How the intervention is intended to work A detailed description of the components and how the intervention is intended to work can be found in the study protocol. Primary and secondary outcomes Consent rates and numbers of organ donors compared with previous years.

Participants All potential organ donor cases in Wales were included. Table 3 Before and after results. Patient and public involvement This was a co-productive study with extensive patient and public involvement of over 50 people and organisations in the design, analysis and interpretation of data. Results There were deceased donors in Wales of which References 1. Accessed 10th Apr Welsh Government.

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BMJ Open ; 7 : e Palmer M. Opt-out systems of organ donation: International evidence review. Accessed 10th Apl Bramhall S. Presumed consent for organ donation: a case against. McCartney M. BMJ ; : j Human Transplantation Act. Young V. Cardiff, Wales : Welsh Government. Shaw D. Presumed consent to organ donation and the family overrule. J Intensive Care Soc ; 18 : 96 — 7. Presumed evidence in deemed consent to organ donation.

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J Intensive Care Soc ; 19 : 2 — 3. Kidney deaths inquest: No criticism over transplant deaths. Media content analysis of the introduction of a "soft opt-out" system of organ donation in Wales