Estimated Association Between Organ Availability and Presumed Consent in Solid Organ Transplant | Zendy

Luke J. DeRoos | Zendy; Wesley J. Marrero | Zendy; Elliot B. Tapper | Zendy; Christopher J. Sonnenday | Zendy; Mariel S. Lavieri | Zendy; David W. Hutton | Zendy; Neehar D. Parikh | Zendy

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Estimated Association Between Organ Availability and Presumed Consent in Solid Organ Transplant

Author(s) -

Luke J. DeRoos,

Wesley J. Marrero,

Elliot B. Tapper,

Christopher J. Sonnenday,

Mariel S. Lavieri,

David W. Hutton,

Neehar D. Parikh

Publication year - 2019

Publication title -

jama network open

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 3.278

H-Index - 39

ISSN - 2574-3805

DOI - 10.1001/jamanetworkopen.2019.12431

Subject(s) - organ donation , organ procurement , organ transplantation , medicine , united network for organ sharing , cohort , informed consent , donation , transplantation , waiting list , surgery , law , pathology , liver transplantation , alternative medicine , political science

Key Points Question What are the plausible implications of a presumed consent transplant policy for waiting list outcomes in the United States? Findings In this simulation study of 524 359 potential organ recipients in a decision analytical model, a presumed consent policy was estimated to be associated with a reduction in waiting list removals. This estimation translated to an increase in life-years gained for patients in this simulation. Meaning This study suggests that implementation of a presumed consent policy could be the most immediate way to expand organ donation, although presumed consent alone is not likely to solve organ shortages in the United States.

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