+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Higher refusal rates for organ donation among older potential donors in the Netherlands: impact of the donor register and relatives



Higher refusal rates for organ donation among older potential donors in the Netherlands: impact of the donor register and relatives



Transplantation 90(6): 677-682



The availability of donor organs is considerably reduced by relatives refusing donation after death. There is no previous large-scale evaluation of the influence of the Donor Register (DR) consultation and the potential donor's age on this refusal in The Netherlands. This study examines 2101 potential organ donors identified in intensive care units between 2005 and 2008 and analyzes the association of DR consultation and subsequent refusal by relatives and the relationship with the potential donor's age. Of the 1864 potential donor cases where the DR was consulted, the DR revealed no registration in 56%, 20% registration of consent, and 18% objection. In the other 6.5% of cases, where the DR indicated that relatives had to decide, the relatives' refusal rate was significantly lower than in the absence of a DR registration (46% vs. 63%). In 6% of the cases where the DR recorded donation consent, relatives still refused donation. DR registration, objection in the DR, and the relatives' refusal rate if the DR was not decisive increased with donor age. Despite the introduction of a DR, relatives still play an equally important role in the final decision for organ donation. The general public should be encouraged to register their donation preferences in the DR and also to discuss their preferences with their families. The higher refusal rate of older potential donors means that this group should receive more information about organ donation, especially because the cohort of available donors is ageing.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 053554600

Download citation: RISBibTeXText

PMID: 20606603

DOI: 10.1097/tp.0b013e3181eb40fe


Related references

Relatives Refusal Rate For Organ Donation In Relation To Donor Register And Donor Age. Transplantation 86(Suppl.): 708-709, 2008

Organ Donation Process In The Netherlands Between 2005 And 2007 Quantified; Majority Of Donor Potential Loss Explained By Relatives Refusal. Transplantation 86(Suppl.): 54-55, 2008

Higher organ donation consent rates by relatives of potential uncontrolled donors versus potential controlled donors after death. Nephrology, Dialysis, Transplantation 27(11): 4219-4223, 2013

Organ donation Experiences from a donor hospital with suggestions for handling potential organ donors and their relatives. Tidsskrift for den Norske Laegeforening 112(25): 3190-3192, 1992

Organ donation from recently deceased patients. Experiences from a donor hospital and suggestions for handling potential organ donors and their relatives. Tidsskrift for den Norske Laegeforening 112(25): 3190-3193, 1992

Deceased organ donation consent rates among racial and ethnic minorities and older potential donors. Critical Care Medicine 41(2): 496-505, 2013

Myths about organ donation on health personnel, potential recipients and relatives of potential donors in a peruvian hospital: a qualitative study. Revista Peruana de Medicina Experimental Y Salud Publica 33(1): 83-91, 2018

Decision making on organ donation: the dilemmas of relatives of potential brain dead donors. Bmc Medical Ethics 16(1): 64, 2017

The cultural level of cadaveric potential organ donor relatives determines the rate of consent for donation. Transplantation Proceedings 31(6): 2601, 1999

Pre-donation cognitions of potential living organ donors: the development of the Donation Cognition Instrument in potential kidney donors. Nephrology, Dialysis, Transplantation 32(3): 573-580, 2017

A plea for uniform European definitions for organ donor potential and family refusal rates. Transplant International 22(11): 1064-1072, 2009

Impact of a Bereavement and Donation Service incorporating mandatory 'required referral' on organ donation rates: a model for the implementation of the Organ Donation Taskforce's recommendations. Anaesthesia 64(8): 822-828, 2009

Related PBSC Donors Experience Higher Levels of Pain and Donation-Related Symptoms and Less Complete Rates of Recovery Compared to Unrelated Donors: Primary Analysis of the Related Donor Safety Study (RDSafe). Biology of Blood and Marrow Transplantation 21(2): S41-S42, 2015

The impact of checking the Australian Organ Donor Register on family consent rates. Medical Journal of Australia 199(8): 536-538, 2013

Increasing organ donation rates by revealing recipient details to families of potential donors. Journal of Medical Ethics 44(2): 101-103, 2017