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Opt-out systems of organ donation: International evidence review

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This review was carried out with the aim of updating an existing systematic review conducted by the University of York in 2008. It examined the impact of ‘opt-out’ legislation on organ donation rates.

This paper presents three main strands of evidence:

  1. International evidence suggests that an association exists between presumed consent legislation and increased organ donation rates;
  2. Recent surveys indicate that there is significant support for the introduction of an opt-out system for organ donation in Wales;
  3. Experimental literature provides evidence for a mechanism through which presumed consent might increase organ donation, through the influence of the default position.

For further information please contact ian.jones2@wales.gsi.gov.uk.